One or two-stage hepatectomy combined with portal vein embolization for initially nonresectable colorectal liver metastases

In-contiguity and non-anatomical extension of right hepatic trisectionectomy for liver metastases

“…The morbidity rate of 32 per cent in the present study (12 of 38 patients) compares well with rates of 31-45 per cent in studies of two-stage hepatectomy for liver metastases 23,39 . Only two patients in the present study developed hepatic failure, of whom one died.…”

Combined liver surgery and RFA for patients with gastroenteropancreatic endocrine tumors presenting with more than 15 metastases to the liver

“…Various surgical approaches have been proposed to treat a high number of LM, in one or two sessions. A two-step surgical procedure was recently described to treat a higher number of LM (23,24), but only a few cases were reported and the mean number of LM resected during the two steps never exceeded fifteen (23,24). It is noteworthy that these two-step procedures incur a cost in terms of risk, pain, hospitalization and have social and economic repercussions.…”

Hepatectomia para o tratamento de metástases colorretais e não-colorretais: análise comparativa em 30 casos operados

“…Atualmente, com a evolução de técni-cas como ressecções em dois ou mais tempos (com ou sem embolização portal), associação da ressecção com métodos de ablação (notadamente a radiofrequência) e a utilização de quimioterapia neo-adjuvante têm promovido um aumento do entusiasmo na ressecabilidade das metástases. Assim, um aumento da sobrevida mesmo nos enfermos considerados anteriormente como irressecáveis, particularmente naqueles com múltiplas metástases bilaterais tem sido observada (1)(2)(3)(4)(5)(6)(7)(8).…”