| Autor: |
Kullendorff, C., Békássy, A. |
| Zdroj: |
Pediatric Surgery International; May1994, Vol. 9 Issue 5/6, p347-349, 3p |
| Abstrakt: |
Five consecutive patients (age at presentation 2 1/2-30 months) with hepatoblastoma during a 4-year period are reported. The youngest died due to uncontrolled spontaneous hepatic bleeding prior to any treatment. After considerable tumor shrinkage was achieved by preoperative combined chemotherapy (doxorubicin and cisplatinum), an atypical liver resection with ultrasound knife equipment (USK) was successfully carried out in four patients, all of whom were discharged from the pediatric surgical department free of symptoms on 4th to 10th postoperative day. No recurrences and no tumor metastases occurred following the completion of postoperative chemotherapy. Atypical liver resection with USK is a safe surgical modality that allows the liver parenchyma to be crushed while leaving the bile ducts and vessels intact. These structures can be identified and divided separately. Complete tumor removal from the parenchyma can be performed radically regardless of the surgical resectability as defined by the anatomic borders of the liver segments. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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