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Minimalno invazivna hirurgija HCC-a
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Hirurško lečenje predstavlja glavni vid potencijalno kurativnog lečenja bolesnika sa hepatocelularnim karcinomom. Bolesnici sa solitarnim tumorom i cirozom jetre Child-Pugh A stadijuma smatraju se idealnim kandidatima za resekciju jetre. Kod bolesnika sa portnom hipertenzijom potrebna je pažljiva evaluacija stanja funkcije jetre a eventualnu resekciju jetre treba primeniti kod bolesnika u kompenzovanom stanju sa adekvatnim rezidualnim volumenom jetre. Primena minimalno invazivne hirurgije kod ovih bolesnika ima više prednosti uključujući smanjeno intraoperativno krvarenje, manje postoperativnih komplikacija, kraću hospitalizaciju i brži oporavak bolesnika. Tehnički izazovi se odnose na situacije kada se tumor nalazi na velikim krvnim sudovima jetre i kada je potrebno primeniti poštedne resekcije jetre. Minimalno invazivna hirurgija jetre zahteva posebnu opremu i energetske uređaje za kontrolu hemostaze tokom transekcije parenhima jetre.
University of Belgrade, Faculty of Medicine, Belgrade
Title: Minimalno invazivna hirurgija HCC-a
Description:
Hirurško lečenje predstavlja glavni vid potencijalno kurativnog lečenja bolesnika sa hepatocelularnim karcinomom.
Bolesnici sa solitarnim tumorom i cirozom jetre Child-Pugh A stadijuma smatraju se idealnim kandidatima za resekciju jetre.
Kod bolesnika sa portnom hipertenzijom potrebna je pažljiva evaluacija stanja funkcije jetre a eventualnu resekciju jetre treba primeniti kod bolesnika u kompenzovanom stanju sa adekvatnim rezidualnim volumenom jetre.
Primena minimalno invazivne hirurgije kod ovih bolesnika ima više prednosti uključujući smanjeno intraoperativno krvarenje, manje postoperativnih komplikacija, kraću hospitalizaciju i brži oporavak bolesnika.
Tehnički izazovi se odnose na situacije kada se tumor nalazi na velikim krvnim sudovima jetre i kada je potrebno primeniti poštedne resekcije jetre.
Minimalno invazivna hirurgija jetre zahteva posebnu opremu i energetske uređaje za kontrolu hemostaze tokom transekcije parenhima jetre.
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