کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3312016 | 1211000 | 2012 | 13 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Embolisation portale avant hépatectomie majeure pour métastases hépatiques d'origine colorectale : rationnel, indications, techniques, complications et résultats
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
پیش نمایش صفحه اول مقاله
![عکس صفحه اول مقاله: Embolisation portale avant hépatectomie majeure pour métastases hépatiques d'origine colorectale : rationnel, indications, techniques, complications et résultats Embolisation portale avant hépatectomie majeure pour métastases hépatiques d'origine colorectale : rationnel, indications, techniques, complications et résultats](/preview/png/3312016.png)
چکیده انگلیسی
Surgery is the only curative treatment for colorectal liver metastases (CRLM), but resection should be total with tumor-free margins and the remaining parenchyma, functionally sound. The rationale behind portal vein embolization (PVE) to reduce the risk of these hepatic resections is threefold: firstly, surgery for CRLM has become more and more aggressive, and hepatocellular insufficiency represents the leading cause of mortality after major hepatectomy for hepatic metastasis (HM); secondly, underlying hepatic disease occurs more frequently than previously thought in these patients having undergone neoadjuvant chemotherapy, and can alter hepatic function and/or hinder postoperative regeneration, and thirdly, the operative risk is increased if major hepatectomy is associated with resection of the primary tumor. The goal of this update is to review the reasons behind and the indications for PVE, to analyze the literature pertaining to whether PVE should be routine or selective, and to tackle certain technical aspects, all within the framework of the treatment of CRLM.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal de Chirurgie Viscérale - Volume 149, Issue 2, April 2012, Pages 94-106
Journal: Journal de Chirurgie Viscérale - Volume 149, Issue 2, April 2012, Pages 94-106
نویسندگان
C. Lim, O. Farges,