Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3312064 | Journal de Chirurgie Viscérale | 2012 | 13 Pages |
Abstract
Abdominal 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.
Keywords
Related Topics
Health Sciences
Medicine and Dentistry
Gastroenterology
Authors
N. Golse, C. Ducerf, A. Rode, C. Gouillat, J. Baulieux, J.-Y. Mabrut,