Radioembolization
Fig. 9.1 Fifty-two-year-old male with recurrent CLM in the left lobe (liver resection was performed 4 years earlier) with liver progression despite three lines of chemotherapy. (a) Gadolinium-enhanced MRI. (b)…
Two-Stage Liver Surgery
Fig. 13.1 Indication of two-stage hepatectomy for colorectal liver metastases at Paul Brousse Hospital. (a) When the multinodular tumors are distributed unilobar and thought to be unresectable because of small…
Improving Quality of Life in Patients with Unresectable Disease
© Springer International Publishing Switzerland 2017Eduardo de Santibañes, Victoria Ardiles, Fernando A. Alvarez, Virginia Cano Busnelli and Martin de Santibañes (eds.)Extreme Hepatic Surgery and Other Strategieshttps://doi.org/10.1007/978-3-319-13896-1_26 26. Improving Quality of Life in Patients with Unresectable Disease Mariela Bertolino1 , Noemí Díaz1…
Choosing the Best Strategy
Fig. 5.1 Monosegment associating liver partition and portal vein ligation for staged hepatectomy (ALPPS). Only segment 2 (S2) was left as future liver remnant after a right trisectionectomy and anatomical…
Intra-Arterial Chemotherapy
Agent Half-life (min) Fold increase in hepatic concentration Bis-chloroethyl-nitrosurea 5 6–7 Cisplatin 20–30 4–7 Dichloromethotrexate – 6–8 Doxorubicin 60 2 5-Fluorouracil (5-FU) 10 5–10 Floxuridine (FUDR) 10 100–400 Mitomycin C…
Preoperative Evaluation of Liver Function
Fig. 3.1 Preoperative hepatobiliary scintigraphy in a 56-year-old male patient with a large resectable HCC in the right liver segments. Summed dynamic scintigraphy (a) showing hypertrophy and function of the…
Conversion and Neoadjuvant Therapies
© Springer International Publishing Switzerland 2017Eduardo de Santibañes, Victoria Ardiles, Fernando A. Alvarez, Virginia Cano Busnelli and Martin de Santibañes (eds.)Extreme Hepatic Surgery and Other Strategieshttps://doi.org/10.1007/978-3-319-13896-1_6 6. Conversion and Neoadjuvant Therapies Jorge Pablo Grondona1 (1) Department of Surgery, Sanatorio San…
Lower Gastrointestinal Bleeding: Diagnosis and Management
Fig. 34.1 Colonic telangiectasia. Endoscopic views before and after argon plasma therapy Hemangiomas and vascular malformations (Figs. 34.2, 34.3, and 34.4): GI hemangiomas are uncommon benign vascular tumors. They may…
Crohn’s Disease
Fig. 15.1 “Fat creeping” phenomenon (arrow) in the small bowel in a patient with Crohn’s disease Aphthoid lesions, fissural ulcerations, cobblestone pattern Fistula Rectum is typically spared Perianal lesions Microscopic…
Anorectal Abscess and Fistula
Fig. 6.1 Abscess classification Ischioanal: Abscesses located in ischioanal fat are bordered by the sphincter muscles medially by the levator ani in the cranial aspect, and by the ischial bone…
