Back to Search
Start Over
Hobson’s choice two-stage hepatectomy for multiple and bilobar colorectal liver metastases with portal vein embolization: report of two cases
- Source :
- Surgery Today. 45:511-516
- Publication Year :
- 2014
- Publisher :
- Springer Science and Business Media LLC, 2014.
-
Abstract
- Liver resection is recognized as the preferred treatment for patients with colorectal liver metastases (CLM) because it offers long-term survival; it is the only hope for a cure. However, in the majority of cases, liver surgery is contraindicated due to the small volume of the future remnant liver. To extend the surgical indications for CLM, a planned two-stage hepatectomy procedure with portal vein embolization (PVE) was developed specifically for patients with multiple and bilobar CLM. The rationale for performing the procedure was a concern about the possible overgrowth of intrafuture remnant liver lesions following PVE, and it was therefore recommended for all multiple bilobar CLM cases, even when one-stage hepatectomy was technically feasible. We recently performed Hobson's choice two-stage hepatectomy in two cases for reasons different from those of the original planned two-stage hepatectomy. In the present report, we describe our Hobson's choice two-stage hepatectomy strategy, which provided favorable short-term outcomes.
- Subjects :
- Liver surgery
medicine.medical_specialty
medicine.medical_treatment
Cecal Neoplasms
Hepatic Veins
Resection
Remnant liver
Surgical oncology
medicine
Hepatectomy
Humans
Portal Vein
Rectal Neoplasms
business.industry
Small volume
Liver Neoplasms
General Medicine
Middle Aged
Embolization, Therapeutic
Surgery
Treatment Outcome
Two stage hepatectomy
Portal vein embolization
Female
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 14362813 and 09411291
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- Surgery Today
- Accession number :
- edsair.doi.dedup.....7253ac70d3d0ff6d9f8f82ae42af5609