Outcomes of staged hepatectomies for liver malignancy
Outcomes of staged hepatectomies for liver malignancy作者机构：Hepatobiliary and Liver Transplant Unit Department of General Surgery Prince Sultan Military Medical City
出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)
年 卷 期：2019年第11卷第6期
页 面：513-521页
主 题：Staged hepatectomy Portal vein embolization Portal vein ligation Colorectal liver metastasis Hepatocellular carcinoma Associated liver partition and portal vein ligation for staged hepatectomy
摘 要：Liver malignancies are the fifth most common cause of death *** intervention with curative intent is the treatment of choice for liver tumors as it provides long-term ***,only 20%of patients with metastatic liver lesions can be managed by curative liver *** most of the cases,hepatectomy is not feasible because of insufficient future liver remnant(FLR).Two-stage hepatectomy is advocated to achieve liver resection in a patient who is considered to not be a candidate for *** of staged hepatectomy include conventional two-stage hepatectomy,portal vein embolization,and associating liver partition and portal vein ligation for a staged *** success is high for each of these procedures but variable between *** the procedures have been reported as being effective in achieving a satisfactory FLR and completing the second-stage ***,the overall survival and disease-free survival rates have improved significantly for patients who were otherwise considered nonresectable;yet,an increase in the morbidity and mortality rates has been *** suggest that this type of procedure should be carried out in high-flow centers and through a multidisciplinary *** experienced surgeon is key to the success of those interventions.
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