Articolul precedent |
Articolul urmator |
259 2 |
Ultima descărcare din IBN: 2023-03-30 21:04 |
SM ISO690:2012 HOTINEANU, Adrian, BURGOCI, Serghei. Chirurgia hepatcă extremă. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 413. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||||
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Pag. 413-413 | |||||||
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Rezumat | |||||||
Background. Liver surgery has always evaluated. At the present stage, the surgical possibilities have been extended to subtotal liver resections, using different techniques to convert initially unresectable liver tumors into resectable ones. Objective of the study. Identifying the possibilities and limitations of potentially curative liver resections in initially unresectable liver tumors. Assessing the safety and feasibility of aggressive surgeries associated with high postoperative morbidity. Material and Methods. The main necessary approaches are on the existing tumors and the affected liver. To influence the number and volume of the tumor, we used neoadjuvant chemotherapy, transarterial chemoembolization, tumor ablation by radiofrequency. Modulation of hepatic volume was possible by blocking portal flow. Tumor vascular invasion was resolved by vascular resections. Results. Extreme liver surgery has a high rate of morbidity and mortality that appear to increase with increasing tumor volume. At the same time, the survival of patients after extensive liver resections is much longer than that of patients who have not undergone curative resections. Conclusion. In these two decades, liver surgery has reached its full development. Depending on the nature of the size and number of tumor nodules and the quality of the parenchyma, the surgeon is able to choose from the vast arsenal of techniques, the most suitable for the patient. |
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Cuvinte-cheie liver surgery, extreme liver resections, chirurgia ficatului, rezecții hepatice extreme |
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