Resectability of large focal liver lesions
Despite modern imaging techniques evaluation of the resectability of large focal liver lesions is often difficult or impossible until the time of operation. Based on experience with 54 primary or secondary focal liver tumours, a simple morphological classification has been found to be reasonably pre...
Gespeichert in:
| Veröffentlicht in: | British journal of surgery 1989-10, Vol.76 (10), p.1042-1044 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1044 |
|---|---|
| container_issue | 10 |
| container_start_page | 1042 |
| container_title | British journal of surgery |
| container_volume | 76 |
| creator | Baer, H. U. Gertsch, Ph Matthews, J. B. Schweizer, W. Triller, J. Zimmermann, A. Blumgart, L. H. |
| description | Despite modern imaging techniques evaluation of the resectability of large focal liver lesions is often difficult or impossible until the time of operation. Based on experience with 54 primary or secondary focal liver tumours, a simple morphological classification has been found to be reasonably predictive of resectability. All tumours were classified before operation using computed tomography, ultrasound and angiography; 38 patients underwent laparotomy. Dependent, ‘hanging’ tumours (n=7) were resected in six cases, expansively growing ‘pushing’ tumours (n=19) were resected in 18 cases, and infiltrating, ‘invasive’ tumours (n=17) were not resected because of involvement with major vascular structures. Eleven small tumours ( |
| doi_str_mv | 10.1002/bjs.1800761019 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_79384851</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>79384851</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3689-ec80ab050ca86755e10d8a5f5fca9fb17deaf76eb9fa6136756f625da9c1bbc93</originalsourceid><addsrcrecordid>eNpFUE1PAjEQbYwGEb16M9mD8WCy2G7p11GJgoZgoqiJl2a2tKZYWNwuKv_eJWzwNJl5783MewidEtwlGGdX-Sx2icRYcIKJ2kNtQjlLM8LlPmrjep4SmtFDdBTjDGNCMctaqJUxJVSPt9Hlk43WVJD74Kt1UrgkQPlhE1cYCEnw37ZMgo2-WMRjdOAgRHvS1A56ubud9Ifp6HFw378epYZyqVJrJIYcM2xAcsGYJXgqgTnmDCiXEzG14AS3uXLA62cF445nbArKkDw3inbQxXbvsiy-VjZWeu6jsSHAwharqIWisicZqYlnDXGVz-1UL0s_h3KtG3M1ft7gEGs3roSF8XFH44ISJTf31Jb244Nd72CC9SZgXQes_wPWNw_P_12tTbdaHyv7u9NC-blZL5h-Gw_0eDJ5p8NXrnv0Dyd1fTk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79384851</pqid></control><display><type>article</type><title>Resectability of large focal liver lesions</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Baer, H. U. ; Gertsch, Ph ; Matthews, J. B. ; Schweizer, W. ; Triller, J. ; Zimmermann, A. ; Blumgart, L. H.</creator><creatorcontrib>Baer, H. U. ; Gertsch, Ph ; Matthews, J. B. ; Schweizer, W. ; Triller, J. ; Zimmermann, A. ; Blumgart, L. H.</creatorcontrib><description>Despite modern imaging techniques evaluation of the resectability of large focal liver lesions is often difficult or impossible until the time of operation. Based on experience with 54 primary or secondary focal liver tumours, a simple morphological classification has been found to be reasonably predictive of resectability. All tumours were classified before operation using computed tomography, ultrasound and angiography; 38 patients underwent laparotomy. Dependent, ‘hanging’ tumours (n=7) were resected in six cases, expansively growing ‘pushing’ tumours (n=19) were resected in 18 cases, and infiltrating, ‘invasive’ tumours (n=17) were not resected because of involvement with major vascular structures. Eleven small tumours (<5 cm) were not classifiable by this system. This simple classification may be a useful clinical concept in preoperative assessment of resectability of focal liver lesions. Hanging tumours should always be resected, and large expansile tumours are generally resectable despite their size. Invasive tumours can only be resected in exceptional cases.