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Parenchymal-Sparing Surgery: What Is Behind It?

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Colorectal Cancer Liver Metastases

Abstract

Approximately 50% of patients with colorectal cancer ultimately develop liver metastases. Treatment strategy for colorectal liver metastases has evolved during the last two decades with increase in the use of liver resection and advancements in medical therapy. As hepatectomy is considered the cornerstone of treatment for patients with colorectal liver metastases, the use of parenchymal-sparing hepatectomy has played an increasingly important role in expanding the patient population eligible for surgery. A number of studies have demonstrated the oncologic and technical benefits of parenchymal-sparing surgery in comparison with major hepatectomy. This chapter reviews the rationale and indications for a parenchymal-sparing approach, and the functional and oncologic benefits and techniques particularly applicable to this approach.

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Author information

Authors and Affiliations

  1. Emory University, Atlanta, GA, USA

    Adriana C. Gamboa & Shishir K. Maithel

Authors
  1. Adriana C. Gamboa
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  2. Shishir K. Maithel
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Corresponding author

Correspondence to Shishir K. Maithel .

Editor information

Editors and Affiliations

  1. National Cancer Institute, Rio de Janeiro, Brazil

    Mauro Monteiro Correia

  2. Banner MD Anderson Cancer Center, Phoenix, AZ, USA

    Michael A. Choti

  3. Virginia Mason Medical Center, Seattle, WA, USA

    Flavio G. Rocha

  4. Center for Advanced Treatment of HBP Diseases, Ageo Central General Hospital, Ageo Shi, Saitama, Japan

    Go Wakabayashi

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Gamboa, A.C., Maithel, S.K. (2020). Parenchymal-Sparing Surgery: What Is Behind It?. In: Correia, M., Choti, M., Rocha, F., Wakabayashi, G. (eds) Colorectal Cancer Liver Metastases. Springer, Cham. https://doi.org/10.1007/978-3-030-25486-5_32

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  • DOI: https://doi.org/10.1007/978-3-030-25486-5_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-25485-8

  • Online ISBN: 978-3-030-25486-5

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