Critical elements of pediatric liver cancer surgery.

Autor: Kastenberg ZJ; University of Utah School of Medicine/Primary Children's Hospital, Salt Lake City, UT 84113, USA., Baertschiger RM; The Children's Hospital at Dartmouth, Lebanon, NH 03756, USA., Cuenca AG; Boston Children's Hospital, Medfield, MA 02052, USA., Galvan NTN; Texas Children's Hospital / Baylor College of Medicine, Houston, TX 77030, USA., Lemoine CP; Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA., Roach JP; Children's Hospital Colorado, Aurora, CO 80045, USA., Walther AE; Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA., Dunn SP; Nemours Children Hospital Delaware, Wilmington, DE 19803, USA., Goss JA; Texas Children's Hospital / Baylor College of Medicine, Houston, TX 77030, USA., Healey PJ; Seattle Children's Hospital, Seattle, WA 98105, USA., Karpelowsky J; Children's Hospital Westmead, Westmead, New South Wales, 2145, Australia., Kim ES; Cedars-Sinai Guerin Children's, Los Angeles, CA 90048, USA., Langham MR; St Jude Children's Research Hospital, Memphis, TN 38105, USA., Meyers RL; University of Utah School of Medicine/Primary Children's Hospital, Salt Lake City, UT 84113, USA., Superina RA; Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA., Tiao GM; Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA., Weldon CB; Children's Hospital Boston, Boston, MA 02115, USA., Bondoc AJ; Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA., Riehle KJ; Seattle Children's Hospital, Seattle, WA 98105, USA., Vasudevan SA; Texas Children's Hospital / Baylor College of Medicine, Houston, TX 77030, USA. Electronic address: savasude@texaschildrens.org.
Jazyk: angličtina
Zdroj: Seminars in pediatric surgery [Semin Pediatr Surg] 2023 Oct; Vol. 32 (5), pp. 151340. Date of Electronic Publication: 2023 Nov 21.
DOI: 10.1016/j.sempedsurg.2023.151340
Abstrakt: The appropriate management of pediatric liver malignancies, primarily hepatoblastoma and hepatocellular carcinoma, requires an in depth understanding of contemporary preoperative risk stratification, experience with advanced hepatobiliary surgery, and a good relationship with one's local or regional liver transplant center. While chemotherapy regimens have become more effective, operative indications more well-defined, and overall survival improved, the complexity of liver surgery in small children provides ample opportunity for protocol violation, inadequate resection, and iatrogenic morbidity. These guidelines represent the distillation of contemporary literature and expert opinion as a means to provide a framework for preoperative planning and intraoperative decision-making for the pediatric surgeon.
(Copyright © 2023. Published by Elsevier Inc.)
Databáze: MEDLINE
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