</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.1800761019</identifier><identifier>PMID: 2597946</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Bristol: John Wiley & Sons, Ltd</publisher><subject>Biological and medical sciences ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatic resection ; Humans ; Liver - pathology ; Liver - surgery ; Liver Neoplasms - classification ; Liver Neoplasms - pathology ; Liver Neoplasms - secondary ; Liver Neoplasms - surgery ; liver tumours ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Neoplasm Invasiveness ; Time Factors ; Tomography, X-Ray Computed ; Tumors</subject><ispartof>British journal of surgery, 1989-10, Vol.76 (10), p.1042-1044</ispartof><rights>Copyright © 1989 British Journal of Surgery Society Ltd.</rights><rights>1990 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3689-ec80ab050ca86755e10d8a5f5fca9fb17deaf76eb9fa6136756f625da9c1bbc93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.1800761019$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.1800761019$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6731989$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2597946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baer, H. U.</creatorcontrib><creatorcontrib>Gertsch, Ph</creatorcontrib><creatorcontrib>Matthews, J. B.</creatorcontrib><creatorcontrib>Schweizer, W.</creatorcontrib><creatorcontrib>Triller, J.</creatorcontrib><creatorcontrib>Zimmermann, A.</creatorcontrib><creatorcontrib>Blumgart, L. H.</creatorcontrib><title>Resectability of large focal liver lesions</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Despite modern imaging techniques evaluation of the resectability of large focal liver lesions is often difficult or impossible until the time of operation. Based on experience with 54 primary or secondary focal liver tumours, a simple morphological classification has been found to be reasonably predictive of resectability. All tumours were classified before operation using computed tomography, ultrasound and angiography; 38 patients underwent laparotomy. Dependent, ‘hanging’ tumours (n=7) were resected in six cases, expansively growing ‘pushing’ tumours (n=19) were resected in 18 cases, and infiltrating, ‘invasive’ tumours (n=17) were not resected because of involvement with major vascular structures. Eleven small tumours (<5 cm) were not classifiable by this system. This simple classification may be a useful clinical concept in preoperative assessment of resectability of focal liver lesions. Hanging tumours should always be resected, and large expansile tumours are generally resectable despite their size. Invasive tumours can only be resected in exceptional cases.</description><subject>Biological and medical sciences</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hepatic resection</subject><subject>Humans</subject><subject>Liver - pathology</subject><subject>Liver - surgery</subject><subject>Liver Neoplasms - classification</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - surgery</subject><subject>liver tumours</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Neoplasm Invasiveness</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFUE1PAjEQbYwGEb16M9mD8WCy2G7p11GJgoZgoqiJl2a2tKZYWNwuKv_eJWzwNJl5783MewidEtwlGGdX-Sx2icRYcIKJ2kNtQjlLM8LlPmrjep4SmtFDdBTjDGNCMctaqJUxJVSPt9Hlk43WVJD74Kt1UrgkQPlhE1cYCEnw37ZMgo2-WMRjdOAgRHvS1A56ubud9Ifp6HFw378epYZyqVJrJIYcM2xAcsGYJXgqgTnmDCiXEzG14AS3uXLA62cF445nbArKkDw3inbQxXbvsiy-VjZWeu6jsSHAwharqIWisicZqYlnDXGVz-1UL0s_h3KtG3M1ft7gEGs3roSF8XFH44ISJTf31Jb244Nd72CC9SZgXQes_wPWNw_P_12tTbdaHyv7u9NC-blZL5h-Gw_0eDJ5p8NXrnv0Dyd1fTk</recordid><startdate>198910</startdate><enddate>198910</enddate><creator>Baer, H. U.</creator><creator>Gertsch, Ph</creator><creator>Matthews, J. B.</creator><creator>Schweizer, W.</creator><creator>Triller, J.</creator><creator>Zimmermann, A.</creator><creator>Blumgart, L. H.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198910</creationdate><title>Resectability of large focal liver lesions</title><author>Baer, H. U. ; Gertsch, Ph ; Matthews, J. B. ; Schweizer, W. ; Triller, J. ; Zimmermann, A. ; Blumgart, L. