典型文献
Minimizing the risk of small-for-size syndrome after liver surgery
文献摘要:
Background:Primary and secondary liver tumors are not always amenable to resection due to location and size.Inadequate future liver remnant(FLR)may prevent patients from having a curative resection or may result in increased postoperative morbidity and mortality from complications related to small-for-size syndrome(SFSS).Data sources:This comprehensive review analyzed the principles,mechanism and risk factors associated with SFSS and presented current available options in the evaluation of FLR when planning liver surgery.In addition,it provided a detailed description of specific modalities that can be used before,during or after surgery,in order to optimize the conditions for a safe resection and minimize the risk of SFSS.Results:Several methods which aim to reduce tumor burden,preserve healthy liver parenchyma,induce hypertrophy of FLR or prevent postoperative complications help minimize the risk of SFSS.Conclusions:With those techniques the indications of radical treatment for patients with liver tumors have significantly expanded.The successful outcome depends on appropriate patient selection,the indi-vidualization and modification of interventions and the right timing of surgery.
文献关键词:
中图分类号:
作者姓名:
Michail Papamichail;Michail Pizanias;Nigel D Heaton
作者机构:
Department of Hepato-Pancreato-Biliary Surgery,Royal Blackburn Hospital,Blackburn BB2 3HH,UK;Department of General Surgery,Whittington Hospital,London N19 5NF,UK;Department of Liver Transplant and Hepato-Pancreato-Biliary Surgery,Institute of Liver Studies,Kings Health Partners at King's College Hospital NHS Trust,London SE5 9RS,UK
文献出处:
引用格式:
[1]Michail Papamichail;Michail Pizanias;Nigel D Heaton-.Minimizing the risk of small-for-size syndrome after liver surgery)[J].国际肝胆胰疾病杂志(英文版),2022(02):113-133
A类:
Inadequate,vidualization
B类:
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AB值:
0.606291
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