Chirurgická léčba jaterních metastáz kolorektálního karcinomu

Title in English Surgical Treatment liver metastases of Colorectal Carcinoma
Authors

KALA Zdeněk KYSELA Petr

Year of publication 2012
Type Article in Periodical
Magazine / Source Medicína po promoci
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords colorectal carcinoma; liver metastases; surgical treatment
Description The paper sums up the contemporary knowledge on the surgical treatment of the liver metastazes of colorectal carcinoma. Techniques, indications, complications ad the position of the surgery within the necessarily multi-modal treatment is being ilustrated based on own experiences and literature sources. Liver metastases of colorectal carcinoma tend to develop in nearly 70% of the patients. They stand for a fairly well curable fourth stadium disease. However, it is not more than 1/3 of the cases that is primarily resectable. The ideal treatment beeng necessarily multimodal is to be necessarily consulted on a multi-discplinary basis. The progress in the surgical techniques, intensive care and systemic anti-tumoral treatment has brought about a significant extension of the resecability. Thus the future liver remnant volume has been left the only contra-indication to surgery. However. strategies have been put forward to overcome this in a portion of the patients.

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