ALPPS como opción quirúrgica en terapia reversa aplicado al tratamiento de las metástasis hepáticas del cáncer rectal sincrónico / ALPPS using liver-first reverse approach as a surgical option to treat synchronous colorectal liver metastases
Rev. argent. cir
;
113(1): 111-116, abr. 2021. graf
Article
in Spanish
| LILACS, BINACIS
| ID: biblio-1288180
RESUMEN
RESUMEN El riesgo de insuficiencia hepática posoperatoria es la limitante de mayor importancia para el trata miento de pacientes con tumores hepáticos malignos primarios o secundarios. Entre las diferentes técnicas para incrementar la resecabilidad de tumores hepáticos se desarrolló una estrategia para pa cientes con tumores previamente considerados como irresecables, técnica conocida como ALPPS (as sociating liver partition with portal vein ligation for staged hepatectomy). Informamos acerca de una cirugía ALPPS en terapia reversa en un hombre referido a nuestro centro con diagnóstico sincrónico de cáncer rectal con metástasis hepáticas múltiples consideradas irresecable al momento del diagnóstico.
ABSTRACT
ABSTRACT The risk for postoperative liver failure is the most important limitation for the treatment of patients with primary or secondary liver cancer. Among the different strategies used to increase resectability in liver tumors, a technique known as ALPPS (associating liver partition with portal vein ligation for staged hepatectomy) was developed for patients with tumors previously considered unresectable. We report the case of a male patient referred to our center with a diagnosis of synchronous multiple liver metastases of colorectal cancer considered unresectable who underwent ALPPS using liver-first reverse approach.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Rectal Neoplasms
/
Methods
/
Neoplasm Metastasis
Type of study:
Diagnostic study
/
Etiology study
/
Risk factors
Language:
Spanish
Journal:
Rev. argent. cir
Journal subject:
General Surgery
Year:
2021
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Hospital El Cruce/AR
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