GASTROENTEROLOGY

Nodal Involvement

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Nodal Involvement

Fig. 22.1 Schema of lymphatic drainage of the liver. Sublobular and portal lymphatic pathway (a) and superficial pathways (b) (Source: ‘Patterns of spread of disease from the liver’, Figs. 9…

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Anesthetic Management

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Anesthetic Management

  Number of patients Percentage (%) Malignant pathologies • Colon metastasis • Neuroendocrine metastasis • Metastasis of another origin • Hepatocellular carcinoma • Colangiocarcinoma • Vesicular cancer • Others 826 552 22 31 88 22 18 93…

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Combined Vascular Resections

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Combined Vascular Resections

Fig. 17.1 A 60-year-old man presented with a liver metastasis adjoining the right anterior branch of the portal triad. The indocyanine retention rate at 15 min was 8.5%, which indicated…

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Peritoneal Metastases

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Peritoneal Metastases

Fig. 23.1 Diagnosis of PM on computed tomography. View of an omental involvement such as enhancing nodules or omental cake Nevertheless, all of these imaging modalities strongly underestimate the real…

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Vascular Control in Major Hepatic Resections

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Vascular Control in Major Hepatic Resections

Inflow control In- and outflow control Non-selective Selective Non selective Selective Hepatic pedicle occlusion (Pringle maneuver) Hemihepatic (right or left; hemi-Pringle) or segmental vascular occlusion Total hepatic vascular exclusion Selective…

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Imaging-Based Preoperative Planning

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Imaging-Based Preoperative Planning

Fig. 4.1 CT-scan of a 38-year-old female patient with synchronous hepatic metastases from a rectosigmoid carcinoma before (left) and after (right) FOLFIRI/cetuximab chemotherapy showing a partial radiologic response Taking into…

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