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Hepatobiliary cancer--surgical considerations.
- Source :
-
Mayo Clinic proceedings [Mayo Clin Proc] 1981 Nov; Vol. 56 (11), pp. 686-99. - Publication Year :
- 1981
-
Abstract
- Most cancers of the hepatobiliary system will have grown beyond the limits of curative resection by the time they become clinically evident. This reality has fostered therapeutic nihilism, and most physicians and surgeons in their pessimism have failed to study the early modes of spread of these tumors--patterns of growth that are relevant to proper treatment of those patients who do have lesions that can be removed with hope of achieving a cure. Moreover, anatomic and technical complexities may beget surgical reluctance in the management of potentially curable lesions. Therefore, this review is offered for orientation and perspective for those who would hope to offer optimal treatment for patients who have primary cancers of the liver, gallbladder, or biliary ducts. The review includes considerations of (1) surgical anatomy, (2) modes of spread, (3) assessment of resectability, (4) surgical technique, and (5) results of operative treatment in relation to "curative" resection. Also offered are some guides to palliative surgical management of tumors that have reached the hepatic hilus.
- Subjects :
- Adenoma, Bile Duct pathology
Adenoma, Bile Duct surgery
Bile Duct Neoplasms pathology
Carcinoma, Hepatocellular pathology
Carcinoma, Hepatocellular surgery
Gallbladder Neoplasms pathology
Hamartoma pathology
Hamartoma surgery
Humans
Liver Neoplasms pathology
Preoperative Care
Bile Duct Neoplasms surgery
Gallbladder Neoplasms surgery
Liver Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0025-6196
- Volume :
- 56
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Mayo Clinic proceedings
- Publication Type :
- Academic Journal
- Accession number :
- 6272034