SURGICAL TECHNIQUES TO INCREASE RESECTABILITY IN LIVER METASTASIS.

Orlando Jorge Martins Torres, Guido Torzilli, Marcelo Enne, Rinaldo Gonçalves, Eduardo de Santibanes, Timothy Pawlik, Rene Adam, Olivier Soubrane, Paulo Herman, Ricardo Lemos Cotta-Pereira
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Abstract

The development of surgical techniques, chemotherapy, biological agents, and multidisciplinary approaches have made patients with unresectable colorectal liver metastases eligible for surgery. Many strategies have been developed to allow patients for surgical resection (percutaneous portal vein embolization, liver venous deprivation, parenchyma-sparing liver surgery, reverse strategy, associating liver partition and portal vein ligation for staged hepatectomy, and liver transplantation), the only form of disease control and curative treatment.

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提高肝转移可切除性的外科技术。
外科技术、化疗、生物制剂和多学科方法的发展使得无法切除的结直肠癌肝转移患者有资格接受手术治疗。许多策略已经发展到允许患者进行手术切除(经皮门静脉栓塞,肝静脉剥夺,保留实质的肝脏手术,反向策略,联合肝分区和门静脉结扎分阶段肝切除术和肝移植),这是疾病控制和治愈治疗的唯一形式。
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