Article: article from journal or magazin.
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Quoi de neuf en chirurgie [Novelties in surgery in 2013?].
Revue Médicale Suisse
Publication types: English Abstract ; Journal Article ; Review Publication Status: ppublishPublication Type English Abstract. Journal Article. Review.
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.
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
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