Zusammenfassung
Neue technische Entwicklungen in der Leberchirurgie erlauben es heute, selbst fortgeschrittene Tumorstadien zu resezieren. Die Indikationsstellung zum operativen Vorgehen ist zwar primär von bildgebenden Verfahren abhängig, wird jedoch auch von Alter und Allgemeinzustand der Patienten, von Leber funktionsparametern sowie prognostischen Faktoren beeinfluβt. In den Fällen, in denen die Resektabilität präoperativ nicht eindeutig zu beurteilen ist, wird eine intraoperative Klärung (Inspektion, Palpation, intraoperativer Ultraschall, Histologic) angestrebt.
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Literatur
Couinaud C (1957) Le foie. Etudes anatomiques et chirurgicales. Masson, Paris
Fernandez MP, Bernardino ME (1991) Pseudolesions versus neoplasms on CT arterial portography: aids in diagnosis. Radiology (P) Suppl 181:167
Heiken JP, Weyman PJ, Lee JK et al. (1989) Detection of focal hepatic masses: prospective evaluation with CT, delayed CT, CT during arterial portography, and MR imaging. Radiology 171:47–51
Lafortune M, Madore F, Patriquin H, Breton G (1991) Segmental anatomy of the liver: a sonographic approach to the Couinaud nomenclature. Radiology 181:443–448
Matsui OM, Tkkashima T, Kadoya M et al. (1987) Liver metastases from colorectal cancers: detection with CT during arterial portography. Radiology 165:65–69
Merine D, Takayasu K, Wakao F (1990) Detection of hepatocellular carcinoma: comparison of CT during arterial portography with CT after intraarterial injection of iodized oil. Radiology 175:707–710
Nelson RC, Chezmar JL, Sugarbaker PH, Bernardino ME (1989) Hepatic tumors: comparison of CT during arterial portography, delayed CT, and MR imaging for preoperative evaluation. Radiology 172:27–34
Okuda K (1986) Early recognition of hepatocellular carcinoma. Hepatology 6:729–738
Oliver JH, Baron RL, Dodd GD, Carr BI, van Thiel D (1991) Efficacy of CT portography in the evaluation of cirrhotic patients for hepatocellular carcinoma. Radiology (P) Suppl 181:167
Pichlmayr R, Bretschneider HJ, Kirchner E et al. (1988) Ex situ Operation an der Leber - Eine neue Moglichkeit in der Leberchirurgie. Langenbecks Arch Chir 373:122–126
Pichlmayr R, Gubernatis G, Lamesch P, Raygrotzki S, Haas J (1989) Europaisches Thema Leberchirurgie - Neuentwicklungen in der Leberchirurgie (in situ-Protektion und ex situ-Operation). Langenbecks Arch Chir [Suppl II]:257–261
Ringe B, Bechstein WO, Raab R, Mayer HJ, Pichlmayr R (1990) Leberresektion bei 157 Patienten mit colorektalen Metastasen. Chirurg 61:272–279
Ringe B, Pichlmayr R, Wittekind C, Tusch G (1991) Surgical treatment of hepatocellular carcinoma: experience with liver resection and transplantation in 198 patients. World J Surg 15(2):270–285
Starzl TE, Koep LJ, Weil R III, Lilly JR, Putnam CW (1980) Right trisegmentektomy for hepatic neoplasms. Surg Gynecol Obstet 150:280–314
Wernecke K, Rummeny E, Bongartz G et al. (1991) Detection of hepatic masses in patients with carcinoma: comparative sensitivities of sonography, CT and MR imaging. AJR 157:731–739
Yoshimatsu S, Inoue Y, Ibukuro K, Suzuki S (1989) Hypovascular hepatocellular carcinoma undetected at angiography and CT with iodized oil. Radiology 171:343–347
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© 1993 Springer-Verlag Berlin Heidelberg
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Prokop, M., Schaefer, C., Qaiyumi, S.A.A., Pichlmayr, R. (1993). Beurteilung der lokalen Operabilität von Lebertumoren. In: Reiser, M., Steudel, A., Hirner, A., Kania, U. (eds) Lebertumoren und portale Hypertension. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77834-6_4
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DOI: https://doi.org/10.1007/978-3-642-77834-6_4
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