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Title: Sodobni principi kirurškega zdravljenja jetrnih zasevkov raka debelega črevesa in danke Authors: ID Pilko, Gašper (Author) ID Gadžijev, Eldar (Author) Files: PDF - Presentation file, download (251,47 KB) MD5: 674462C6B506531C3A2FCB3F299FCF7F PID: 20.500.12556/dirros/54b76cab-68ae-4caa-a841-ae68495981f4   Language: Slovenian Typology: 1.04 - Professional Article Organization: OI - Institute of Oncology Abstract: Polovica bolnikov z rakom debelega črevesa in danke (RDČD) bo med boleznijo razvila jetrne zasevke. Pri nezdravljenih jetrnih zasevkih RDČD je prognoza slaba. Za te bolnike je radikalen kirurški poseg edino potencialno kurativno zdravljenje. V zadnjih letih se je preživetje bolnikov z jetrnimi zasevki izboljšalo zaradi številnih novosti v kirurškem zdravljenju in tudi zaradi razvoja številnih novih metod zdravljenja. V nekaterih raziskavah poročajo celo o 60-odstotnem 5-letnem preživetju. Več kot 4 zasevki, zasevek, večji od 5 cm, bilobarna bolezen in zunajjetrni zasevki niso več kontraindikacije za operacijo jetrnih zasevkov, ampak sta za odločitev o operaciji pomembna predvsem dva dejavnika: sposobnost doseči vsaj 1 mm širok varnostni rob ob ohranitvi vsaj 20 do 30 % zdravega jetrnega parenhima. Umrljivost po operaciji jetrnih zasevkov je pri ustreznem izboru bolnikov in dobri predoperativni pripravi manjša od 5 %. Publication status: Published Publication version: Version of Record Year of publishing: 2008 Number of pages: str. 80-83 Numbering: Letn. 12, št. 2 PID: 20.500.12556/DiRROS-8933  UDC: 616-006 ISSN on article: 1408-1741 URN: URN:NBN:SI:doc-IWV77XE5 COBISS.SI-ID: 700795  Copyright: by Authors Note: BSDOCID143365; Publication date in DiRROS: 31.08.2018 Views: 2595 Downloads: 663 Metadata:     Cite this work Plain text BibTeX EndNote XML EndNote/Refer RIS ABNT ACM Ref AMA APA Chicago 17th Author-Date Harvard IEEE ISO 690 MLA Vancouver : Copy citation

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Record is a part of a journal

Title:	Onkologija. strokovni časopis za zdravnike
Shortened title:	Onkologija
Publisher:	Onkološki inštitut
ISSN:	1408-1741
COBISS.SI-ID:	65324032

Licences

License:	CC BY 4.0, Creative Commons Attribution 4.0 International
Link:	http://creativecommons.org/licenses/by/4.0/
Description:	This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:	31.08.2018

Secondary language

Language:	English
Title:	Modern Principles of Surgical Treatment of Colorectal Liver Metastases
Abstract:	Approximately one half of patients with colorectal cancer will develop liver metastasis at some point in their clinical course. Untreated colorectal liver metastases have a bad prognosis and complete surgical resection is the only treatment that offers a chance of long term survival. In recent years, the survival of patients with colorectal liver metastasis has improved due to several advances in surgical techniques and development of other new methods of treatment. In some studies, 5-year survival is approaching 60%. More than four lesions, tumors larger than 5 cm, bilobar disease and extrahepatic disease are no longer considered as contraindications for surgery. Nowadays, the eligibility criteria for surgery are feasibility of R0 resection and making sure that at least 20-30% of the liver will remain intact. With careful selection of patients and proper preoperative care, the mortality rate after liver resection is estimated at less than 5 %.

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