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000796511 019__ $$a999514227
000796511 020__ $$a9783319138961$$q(electronic book)
000796511 020__ $$a3319138960$$q(electronic book)
000796511 020__ $$z9783319138954
000796511 020__ $$z3319138952
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000796511 050_4 $$aRD546
000796511 08204 $$a617.5/562$$223
000796511 24500 $$aExtreme hepatic surgery and other strategies :$$bincreasing resectability in colorectal liver metastases /$$cEduardo de Santibañes, Victoria Ardiles, Fernando A. Alvarez, Virginia Cano Busnelli, Martin de Santibañes, editors.
000796511 264_1 $$aCham, Switzerland :$$bSpringer,$$c2017.
000796511 300__ $$a1 online resource (xix, 383 pages) :$$billustrations.
000796511 336__ $$atext$$btxt$$2rdacontent
000796511 337__ $$acomputer$$bc$$2rdamedia
000796511 338__ $$aonline resource$$bcr$$2rdacarrier
000796511 500__ $$aIncludes index.
000796511 5050_ $$aPart I Introduction. 1. Introduction -- 2. Liver surgical anatomy -- II. Global patient evaluation and oncological assessment -- 3. Resectability assessment with diagnostic imaging -- 4. Liver function evaluation before extreme liver surgery -- 5. Imaging-based preoperative planning -- 6. Choosing the best strategy. Multidisciplinary evaluation -- III -- Non-operative multimodal therapies -- 7. Conversion and neoadjuvant therapies -- 8. Portal embolization -- 9. Intraarterial chemotherapy -- 10. Radioembolization -- IV. Surgical strategies -- 11. Anesthetics management -- 12. Intraoperative evaluation of resectability -- 13. Vascular control in major hepatic resections -- 14. Two-stage liver surgery -- 15. Two-stage liver surgery with portal occlusion -- 16 ALPPS -- 17. Parenchymal-sparing liver resections -- 18. Combined vascular resections -- 19. Ex-vivo liver surgery -- 20. Liver transplant -- 21. The roll of laparoscopy in advanced liver disease -- V. Management of concomitant extrahepatic disease -- 22. Pulmonary metastases -- 23. Nodal involvement -- 24. Peritoneal disease -- 25. Adjacent organs invasion. Multivisceral resections -- VI. Postoperative complications and their management -- 26. Complications of hepatic resections -- VII. Palliative care -- 27. Palliative care in patients with extensive disease. .
000796511 506__ $$aAccess limited to authorized users.
000796511 520__ $$aThis book describes the diagnoses; staging and management of patients with colorectal liver metastases initially considered unresectable and portrays the different strategies to increase resectability along with their tactics and tricks. Colorectal carcinoma is the third most commonly diagnosed cancer in the world and according to recent cancer statistics around 1.23 million patients are diagnosed each year. Of these patients, approximately 50% will develop liver metastases during the course of their disease and around 15-25% are found to have stage IV disease at diagnosis. Liver resection has been recognized as the treatment of choice for these patients, offering overall 5-year survival rates of up to 50-60% and the only hope for cure. However, at diagnosis only 10-20% of these patients are possibly amenable to surgical resection with curative intent. The possibility to achieve an R0 resection is many times limited by the amount and quality of the future liver remnant (FLR), being posthepatectomy liver failure (PHLF) the most feared and severe complication after major liver resections. With the years, diverse strategies have been developed with the intention to increase resectability by increasing the future liver remnant and/or reducing tumor size, e.g. ALPPS. Along with these techniques, associated surgeries are developed including multivisceral resections, which broadens even more the resectability for patients.
000796511 588__ $$aOnline resource; title from PDF title page (SpringerLink, viewed August 8, 2017).
000796511 650_0 $$aLiver$$xSurgery.
000796511 650_0 $$aLiver$$xCancer$$xSurgery.
000796511 7001_ $$aSantibañes, Eduardo de,$$eeditor.
000796511 7001_ $$aArdiles, Victoria,$$eeditor.
000796511 7001_ $$aAlvarez, Fernando A.,$$eeditor.
000796511 7001_ $$aBusnelli, Virginia Cano,$$eeditor.
000796511 7001_ $$aSantibañes, Martin de,$$eeditor.
000796511 77608 $$iPrint version:$$z9783319138954$$z3319138952$$w(OCoLC)907114491
000796511 852__ $$bebk
000796511 85640 $$3SpringerLink$$uhttps://univsouthin.idm.oclc.org/login?url=http://link.springer.com/10.1007/978-3-319-13896-1$$zOnline Access$$91397441.1
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000796511 980__ $$aEBOOK
000796511 980__ $$aBIB
000796511 982__ $$aEbook
000796511 983__ $$aOnline
000796511 994__ $$a92$$bISE