To date, the improvements in survival of patients with liver metastases and advances in technology allowed the surgical indications to be extended. In complex cases, however, the possibility of performing a curative hepatic resection collides with the need to preserve a sufficient liver volume to avoid a postoperative hepatic failure. Currently postoperative liver failure is the major cause of death for these patients. In the attempt to overcome this limit in the last decades, we tried to introduce new measures and develop new surgical techniques. From the introduction by Makuuchi in the 1980s of the preoperative portal embolization, many surgical techniques have been proposed and perfected. The aim of this chapter is to describe the new surgical techniques for the approach of complex hepatic metastases.

Uggeri, F., Pinotti, E., Garancini, M., Scotti, M., Braga, M., Romano, F. (2019). How to Treat Bilobar Liver Metastases: New Surgical Challenges. In Liver Disease and Surgery. Intech Open [10.5772/intechopen.86745].

How to Treat Bilobar Liver Metastases: New Surgical Challenges

Uggeri, F;Pinotti, E;Garancini, M;Scotti, M;Braga, M;Romano, F
2019

Abstract

To date, the improvements in survival of patients with liver metastases and advances in technology allowed the surgical indications to be extended. In complex cases, however, the possibility of performing a curative hepatic resection collides with the need to preserve a sufficient liver volume to avoid a postoperative hepatic failure. Currently postoperative liver failure is the major cause of death for these patients. In the attempt to overcome this limit in the last decades, we tried to introduce new measures and develop new surgical techniques. From the introduction by Makuuchi in the 1980s of the preoperative portal embolization, many surgical techniques have been proposed and perfected. The aim of this chapter is to describe the new surgical techniques for the approach of complex hepatic metastases.
Capitolo o saggio
hepatic liver metastases, hepatectomy, liver failure, two-stage hepatectomy, ALPPS
English
Liver Disease and Surgery
2019
Intech Open
Uggeri, F., Pinotti, E., Garancini, M., Scotti, M., Braga, M., Romano, F. (2019). How to Treat Bilobar Liver Metastases: New Surgical Challenges. In Liver Disease and Surgery. Intech Open [10.5772/intechopen.86745].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/239804
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