COMPLICATIONS AFTER HEPATECTOMY
ABSTRACT Complete removal of metastatic disease and maintenance of an adequate liver remnant remains the only treatment option with curative intent concerning colorectal liver metastases. Surgery impacts on the long-term prognosis and complications adversely affect oncological results. The actual mo...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgia Digestiva
2025-01-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100507&lng=en&tlng=en |
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| author | Claudemiro Quireze Junior Fabricio Ferreira Coelho Agnaldo Soares Lima Hugo Pinto Marques Martin Palavecino Timothy Pawlik Rene Adam Olivier Soubrane Paulo Herman Ricardo Lemos Cotta-Pereira |
| author_facet | Claudemiro Quireze Junior Fabricio Ferreira Coelho Agnaldo Soares Lima Hugo Pinto Marques Martin Palavecino Timothy Pawlik Rene Adam Olivier Soubrane Paulo Herman Ricardo Lemos Cotta-Pereira |
| author_sort | Claudemiro Quireze Junior |
| collection | DOAJ |
| description | ABSTRACT Complete removal of metastatic disease and maintenance of an adequate liver remnant remains the only treatment option with curative intent concerning colorectal liver metastases. Surgery impacts on the long-term prognosis and complications adversely affect oncological results. The actual morbidity involving this scenario is debatable and estimated to be ranging from 15% to 50%. Postoperative complications eventually lead to an increase in both mortality rates and tumor recurrence. Biliary fistula and liver failure are the leading complications following liver resection to metastatic colorectal cancer. Prophylactic drainage does not prevent fistulas or hemorrhage. Drainage along with endoscopic intervention and/or surgery may be necessary for grade B and C fistulas. Liver failure is a potentially lethal complication with few therapeutic options. Patient selection and preoperative care are crucial for its prevention. |
| format | Article |
| id | doaj-art-bb2fa38dbfb046959989fcc385dd0fbd |
| institution | Kabale University |
| issn | 0102-6720 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj-art-bb2fa38dbfb046959989fcc385dd0fbd2025-01-21T07:44:09ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202025-01-013710.1590/0102-6720202400062e1856COMPLICATIONS AFTER HEPATECTOMYClaudemiro Quireze Juniorhttps://orcid.org/0000-0002-5569-5052Fabricio Ferreira Coelhohttps://orcid.org/0000-0002-5290-8286Agnaldo Soares Limahttps://orcid.org/0000-0001-6421-3062Hugo Pinto Marqueshttps://orcid.org/0000-0003-3540-0488Martin Palavecinohttps://orcid.org/0000-0002-5152-0159Timothy Pawlikhttps://orcid.org/0000-0002-7994-9870Rene Adamhttps://orcid.org/0000-0003-2169-5449Olivier Soubranehttps://orcid.org/0000-0002-2059-1237Paulo Hermanhttps://orcid.org/0000-0003-2859-5846Ricardo Lemos Cotta-Pereirahttps://orcid.org/0009-0006-0755-0883ABSTRACT Complete removal of metastatic disease and maintenance of an adequate liver remnant remains the only treatment option with curative intent concerning colorectal liver metastases. Surgery impacts on the long-term prognosis and complications adversely affect oncological results. The actual morbidity involving this scenario is debatable and estimated to be ranging from 15% to 50%. Postoperative complications eventually lead to an increase in both mortality rates and tumor recurrence. Biliary fistula and liver failure are the leading complications following liver resection to metastatic colorectal cancer. Prophylactic drainage does not prevent fistulas or hemorrhage. Drainage along with endoscopic intervention and/or surgery may be necessary for grade B and C fistulas. Liver failure is a potentially lethal complication with few therapeutic options. Patient selection and preoperative care are crucial for its prevention.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100507&lng=en&tlng=enNeoplasm metastasisHepatectomyBiliary fistulaLiver failureHemorrhageColorectal neoplasms |
| spellingShingle | Claudemiro Quireze Junior Fabricio Ferreira Coelho Agnaldo Soares Lima Hugo Pinto Marques Martin Palavecino Timothy Pawlik Rene Adam Olivier Soubrane Paulo Herman Ricardo Lemos Cotta-Pereira COMPLICATIONS AFTER HEPATECTOMY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Neoplasm metastasis Hepatectomy Biliary fistula Liver failure Hemorrhage Colorectal neoplasms |
| title | COMPLICATIONS AFTER HEPATECTOMY |
| title_full | COMPLICATIONS AFTER HEPATECTOMY |
| title_fullStr | COMPLICATIONS AFTER HEPATECTOMY |
| title_full_unstemmed | COMPLICATIONS AFTER HEPATECTOMY |
| title_short | COMPLICATIONS AFTER HEPATECTOMY |
| title_sort | complications after hepatectomy |
| topic | Neoplasm metastasis Hepatectomy Biliary fistula Liver failure Hemorrhage Colorectal neoplasms |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100507&lng=en&tlng=en |
| work_keys_str_mv | AT claudemiroquirezejunior complicationsafterhepatectomy AT fabricioferreiracoelho complicationsafterhepatectomy AT agnaldosoareslima complicationsafterhepatectomy AT hugopintomarques complicationsafterhepatectomy AT martinpalavecino complicationsafterhepatectomy AT timothypawlik complicationsafterhepatectomy AT reneadam complicationsafterhepatectomy AT oliviersoubrane complicationsafterhepatectomy AT pauloherman complicationsafterhepatectomy AT ricardolemoscottapereira complicationsafterhepatectomy |