Titlebook: Surgical Treatment of Colorectal Liver Metastases; Lorenzo Capussotti (Chief of the Surgical Departme Book 2011 Springer-Verlag Milan 2011

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书目名称Surgical Treatment of Colorectal Liver Metastases影响因子(影响力)




书目名称Surgical Treatment of Colorectal Liver Metastases影响因子(影响力)学科排名




书目名称Surgical Treatment of Colorectal Liver Metastases网络公开度




书目名称Surgical Treatment of Colorectal Liver Metastases网络公开度学科排名




书目名称Surgical Treatment of Colorectal Liver Metastases被引频次




书目名称Surgical Treatment of Colorectal Liver Metastases被引频次学科排名




书目名称Surgical Treatment of Colorectal Liver Metastases年度引用




书目名称Surgical Treatment of Colorectal Liver Metastases年度引用学科排名




书目名称Surgical Treatment of Colorectal Liver Metastases读者反馈




书目名称Surgical Treatment of Colorectal Liver Metastases读者反馈学科排名

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Book 2011te diagnostic tools and more effective chemotherapy regimens have been introduced and surgical indications have been widely broadened. A multidisciplinary treatment is now mandatory, involving oncologists, radiologists an gastroenterologists. However, many topics are still debated. In the present bo

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2280-9848 rature review provides the basis for every chapter, allowingSurgery is the gold standard treatment of colorectal liver metastases. Patients management had a dramatic evolution during the past years: more accurate diagnostic tools and more effective chemotherapy regimens have been introduced and surg

Buttress

Evolution of Resectability Criteria,terature data suggest that the presence of any combination of pre-operative factors should not be used as an absolute contraindication to resection. Instead, colorectal liver metastases should be treated by resection whenever liver resection is technically feasible, with curative intent.

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Results of Surgery and Prognostic Factors, prognostic factors of poor outcome have been recognized but, at present, most of them cannot be used to select patients for resection. Future identification of molecular factors may aid in the prediction of prognosis and help to improve the selection of those patients most likely to benefit from surgery.

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Therapeutic Strategies in Unresectable Colorectal Liver Metastases,ents cannot be safely operated on because the future liver remnant after the scheduled hepatectomy would be too small, portal vein occlusion is a safe procedure to decrease the risk of postoperative liver failure. Two-stage hepatectomy and associated interstitial treatments are effective strategies in case of multiple bilateral metastases.

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Extrahepatic Disease,in well selected patients with limited resectable peritoneal deposits. Pulmonary metastases should be aggressively resected whenever possible, even if synchronous to liver metastases, as good long-term results are possible.