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3689-ec80ab050ca86755e10d8a5f5fca9fb17deaf76eb9fa6136756f625da9c1bbc93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Biological and medical sciences</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Hepatic resection</topic><topic>Humans</topic><topic>Liver - pathology</topic><topic>Liver - surgery</topic><topic>Liver Neoplasms - classification</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - secondary</topic><topic>Liver Neoplasms - surgery</topic><topic>liver tumours</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Medical sciences</topic><topic>Neoplasm Invasiveness</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baer, H. U.</creatorcontrib><creatorcontrib>Gertsch, Ph</creatorcontrib><creatorcontrib>Matthews, J. B.</creatorcontrib><creatorcontrib>Schweizer, W.</creatorcontrib><creatorcontrib>Triller, J.</creatorcontrib><creatorcontrib>Zimmermann, A.</creatorcontrib><creatorcontrib>Blumgart, L. H.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baer, H. U.</au><au>Gertsch, Ph</au><au>Matthews, J. B.</au><au>Schweizer, W.</au><au>Triller, J.</au><au>Zimmermann, A.</au><au>Blumgart, L. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resectability of large focal liver lesions</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1989-10</date><risdate>1989</risdate><volume>76</volume><issue>10</issue><spage>1042</spage><epage>1044</epage><pages>1042-1044</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Despite modern imaging techniques evaluation of the resectability of large focal liver lesions is often difficult or impossible until the time of operation. Based on experience with 54 primary or secondary focal liver tumours, a simple morphological classification has been found to be reasonably predictive of resectability. All tumours were classified before operation using computed tomography, ultrasound and angiography; 38 patients underwent laparotomy. Dependent, ‘hanging’ tumours (n=7) were resected in six cases, expansively growing ‘pushing’ tumours (n=19) were resected in 18 cases, and infiltrating, ‘invasive’ tumours (n=17) were not resected because of involvement with major vascular structures. Eleven small tumours (<5 cm) were not classifiable by this system. This simple classification may be a useful clinical concept in preoperative assessment of resectability of focal liver lesions. Hanging tumours should always be resected, and large expansile tumours are generally resectable despite their size. Invasive tumours can only be resected in exceptional cases.</abstract><cop>Bristol</cop><pub>John Wiley & Sons, Ltd</pub><pmid>2597946</pmid><doi>10.1002/bjs.1800761019</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-1323 |
| ispartof | British journal of surgery, 1989-10, Vol.76 (10), p.1042-1044 |
| issn | 0007-1323 1365-2168 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79384851 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Gastroenterology. Liver. Pancreas. Abdomen Hepatic resection Humans Liver - pathology Liver - surgery Liver Neoplasms - classification Liver Neoplasms - pathology Liver Neoplasms - secondary Liver Neoplasms - surgery liver tumours Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Neoplasm Invasiveness Time Factors Tomography, X-Ray Computed Tumors |
| title | Resectability of large focal liver lesions |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T18%3A24%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Resectability%20of%20large%20focal%20liver%20lesions&rft.jtitle=British%20journal%20of%20surgery&rft.au=Baer,%20H.%20U.&rft.date=1989-10&rft.volume=76&rft.issue=10&rft.spage=1042&rft.epage=1044&rft.pages=1042-1044&rft.issn=0007-1323&rft.eissn=1365-2168&rft.coden=BJSUAM&rft_id=info:doi/10.1002/bjs.1800761019&rft_dat=%3Cproquest_pubme%3E79384851%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=79384851&rft_id=info:pmid/2597946&rfr_iscdi=true |