Combined Liver and Multivisceral Resections

Agustin Dietrich,Martin de Santibañes,Eduardo de Santibañes

doi:10.1155/2014/976546

Agustin Dietrich, Martin de Santibañes + Show 1 more

Open Access

https://doi.org/10.1155/2014/976546

Copy DOI

Journal: HPB Surgery	Publication Date: Feb 11, 2014
Citations: 5	License type: CC BY 3.0

Affiliation: Hospital Italiano de Buenos Aires

Abstract

Background. Combined liver and multivisceral resections are infrequent procedures, which demand extensive experience and considerable surgical skills. Methods. An electronic search of literature related to this topic published before June 2013 was performed. Results. There is limited scientific evidence of the feasibility and clinical outcomes of these complex procedures. The majority of these cases are simultaneous resections of colorectal tumors with liver metastases. Combined liver and multivisceral resections can be performed with acceptable postoperative morbidity and mortality rates only in carefully selected patients. Conclusion. Lack of experience in these aggressive surgeries justifies a careful selection of patients, considering their comorbidities.

Highlights

Combined liver and multivisceral resections can be performed with acceptable postoperative morbidity and mortality rates only in carefully selected patients
Multivisceral resections associated with liver surgery are infrequent procedures that require considerable skills and extensive experience in general and liver surgery
The aim of this paper is to review the scientific evidence related to these complex procedures

Summary

Background

Combined liver and multivisceral resections are infrequent procedures, which demand extensive experience and considerable surgical skills. An electronic search of literature related to this topic published before June 2013 was performed. There is limited scientific evidence of the feasibility and clinical outcomes of these complex procedures. The majority of these cases are simultaneous resections of colorectal tumors with liver metastases. Combined liver and multivisceral resections can be performed with acceptable postoperative morbidity and mortality rates only in carefully selected patients. Lack of experience in these aggressive surgeries justifies a careful selection of patients, considering their comorbidities

Introduction

Surgical Indications for Combined Liver and Multivisceral Resections

Importance of Imaging in Patients’ Selection

Preoperative Stratification of Patient’s Surgical Risk

Intraoperative Risk Factors

Postoperative Patient Management

Findings

Surgical Strategies