Surgical management of locally-advanced and metastatic hepatoblastoma
Advanced stage hepatoblastoma, including both locally advanced primary tumors as well as metastatic disease, poses unique clinical challenges. Despite substantial advances in chemotherapeutics, surgical extirpation remains the mainstay of cure for this tumor. Locally advanced tumors that involve mul...
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Veröffentlicht in: | Seminars in pediatric surgery 2019-12, Vol.28 (6), p.150856-150856, Article 150856 |
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container_title | Seminars in pediatric surgery |
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creator | Lake, Charissa M. Tiao, Gregory M. Bondoc, Alexander J. |
description | Advanced stage hepatoblastoma, including both locally advanced primary tumors as well as metastatic disease, poses unique clinical challenges. Despite substantial advances in chemotherapeutics, surgical extirpation remains the mainstay of cure for this tumor. Locally advanced tumors that involve multiple hepatic lobes and/or invade significant vascular structures can be managed either by complex hepatic resections or liver transplantation. We review the indications, roles, and outcomes of these surgical approaches as well as those for the resection of pulmonary metastases. |
doi_str_mv | 10.1016/j.sempedsurg.2019.150856 |
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Despite substantial advances in chemotherapeutics, surgical extirpation remains the mainstay of cure for this tumor. Locally advanced tumors that involve multiple hepatic lobes and/or invade significant vascular structures can be managed either by complex hepatic resections or liver transplantation. We review the indications, roles, and outcomes of these surgical approaches as well as those for the resection of pulmonary metastases.</description><identifier>ISSN: 1055-8586</identifier><identifier>EISSN: 1532-9453</identifier><identifier>DOI: 10.1016/j.sempedsurg.2019.150856</identifier><identifier>PMID: 31931965</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Extreme resection ; Hepatoblastoma ; Indocyanine green ; Liver transplant ; PRETEXT ; Pulmonary metastasectomy</subject><ispartof>Seminars in pediatric surgery, 2019-12, Vol.28 (6), p.150856-150856, Article 150856</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. 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We review the indications, roles, and outcomes of these surgical approaches as well as those for the resection of pulmonary metastases.</description><subject>Extreme resection</subject><subject>Hepatoblastoma</subject><subject>Indocyanine green</subject><subject>Liver transplant</subject><subject>PRETEXT</subject><subject>Pulmonary metastasectomy</subject><issn>1055-8586</issn><issn>1532-9453</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqFkMlOwzAQhi0EoqXwCihHLgleYic5QlUWqRIH4Gw59qS4SuJiJ5X69rgKyxFppFn0_zOaD6GE4IxgIm63WYBuByaMfpNRTKqMcFxycYLmhDOaVjlnp7HGnKclL8UMXYSwxZgKQfk5mjFSxRB8jlavcYXVqk061asNdNAPiWuS1sVZe0iV2ateg0lUb5IOBhUGNVidfMBODa5uY-86dYnOGtUGuPrOC_T-sHpbPqXrl8fn5d061azIh9QUWFCoC0zLmgmoK0wLzlhFCaO60cbUmnCqaV5wAF1SUTUiB17ULDoUJmyBbqa9O-8-RwiD7GzQ0LaqBzcGSRkrcYVzgqO0nKTauxA8NHLnbaf8QRIsjxDlVv5BlEeIcoIYrdffV8a6A_Nr_KEWBfeTAOKvewteBm3hiMl60IM0zv5_5QtdTYgw</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Lake, Charissa M.</creator><creator>Tiao, Gregory M.</creator><creator>Bondoc, Alexander J.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201912</creationdate><title>Surgical management of locally-advanced and metastatic hepatoblastoma</title><author>Lake, Charissa M. ; Tiao, Gregory M. ; Bondoc, Alexander J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-d7062eb7028b36eb902753392132cfcddbc152c2475eec8269f64e57b3028a013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Extreme resection</topic><topic>Hepatoblastoma</topic><topic>Indocyanine green</topic><topic>Liver transplant</topic><topic>PRETEXT</topic><topic>Pulmonary metastasectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lake, Charissa M.</creatorcontrib><creatorcontrib>Tiao, Gregory M.</creatorcontrib><creatorcontrib>Bondoc, Alexander J.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lake, Charissa M.</au><au>Tiao, Gregory M.</au><au>Bondoc, Alexander J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical management of locally-advanced and metastatic hepatoblastoma</atitle><jtitle>Seminars in pediatric surgery</jtitle><addtitle>Semin Pediatr Surg</addtitle><date>2019-12</date><risdate>2019</risdate><volume>28</volume><issue>6</issue><spage>150856</spage><epage>150856</epage><pages>150856-150856</pages><artnum>150856</artnum><issn>1055-8586</issn><eissn>1532-9453</eissn><abstract>Advanced stage hepatoblastoma, including both locally advanced primary tumors as well as metastatic disease, poses unique clinical challenges. 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subjects | Extreme resection Hepatoblastoma Indocyanine green Liver transplant PRETEXT Pulmonary metastasectomy |
title | Surgical management of locally-advanced and metastatic hepatoblastoma |
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