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001			96363
003			ES-MaUEC
005			20230102112750.0
006			m o d
007			cr cnu|||unuuu
008			170728s2017 sz a o 001 0 eng d
020			_a3319138960 _q(electronic bk.)
020			_a9783319138961 _q(electronic bk.)
020			_z3319138952
020			_z9783319138954 _q(print)
040			_aN$T _cN$T _dGW5XE _dYDX _dKOS _dOCLCO _dNJR _dN$T _dUAB _dOCLCO _dESU _dAZU _dUPM _dEBLCP _dIOG _dOCLCF _dCOO _dOCLCQ _dMERER _dVT2 _dOCLCQ _dAUD _dOCLCO _dOCLCA _dES-MaUEC _bspa
050		4	_aRD546 _b2017 EB
245	0	0	_aExtreme hepatic surgery and other strategies : _bincreasing resectability in colorectal liver metastases _cEduardo de Santibañes, Victoria Ardiles, Fernando A. Alvarez, Virginia Cano Busnelli, Martin de Santibañes, editors.
264		1	_aCham, Switzerland _bSpringer International Publishing _c2017
300			_a1 recurso en línea (xix, 383 páginas) _bilustraciones (algunas a color)
336			_aTexto _btxt _2rdacontent
337			_aelectrónico _bc _2rdamedia
338			_arecurso electrónico _bcr _2rdacarrier
347			_atext file _bPDF
505	0		_aPart I Introduction. 1. Introduction -- 2. Liver surgical anatomy -- II. Global patient evaluation and oncological assessment -- 3. Resectability assessment with diagnostic imaging -- 4. Liver function evaluation before extreme liver surgery -- 5. Imaging-based preoperative planning -- 6. Choosing the best strategy. Multidisciplinary evaluation -- III -- Non-operative multimodal therapies -- 7. Conversion and neoadjuvant therapies -- 8. Portal embolization -- 9. Intraarterial chemotherapy -- 10. Radioembolization -- IV. Surgical strategies -- 11. Anesthetics management -- 12. Intraoperative evaluation of resectability -- 13. Vascular control in major hepatic resections -- 14. Two-stage liver surgery -- 15. Two-stage liver surgery with portal occlusion -- 16 ALPPS -- 17. Parenchymal-sparing liver resections -- 18. Combined vascular resections -- 19. Ex-vivo liver surgery -- 20. Liver transplant -- 21. The roll of laparoscopy in advanced liver disease -- V. Management of concomitant extrahepatic disease -- 22. Pulmonary metastases -- 23. Nodal involvement -- 24. Peritoneal disease -- 25. Adjacent organs invasion. Multivisceral resections -- VI. Postoperative complications and their management -- 26. Complications of hepatic resections -- VII. Palliative care -- 27. Palliative care in patients with extensive disease.
520	3		_aThis book describes the diagnoses; staging and management of patients with colorectal liver metastases initially considered unresectable and portrays the different strategies to increase resectability along with their tactics and tricks. Colorectal carcinoma is the third most commonly diagnosed cancer in the world and according to recent cancer statistics around 1.23 million patients are diagnosed each year. Of these patients, approximately 50% will develop liver metastases during the course of their disease and around 15-25% are found to have stage IV disease at diagnosis. Liver resection has been recognized as the treatment of choice for these patients, offering overall 5-year survival rates of up to 50-60% and the only hope for cure. However, at diagnosis only 10-20% of these patients are possibly amenable to surgical resection with curative intent. The possibility to achieve an R0 resection is many times limited by the amount and quality of the future liver remnant (FLR), being posthepatectomy liver failure (PHLF) the most feared and severe complication after major liver resections. With the years, diverse strategies have been developed with the intention to increase resectability by increasing the future liver remnant and/or reducing tumor size, e.g. ALPPS. Along with these techniques, associated surgeries are developed including multivisceral resections, which broadens even more the resectability for patients.
650		7	_aHígado _xCáncer _2embne _0(OCoLC)fst01767379 _0 _9413204
700	1		_aAlvarez, Fernando A., _eeditor literario
700	1		_aArdiles, Victoria, _eeditor literario
700	1		_aBusnelli, Virginia Cano, _eeditor literario
700	1		_aSantibañes, Eduardo de, _eeditor literario
700	1		_aSantibañes, Martin de, _eeditor literario
856	4	0	_uhttps://go.openathens.net/redirector/universidadeuropea.es?url=http://link.springer.com/10.1007/978-3-319-13896-1 _zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
988			_aSpringer_Medicine_2017
998			_b02/2018 _dz _e- _zSI
999			_c96363 _d96363 _x1