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
Hauptverfasser: Lake, Charissa M., Tiao, Gregory M., Bondoc, Alexander J.
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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.
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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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