SciELO - Scientific Electronic Library Online

 
vol.35 número1Métodos de tortura del terrorismo de Estado en Uruguay y valoración médico-legal de su idoneidad para causar lesiones graves o gravísimasSíndrome de Budd-Chiari asociado a síndrome antifosfolípido índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Links relacionados

Compartir


Revista Médica del Uruguay

versión impresa ISSN 0303-3295versión On-line ISSN 1688-0390

Resumen

CUBAS, Santiago et al. Two staged hepatectomy for colorectal hepatic metastases. Rev. Méd. Urug. [online]. 2019, vol.35, n.1, pp.136-149.  Epub 01-Mar-2019. ISSN 0303-3295.  http://dx.doi.org/10.29193/rmu.35.7.

Treatment of colorectal hepatic metastases has gradually changed in the last 20 years. Nowadays, surgical treatment remains one of the major curative treatment options available to patients. Survival in patients who may undergo a surgical resection of the tumor may add up to 40% in 5 years’ time. These promising oncologic results have led surgical teams to make their best to achieve extreme liver resections which used to be contraindicated in the past. Thus, within this line of work, the liver remodeling surgery developed, which surgery consists in altering the portal flow aiming for a liver hypertrophy in the healthy liver and a liver atrophy of the sick liver. The following study aims to present one of the most frequent remodeling surgeries in the world: the two staged hepatectomy with portal flow occlusion. Indication, surgery opportunities, oncologic benefit and viability in our country are also discussed in the study.

Palabras clave : Colorectal neoplasms; Neoplasm metastasis; Two-stage hepatectomy; Portal vein; Treatment outcome.

        · resumen en Español | Portugués     · texto en Español     · Español ( pdf )