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Unusual Approach to a Liver Metastasis Resection


Authors: J. Halama;  Č. Neoral;  Dušan Klos
Authors‘ workplace: I. chirurgická klinika LF UP a FN Olomouc, přednosta: doc. MUDr Č. Neoral, CSc.
Published in: Rozhl. Chir., 2010, roč. 89, č. 9, s. 561-563.
Category: Monothematic special - Original

Overview

Metastatic disorder is a common finding in patients with abdominal tumors. This case review presents a case of a 52-year old female with a forth relapse of her liver metastasis in the liver segment VIII. The previous procedures used a difficult abdominal approach. In the current procedure, the authors opted for a thoracic transdiaphragmatic approach, which provided perfect view of the site in order to remove the metastasis in the liver segment VIII with partial excision of the adjacent diaphragm. This approach has proved useful in diaphragmatic procedures, as well as in procedures on vascular and biliary structures, as it provides clear view of the operating field.

Key words:
liver metastasis – thoracic transdiaphragmatic approach


Sources

1. Becker, H. D, Hohenberger, W., Junginger, T., Schlag, P. M. Chirurgische Onkologie. 2002.

2. Kune, Ga, Kune, S, Field, B, et al. Survival in patiens with large bowel cancer. A population-based investigation from the Melbourne Colorectal Cancer Study. Dis. Colon Rectum, 1990.

3. Scheele, J., Stang, R., Altedorf-Hofmann, A., et al. Resection of liver metastase. Word J. Surgery, 1995.

4. Fernandez-Trigo, V., Shamsha, F., Sugarbaker, Ph. Repeat liver resections from colorectal metastasis. Surgery, 1996.

5. Skalický, T., Třeška, V., Šnajdauf, J. a kol. Chirurgie jater. 2004.

6. Delis, S. G., Madariaga, J., Bakoyiannis, A., et al. Combined liver and lung metastasectomy through an exklusive transthoracic approach. J. Surg. Oncol., 2007 Aug 1, 96/2/: 178–182.

7. Delis, S. G., Bakoyiannis, A., Madariaga, J., et al. Transthoracic approach /TTA/ for subdiaphragmatic liver metastasectomy. J. Gastrointestin. Liver Dis., 2008 Mar, 17/1/: 39–42.

8. Smyrniotis, V., Arkadopoulos, N., Teodosopoulos, T. et al. Transdiaphragmatis approach facilitates resection of large /12 cm/ liver tumors. J. Hepatobiliary Pancreat. Surg., 2007, 14/4/: 386–386.Epub 2007 Jul 30.

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