Hobson’s choice two-stage hepatectomy for multiple and bilobar colorectal liver metastases with portal vein embolization: report of two cases
Liver resection is recognized as the preferred treatment for patients with colorectal liver metastases (CLM) because it offers long-term survival; it is the only hope for a cure. However, in the majority of cases, liver surgery is contraindicated due to the small volume of the future remnant liver....
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2015-04, Vol.45 (4), p.511-516 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Yamashita, Suguru Hasegawa, Kiyoshi Takahashi, Michiro Arita, Junichi Sakamoto, Yoshihiro Aoki, Taku Sugawara, Yasuhiko Kokudo, Norihiro |
| description | Liver resection is recognized as the preferred treatment for patients with colorectal liver metastases (CLM) because it offers long-term survival; it is the only hope for a cure. However, in the majority of cases, liver surgery is contraindicated due to the small volume of the future remnant liver. To extend the surgical indications for CLM, a planned two-stage hepatectomy procedure with portal vein embolization (PVE) was developed specifically for patients with multiple and bilobar CLM. The rationale for performing the procedure was a concern about the possible overgrowth of intrafuture remnant liver lesions following PVE, and it was therefore recommended for all multiple bilobar CLM cases, even when one-stage hepatectomy was technically feasible. We recently performed Hobson’s choice two-stage hepatectomy in two cases for reasons different from those of the original planned two-stage hepatectomy. In the present report, we describe our Hobson’s choice two-stage hepatectomy strategy, which provided favorable short-term outcomes. |
| doi_str_mv | 10.1007/s00595-014-0953-x |
| format | Article |
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In the present report, we describe our Hobson’s choice two-stage hepatectomy strategy, which provided favorable short-term outcomes.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-014-0953-x</identifier><identifier>PMID: 24943807</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Case Report ; Cecal Neoplasms - pathology ; Cecal Neoplasms - surgery ; Embolization, Therapeutic ; Female ; Hepatectomy - methods ; Hepatic Veins - pathology ; Humans ; Liver Neoplasms - diagnostic imaging ; Liver Neoplasms - secondary ; Liver Neoplasms - surgery ; Liver Neoplasms - therapy ; Medicine ; Medicine & Public Health ; Middle Aged ; Portal Vein ; Rectal Neoplasms - pathology ; Rectal Neoplasms - surgery ; Surgery ; Surgical Oncology ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Surgery today (Tokyo, Japan), 2015-04, Vol.45 (4), p.511-516</ispartof><rights>Springer Japan 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c390t-d100b93a26b1242a71960b45e5b5cba52631c7c4950765a13bf47875ed8b0eb43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-014-0953-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-014-0953-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24943807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamashita, Suguru</creatorcontrib><creatorcontrib>Hasegawa, Kiyoshi</creatorcontrib><creatorcontrib>Takahashi, Michiro</creatorcontrib><creatorcontrib>Arita, Junichi</creatorcontrib><creatorcontrib>Sakamoto, Yoshihiro</creatorcontrib><creatorcontrib>Aoki, Taku</creatorcontrib><creatorcontrib>Sugawara, Yasuhiko</creatorcontrib><creatorcontrib>Kokudo, Norihiro</creatorcontrib><title>Hobson’s choice two-stage hepatectomy for multiple and bilobar colorectal liver metastases with portal vein embolization: report of two cases</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Liver resection is recognized as the preferred treatment for patients with colorectal liver metastases (CLM) because it offers long-term survival; it is the only hope for a cure. However, in the majority of cases, liver surgery is contraindicated due to the small volume of