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One-stage ultrasonographically guided hepatectomy for multiple bilobar colorectal metastases: A feasible and effective alternative to the 2-stage approach

Torzilli, Guido ; Procopio, Fabio ; Botea, Florin ; Marconi, Matteo ; Del Fabbro, Daniele ; Donadon, Matteo ; Palmisano, Angela ; Spinelli, Antonino ; Montorsi, Marco

Surgery, 2009, Vol.146(1), pp.60-71 [Rivista Peer Reviewed]

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  • Titolo:
    One-stage ultrasonographically guided hepatectomy for multiple bilobar colorectal metastases: A feasible and effective alternative to the 2-stage approach
  • Autore: Torzilli, Guido ; Procopio, Fabio ; Botea, Florin ; Marconi, Matteo ; Del Fabbro, Daniele ; Donadon, Matteo ; Palmisano, Angela ; Spinelli, Antonino ; Montorsi, Marco
  • Note di contenuto: Two-stage hepatectomy with or without portal vein embolization allows treatment of multiple bilobar metastases, thereby expanding operative indications for these patients. Two operations are needed, however, and some patients are not able to complete the treatment strategy because of disease progression. Using experience gained from our policy of ultrasonographically guided resection, we explored the safety and effectiveness of 1-stage operative procedures in patients otherwise recommended for the 2-stage approach. A total of 29 patients with multiple (≥4) bilobar colorectal liver metastases (CLM) were selected from 100 consecutive patients submitted to surgical resection. The total number of preoperative CLM was 163 (median, 5; range, 2–20). The operative strategy was based on tumor-vessel relationships at intraoperative ultrasonography (IOUS) and on findings at color Doppler IOUS. There was no in-hospital mortality. Tumor removal was feasible...
  • Fa parte di: Surgery, 2009, Vol.146(1), pp.60-71
  • Soggetti: Adenocarcinoma -- Secondary ; Colorectal Neoplasms -- Pathology ; Hepatectomy -- Methods ; Liver Neoplasms -- Secondary ; Ultrasonography, Doppler, Color -- Methods
  • Lingua: Inglese
  • Tipo: Articolo
  • Identificativo: ISSN: 0039-6060 ; E-ISSN: 1532-7361 ; DOI: 10.1016/j.surg.2009.02.017

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