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Treatment of Hepatic Metastases of Colorectal Cancer (Paperback, Softcover reprint of the original 1st ed. 1992)
Loot Price: R2,762
Discovery Miles 27 620
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Treatment of Hepatic Metastases of Colorectal Cancer (Paperback, Softcover reprint of the original 1st ed. 1992)
Series: French Association of Surgery
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"The experience of each one of us is the treasure of all. " Gerard
de Nerval In 1952, J. L. Lortat-Jacob [2] reported the first
programmed right hepatectomy, which had been carried out for a
hepatic metastasis of colorectal origin. Today, excisional surgery
of the liver has become a routine procedure, with a low mortality
and morbi dity. The varieties of excision have increased and been
modified in accordance with the site and number of lesions to be
treated. These advances notably stem from both the work on the
segmental anatomy of the liver by Couinaud [1] and that of Ton That
Tung [3], which have opened the way to a simplified and segmental
method of hepa tic resection that is both safe and reliable. This
progress has been greatly facilitated by a better knowledge of the
effects of vascular clamping of the liver, and by the intro duction
of new techniques including per-operative ultrasound, the
ultrasonic dissector and the argon coagulator. Improvements in
anresthesia have also contributed to the safety of these
procedures. The high incidence of colorectal cancer (the second
commonest cause of cancer death in France) and the frequent
occurrence of hepatic metastases from this tumour, more than
justify the search for an effective therapeutic management pro
tocol. The important place of surgical resection, the technical
advances outlined above, and the prospect of new treatment
modalities using adjuvant therapy, are additional reasons for
preparing a report on this subject.
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