شملت الدراسة 11 مريضاً بنسبة 63.6% للإناث و متوسط الأعمار 55.4 سنة. لقد توضع الورم البدئي في المستقيم في 36.4% و تم تشخيص وجود النقيلة او النقائل الكبدية بشكل متزامن مع تشخيص الورم البدئي في 4 حالات و بنسبة 36.4% بينما تم حدوث النقائل الكبدية بشكل متأخر في 63.6% من الحالات. وجدت النقيلة الوحيدة عند 72.7% بينما شكلت النقائل المتعددة نسبة 27.3%. و كان قطر النقيلة اقل من 5 سم في 5 حالات و بنسبة 45.4% و كانت اكبر او يساوي 5 سم في 54.6% من الحالات. تم اجراء قطع كبد للنقيلة بشكل متزامن مع استئصال الورم البدئي الموجود في القولون في حالة واحدة فقط و كانت نقيلة وحيدة و بنسبة 9.1% من الحالات. شكل قطع الكبد لقطعة او قطعتين كبديتين الاجراء الجراحي الاكثر تواترا و بنسبة 45.4% من الحالات في حين تم اجراء قطع فص كبدي ايمن تام في حالة واحدة و كذلك قطع فص كبدي ايسر تام ايضا في حالة وحيدة. حدث تجمع صفراوي تالي للجراحة في حالة واحدة و لم تستدعي التداخل الجراحي. و حدث النزف الدموي بشكل فعال في حالة واحدة و حدث الناسور الصفراوي في حالتين و لم تحدث أية وفاة خلال الاشهر الثلاثة الاولى التالية للجراحة.
Introduction: Liver surgery is a relatively recent and relatively major complex surgery, due
to the anatomical and histological specialty of the liver
Objective of the research: To evaluate the results of the cases of liver metastases from
colorectal carcinoma from November 2010 until the end of April 2017.The study included
11 patients with 63,4% of females and average age of 55,4 years.
The primary tumor was located in the rectum at 36.4%. in 4 cases (36.4%) was the
livermetastases as a synchron with the main tumor while the metachron metastases was in
63.6% of cases. The single metastases was found at 72.7% while the multiple metastases
accounted for 27.3%. The transfusion diameter was less than 5 cm in 5 cases and 45.4%
and it was larger or equal to 5 cm in 54.6% of all the cases. The liver resection for
Hepatocellular lesions were performed concurrently with primary tumor resection in the
colon in only one case and the metastases was a single and 9.1% of the cases. The most
common surgical procedure was segment resection in 45.4% of all the cases. The left or
right hemi hepatectomy was in two cases, 8.7% None of the patients had any complications
which requiring a reoperation. Bleeding occurred in one case such as the Bilioma in one
case and Biliary fistula occurred in two cases.
References used
A Chiappa , E Bertani , R Biffi , U Pace , G Viale , G Pruneri , G Zampino , N Fazio , F Orsi , G Bonomo , L Monfardini , P Della Vigna and B Andreoni. Resection of colorectal liver metastases following neoadjuvant chemotherapy. ecancer 2007, 1:58 DOI: 10.3332/ecancer.2008.58
Matteo Donadon, Dario Ribero, Gareth Morris-Stiff, Eddie K. Abdalla, and Jean- Nicolas Vauthey. New Paradigm in the Management of Liver-Only Metastases From Colorectal Cancer Gastrointest Cancer Res 2007 1:20–27. © 2007
Kristen Little, MSPA, PA-C.Is a surgical CURE in the future for colorectal cancer liver metastasis. International Journal of Surgery Oncology (2017) 2:e34
Introduction: Liver surgery is a relatively recent and relatively major complex surgery, due
to the anatomical and histological specialty of the liver.
Objective of the research: To evaluate the results of the cases of non traumatic liver
resectio
Hepatitis C is affected by human behaviors especially drugs , diets ,activities
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