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…
