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Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

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COMPREHENSIVE TREATMENT OF LARGE LIVER METASTASIS OF COLORECTAL CANCER WITH INVOLVEMENT OF THREE HEPATIC VEINS

https://doi.org/10.16931/1995-5464.2016189-93

Abstract

The article presents clinical case of successful treatment of patients with metachronous, resectable liver metastasis of colorectal cancer located in hepatic veins confluence. It is shown the results of consecutive chemotherapy and portal vein embolization    which reduced  metastasis  size and increased  the volume of the left liver lateral sector.  Readiness  for transplantation has allowed to perform radical R0-resection. We obtained satisfactory long-term  outcomes.

About the Authors

G. G. Akhaladze
Russian Scientific Centre of Rentgenoradiology of Ministry of Healthcare of the Russian Federation
Russian Federation

Akhaladze Guram Germanovich – Doct. of Med. Sci., Professor, Chief Researcher at the Research Department of Surgery and Surgical Technologies  in Oncology.

86, Profsoyuznaya str., Moscow, 117997, Phone: +7-495-334-46-70



U. Stanoevich
Russian Scientific Centre of Rentgenoradiology of Ministry of Healthcare of the Russian Federation
Russian Federation

Stanoevich Uglesha – Cand. of Med. Sci., Senior Researcher at the Research Department of Surgery and Surgical Technologies in Oncology.

86, Profsoyuznaya str., Moscow, 117997



E. N. Grebyonkin
Russian Scientific Centre of Rentgenoradiology of Ministry of Healthcare of the Russian Federation
Russian Federation

Grebyonkin  Egor Nikolaevich – Cand.  of  Med.  Sci.,  Researcher   at  the  Research  Department  of  Surgery  and  Surgical Technologies in Oncology.

86, Profsoyuznaya str., Moscow, 117997


D. G. Akhaladze
Acad. V.I. Shumakov Research Centre of Transplantology and Artificial Organs of Ministry of Healthcare of the Russian Federation
Russian Federation

Akhaladze Dmitriy Guramovich – Cand. of Med. Sci., Head of the Surgical Department.

1, Schukinskaya str., Moscow, 123182



References

1. Гребенкин Е.Н., Чхиквадзе В.Д., Станоевич У.С., Дехисси Е.И. Современные методы лечения больных с метастазами колоректального рака в печень. Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2013; 23 (3): 28–32. Grebenkin E.N., Chhikvadze V.D., Stanoevich U.S., Dehissi E.I. Modern methods of treatment of patients with metastatic colorectal cancer of liver. Rossijskij zhurnal gastrojenterologii, gepatologii, koloproktologii. 2013; 23 (3): 28–32. (In Russian)

2. Van Cutsem E., Cervantes A., Nordlinger B., Arnold D. Metastatic colorectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up, on behalf of the ESMO Guidelines Working Group. Ann. Oncol. 2014; 25 (Supplement 3): iii1–iii9. doi: 10.1093/annonc/mdu260.

3. Donati M., Basile F., Oldhafer K.J. Present status and future perspectives of ALPPS (associating liver partition and portal vein ligation for staged hepatectomy). Future Oncol. 2015; 11 (16): 2255–2258. doi: 10.2217/fon.15.145.

4. Ome Y., Kawamoto K., Park T.B., Ito T., Ogasahara K. Twostage hepatectomy and associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) in treating liver metastases of rectal cancer: a case report. Springerplus. 2015; 22 (4): 194. doi: 10.1186/s40064-015-0965-z.

5. Тарасов П.Г., Гранов Д.А., Сергеев В.И., Поликарпов А.Л., Полысалов В.Н., Розенгауз Е.В. Предоперационная эмболизация воротной вены при злокачественных опухолях печени. Анналы хирургической гепатологии. 2002; 7 (1): 7–13. Tarasov P.G., Granov D.A., Sergeev V.I., Polikarpov A.L., Polysalov V.N., Rozengauz E.V. Preoperative portal vein embolization for malignant liver tumors. Annaly khirurgicheskoy gepatologii. 2002; 7 (1): 7–13. (In Russian)

6. Day R.W., Conrad C., Vauthey J.N., Aloia T.A. Evaluating surgeon attitudes towards the safety and efficacy of portal vein occlusion and associating liver partition and portal vein ligation: a report of the MALINSA survey. HPB (Oxford). 2015; 17 (10): 936–941. doi: 10.1111/hpb.12439.

7. Azoulay D., Eshkenazy R., Andreani P., Castaing D., Adam R., Ichai P., Naili S., Vinet E., Saliba F., Lemoine A., Gillon M.C., Bismuth H. In situ hypothermic perfusion of the liver versus standard total vascular exclusion for complex liver resection. Ann. Surg. 2005; 241 (2): 277–285.

8. de Santibañes E., Cristiano A., de Santibañes M., Yanzon A., Rodriguez Santos F., Ardiles V., Pekolj J. Ante-situm resection: a novel approachhtoavoid extracorporeal circulation using a transient portacaval shunt. HPB. 2015; 17 (1): 94–96. doi: 10.1111/hpb.12337.


Review

For citations:


Akhaladze G.G., Stanoevich U., Grebyonkin E.N., Akhaladze D.G. COMPREHENSIVE TREATMENT OF LARGE LIVER METASTASIS OF COLORECTAL CANCER WITH INVOLVEMENT OF THREE HEPATIC VEINS. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(1):89-93. (In Russ.) https://doi.org/10.16931/1995-5464.2016189-93

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ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)