期刊
SURGICAL CLINICS OF NORTH AMERICA
卷 96, 期 2, 页码 283-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.suc.2015.11.006
关键词
Vascular reconstruction; Ex vivo liver surgery; Portal vein reconstruction; IVC reconstruction
类别
With surgery for hepatic malignancy, there are poor options for chemotherapy; many patients are deemed unresectable because of vascular involvement or location of tumors. Over the past few decades, advances in surgical technique have allowed resection of these tumors with vascular reconstruction to achieve negative margins and improve chances for survival. This article reviews those reconstruction techniques and outcomes in detail, including in situ perfusion and ex vivo liver surgery, and provides a discussion of implications and operative planning for patients with hepatic malignancy in order to provide surgeons with better understanding of these complicated operations.
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