GASTROENTEROLOGY

Ex-Vivo Liver Surgery

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on Ex-Vivo Liver Surgery

Fig. 18.1 Computerized tomography of a large cholangiocarcinoma of the right lobe invading the takeoff of the left portal vein (a) and inferior vena cava (b) The confirmation of these…

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Lung Metastases

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

Year Author Ref. n Period 5-Year survival Risk factorsa 2002 Saito 29 165 1990–2000 40 CEA, N+ 2003 Pfannschmidt 30 167 1985–2000 32 CEA, number, N+ 2007 Welter 31 175…

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Radioembolization

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on 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)…

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Two-Stage Liver Surgery

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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Improving Quality of Life in Patients with Unresectable Disease

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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Choosing the Best Strategy

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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Intra-Arterial Chemotherapy

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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Preoperative Evaluation of Liver Function

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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Conversion and Neoadjuvant Therapies

Nov 6, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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