کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3316088 | 1211518 | 2012 | 12 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Transthoracic approach for liver tumors Transthoracic approach for liver tumors](/preview/png/3316088.png)
SummaryAbdominal approach is commonly used for resection of liver tumors. However, in rare cases, transthoracic approach may be a valuable option for management of lesions located in the hepatic dome or involving the cavo-hepatic junction for very selected patients. This approach can be an open procedure (thoracotomomy), a video-assisted minimally invasive technique (thoracoscopy), or a strictly percutaneously treatment (CT-guided radiofrequency ablation). This approach seems useful for high-risk patients, with previous major abdominal surgery, or awaiting for liver transplantation (bridge concept) with cranially located single lesions. A limited liver resection (tumorectomy or segmentectomy) can be performed, but this approach is also suitable for percutaneous ablation therapy (radiofrequency or cryotherapy), with an acceptable morbidity.
Journal: Journal of Visceral Surgery - Volume 149, Issue 1, February 2012, Pages e11–e22