Two-Stage Hepatectomy Procedure to Treat Initially Unresectable Multiple Bilobar Colorectal Liver Metastases: Technical Aspects

被引：15

作者：

Narita, Masato ^{[1
]}

Oussoultzoglou, Elie ^{[1
]}

Bachellier, Philippe ^{[1
]}

Rosso, Edoardo ^{[1
]}

Pessaux, Patrick ^{[1
]}

Jaeck, Daniel ^{[1
]}

机构：

[1] Univ Strasbourg, Hop Univ Strasbourg, Hop Hautepierre, Ctr Chirurg Viscerale & Transplantat, FR-67098 Strasbourg, France

来源：

DIGESTIVE SURGERY | 2011年 / 28卷 / 02期

关键词：

Portal vein embolization; Portal vein ligation; Neoadjuvant chemotherapy; Postoperative morbidity; Liver resection; Major hepatectomy; PORTAL-VEIN EMBOLIZATION; SYSTEMIC CHEMOTHERAPY; HEPATIC RESECTION; SURGICAL MARGIN; CANCER; MICROMETASTASES; RECURRENCE; STRATEGY; REGENERATION; SURGERY;

D O I：

10.1159/000323822

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

100201 [内科学];

摘要：

A two-stage hepatectomy procedure is a therapeutic strategy for patients presenting with initially unresectable multiple and bilobar colorectal liver metastases in order to achieve a curative R0 resection. The main goal of this approach is to minimize the risk of postoperative liver failure resulting from a too small remnant liver after completing a curative resection. This procedure combines two sequential liver resections that involve perioperative chemotherapy and portal vein embolization. This article describes our standardized strategy of two-stage hepatectomy combined with portal vein embolization used over the last 15 years and discusses the alternative procedures as well as their respective advantages and drawbacks. Copyright (C) 2011 S. Karger AG, Basel

引用

收藏

页码：121 / 126

页数：6

相关论文

共 30 条

[1]

Two-stage hepatectomy: A planned strategy to treat irresectable liver tumors [J].

Adam, R ;

Laurent, A ;

Azoulay, D ;

Castaing, D ;

Bismuth, H .

ANNALS OF SURGERY, 2000, 232 (06) :777-784

[2]

Two-stage hepatectomy approach for initially unresectable colorectal hepatic metastases [J].

Adam, Rene ;

Miller, Rafael ;

Pitombo, Marcos ;

Wicherts, Dennis A. ;

de Haas, Robbert J. ;

Bitsakou, Georgia ;

Aloia, Thomas .

SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA, 2007, 16 (03) :525-+

[3]

Complete response of colorectal liver metastases after chemotherapy:: Does it mean cure? [J].

Benoist, Stephane ;

Brouquet, Antoine ;

Penna, Christophe ;

Julie, Catherine ;

El Hajjam, Mostafa ;

Chagnon, Sophie ;

Mitry, Emmanuel ;

Rougier, Philippe ;

Nordlinger, Bernard .

JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (24) :3939-3945

[4]

Portal vein embolization vs. portal vein ligation for induction of hypertrophy of the future liver remnant [J].

Broering, DC ;

Hillert, C ;

Krupski, G ;

Fischer, L ;

Mueller, L ;

Achilles, EG ;

Esch, JSA ;

Rogiers, X .

JOURNAL OF GASTROINTESTINAL SURGERY, 2002, 6 (06) :905-913

[5]

Systemic chemotherapy and two-stage hepatectomy for extensive bilateral colorectal liver metastases: Perioperative safety and survival [J].

Chun, Yun Shin ;

Vauthey, Jean-Nicolas ;

Ribero, Dario ;

Donadon, Matteo ;

Mullen, John T. ;

Eng, Cathy ;

Madoff, David C. ;

Chang, David Z. ;

Ho, Linus ;

Kopetz, Scott ;

Wei, Steven H. ;

Curley, Steven A. ;

Abdalla, Eddie K. .

JOURNAL OF GASTROINTESTINAL SURGERY, 2007, 11 (11) :1498-1504

[6]

Combined portal vein embolization and neoadjuvant chemotherapy as a treatment strategy for resectable hepatic colorectal metastases [J].

Covey, Anne M. ;

Brown, Karen T. ;

Jarnagin, William R. ;

Brody, Lynn A. ;

Schwartz, Lawrence ;

Tuorto, Scott ;

Sofocleous, Constantinos T. ;

D'Angelica, Michael ;

Getrajdman, George I. ;

DeMatteo, Ronald ;

Kemeny, Nancy E. ;

Fong, Yuman .

ANNALS OF SURGERY, 2008, 247 (03) :451-455

[7]

R1 Resection by Necessity for Colorectal Liver Metastases Is It Still a Contraindication to Surgery? Discussions [J].

Choti, Michael A. ;

Blumgart, Leslie H. ;

Greene, Frederick L. ;

Clary, Bryan M. ;

Adam, Rene .

ANNALS OF SURGERY, 2008, 248 (04) :636-637

[8]

During liver regeneration following right portal embolization the growth rate of liver metastases is more rapid than that of the liver parenchyma [J].

Elias, D ;

de Baere, T ;

Roche, A ;

Ducreux, M ;

Leclere, J ;

Lasser, P .

BRITISH JOURNAL OF SURGERY, 1999, 86 (06) :784-788

[9]

Hepatic Metastases From Neuroendocrine Tumors With a "Thin Slice" Pathological Examination They are Many More Than You Think ... [J].

Elias, Dominique ;

Lefevre, Jereme H. ;

Duvillard, Pierre ;

Goere, Diane ;

Dromain, Clarisse ;

Dumont, Frederic ;

Baudin, Eric .

ANNALS OF SURGERY, 2010, 251 (02) :307-310

[10]

Portal vein embolization before right hepatectomy - Prospective clinical trial [J].

Farges, O ;

Belghiti, J ;

Kianmanesh, R ;

Regimbeau, JM ;

Santoro, R ;

Vilgrain, V ;

Denys, A ;

Sauvanet, A .

ANNALS OF SURGERY, 2003, 237 (02) :208-217