the future remnant liver. To extend the surgical indications for CLM, a planned two-stage hepatectomy procedure with portal vein embolization (PVE) was developed specifically for patients with multiple and bilobar CLM. The rationale for performing the procedure was a concern about the possible overgrowth of intrafuture remnant liver lesions following PVE, and it was therefore recommended for all multiple bilobar CLM cases, even when one-stage hepatectomy was technically feasible. We recently performed Hobson’s choice two-stage hepatectomy in two cases for reasons different from those of the original planned two-stage hepatectomy. In the present report, we describe our Hobson’s choice two-stage hepatectomy strategy, which provided favorable short-term outcomes.</description><subject>Case Report</subject><subject>Cecal Neoplasms - pathology</subject><subject>Cecal Neoplasms - surgery</subject><subject>Embolization, Therapeutic</subject><subject>Female</subject><subject>Hepatectomy - methods</subject><subject>Hepatic Veins - pathology</subject><subject>Humans</subject><subject>Liver Neoplasms - diagnostic imaging</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - surgery</subject><subject>Liver Neoplasms - therapy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Portal Vein</subject><subject>Rectal Neoplasms - pathology</subject><subject>Rectal Neoplasms - surgery</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kb1uFTEQhS0EIpfAA9AglzQG_-6u6VAUCFIkGqgt23c215F3vdje_FDxBtS8Hk-CVzdQUk1xvnNGMwehl4y-YZT2bwulSitCmSRUK0HuHqEdk6IjfGDiMdpRLRlhXLMT9KyUa0q5HCh9ik641FIMtN-hnxfJlTT__vGrYH9IwQOut4mUaq8AH2CxFXxN0z0eU8bTGmtYImA777ELMTmbsU8x5QbZiGO4gUZBtc1foODbUA94SXkTbyDMGCaXYvhua0jzO5xh03Aat53Yb5bn6MloY4EXD_MUff1w_uXsglx-_vjp7P0l8ULTSvbtfqeF5Z1jXHLbM91RJxUop7yzineC-d5LrWjfKcuEG2U_9Ar2g6PgpDhFr4-5S07fVijVTKF4iNHOkNZiWNdJprkWqqHsiPqcSskwmiWHyeZ7w6jZejDHHkzrwWw9mLvmefUQv7oJ9v8cfx_fAH4ESpPmK8jmOq15bif_J_UPggyXcQ</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Yamashita, Suguru</creator><creator>Hasegawa, Kiyoshi</creator><creator>Takahashi, Michiro</creator><creator>Arita, Junichi</creator><creator>Sakamoto, Yoshihiro</creator><creator>Aoki, Taku</creator><creator>Sugawara, Yasuhiko</creator><creator>Kokudo, Norihiro</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Hobson’s choice two-stage hepatectomy for multiple and bilobar colorectal liver metastases with portal vein embolization: report of two cases</title><author>Yamashita, Suguru ; 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However, in the majority of cases, liver surgery is contraindicated due to the small volume of the future remnant liver. To extend the surgical indications for CLM, a planned two-stage hepatectomy procedure with portal vein embolization (PVE) was developed specifically for patients with multiple and bilobar CLM. The rationale for performing the procedure was a concern about the possible overgrowth of intrafuture remnant liver lesions following PVE, and it was therefore recommended for all multiple bilobar CLM cases, even when one-stage hepatectomy was technically feasible. We recently performed Hobson’s choice two-stage hepatectomy in two cases for reasons different from those of the original planned two-stage hepatectomy. 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| subjects | Case Report Cecal Neoplasms - pathology Cecal Neoplasms - surgery Embolization, Therapeutic Female Hepatectomy - methods Hepatic Veins - pathology Humans Liver Neoplasms - diagnostic imaging Liver Neoplasms - secondary Liver Neoplasms - surgery Liver Neoplasms - therapy Medicine Medicine & Public Health Middle Aged Portal Vein Rectal Neoplasms - pathology Rectal Neoplasms - surgery Surgery Surgical Oncology Tomography, X-Ray Computed Treatment Outcome |
| title | Hobson’s choice two-stage hepatectomy for multiple and bilobar colorectal liver metastases with portal vein embolization: report of two cases |
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