Quoi de neuf en chirurgie [Novelties in surgery in 2013?].

Details

Serval ID
serval:BIB_A8048C95E82C
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Quoi de neuf en chirurgie [Novelties in surgery in 2013?].
Journal
Revue Médicale Suisse
Author(s)
Melloul E., Gié O., Hübner M., Demartines N.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
2014
Volume
10
Number
412-413
Pages
32-35
Language
french
Notes
Publication types: English Abstract ; Journal Article ; Review Publication Status: ppublishPublication Type English Abstract. Journal Article. Review.
Abstract
Multidisciplinary management of colorectal liver metastases allows an increase of about 20% in the resection rate of liver metastases. It includes chemotherapy, interventional radiology and surgery. In 2013, the preliminary results of the in-situ split of the liver associated with portal vein ligation (ALLPS) are promising with unprecedented mean hypertrophy up to 70% at day 9. However, the related morbidity of this procedure is about 40% and hence should be performed in the setting of study protocol only. For pancreatic cancer, the future belongs to the use of adjuvant and neo adjuvant therapies in order to increase the resection rate. Laparoscopic and robot-assisted surgery is still in evolution with significant benefits in the reduction of cost, hospital stay, and postoperative morbidity. Finally, enhanced recovery pathways (ERAS) have been validated for colorectal surgery and are currently assessed in other fields of surgery like HPB and upper GI surgery.
Keywords
Colorectal Neoplasms/pathology, Colorectal Neoplasms/surgery, Digestive System Surgical Procedures/methods, Digestive System Surgical Procedures/rehabilitation, Hepatectomy/methods, Hepatectomy/rehabilitation, Humans, Liver Neoplasms/secondary, Liver Neoplasms/surgery, Pancreatectomy/methods, Pancreatectomy/rehabilitation, Robotics/trends
Pubmed
Create date
25/05/2014 15:07
Last modification date
20/08/2019 15:12
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