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Future Liver Remnan...
Future Liver Remnant (FLR) Increase in Patients with Colorectal Liver Metastases Is Highest the First Week After Portal Vein Occlusion: FLR Increase in Patients with CRLM Is Highest the First Week After PVO
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- Hasselgren, Kristina, 1976- (author)
- Linköpings universitet,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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- Sandström, Per A, 1965- (author)
- Linköpings universitet,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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- Isaksson, Bengt (author)
- Uppsala universitet,Gastrointestinalkirurgi,Akademiska University Hospital, Sweden
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- Sparrelid, E. (author)
- Karolinska Institutet,Karolinska University Hospital, Sweden
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- Lindell, G. (author)
- Skane Univ Hosp, Dept Surg, Lund, Sweden,Skane University Hospital, Sweden
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- Larsen, P. N. (author)
- Univ Copenhagen, Dept Surg Gastroenterol & Transplantat, Rigshosp, Copenhagen, Denmark,University of Copenhagen, Denmark
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- Lindhoff Larsson, Anna (author)
- Linköpings universitet,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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- Schultz, N. A. (author)
- Univ Copenhagen, Dept Surg Gastroenterol & Transplantat, Rigshosp, Copenhagen, Denmark,University of Copenhagen, Denmark
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- Björnsson, Bergthor, 1975- (author)
- Linköpings universitet,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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Isaksson, B. (author)
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- Rizell, Magnus, 1963 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery,Univ Gothenburg, Sahlgrenska Acad, Dept Transplantat & Liver Surg, Gothenburg, Sweden,University of Gothenburg, Sweden
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Bjornsson, B. (author)
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- Røsok, Bård Ingvald (author)
- Oslo University Hospital, Norway
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(creator_code:org_t)
- 2018-11-21
- 2019
- English.
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In: Journal of Gastrointestinal Surgery. - : Springer Science and Business Media LLC. - 1091-255X .- 1873-4626. ; 23:3, s. 556-562
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Abstract
Subject headings
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- BackgroundPortal vein occlusion (PVO) is an established method to increase the volume of the future liver remnant (FLR). The main reasons for not proceeding to radical hepatectomy are lack of volume increase and tumor progression due to a wait-time interval of up to 8weeks. The hypothesis was that the increase in FLR volume is not linear and is largest during the first weeks.MethodsPatients with colorectal liver metastases (CRLM) and standardized future liver remnant (sFLR) <30% treated with PVO were prospectively included. All patients had at least one CT evaluation before radical hepatectomy.ResultsForty-eight patients were included. During the first week after PVO, the kinetic growth rate (KGR) was 5.4 (4), compared to 1.5 (+/- 2) between the first and second CT (p<0.05). For patients reaching adequate FLR and therefore treated with radical hepatectomy, the KGR was 7 (+/- 4) the first week, compared to 4.3 (+/- 2) for patients who failed to reach a sufficient volume (p=0.4). During the interval between the first and second CT, the KGR was 2.2 (+/- 2), respectively (+/- 0.1) (p=0.017).Discussion p id=Par4 The increase in liver volume after PVO is largest during the first week. As KGR decreases over time, it is important to shorten the interval between PVO and the first volume evaluation; this may aid in decision-making and reduce unnecessary waiting time.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Keyword
- Colorectal liver metastases
- Liver surgery
- Future liver remnant
- Portal vein embolization
- Portal vein ligation
- 2-stage hepatectomy
- staged hepatectomy
- major hepatectomy
- tumor-growth
- segment-iv
- embolization
- volume
- chemotherapy
- hypertrophy
- ligation
- Gastroenterology & Hepatology
- Surgery
- Colorectal liver metastases
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Hasselgren, Kris ...
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Sandström, Per A ...
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Isaksson, Bengt
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Sparrelid, E.
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Lindell, G.
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Larsen, P. N.
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show more...
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Lindhoff Larsson ...
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Schultz, N. A.
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Björnsson, Bergt ...
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Isaksson, B.
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Rizell, Magnus, ...
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Bjornsson, B.
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Røsok, Bård Ingv ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Gastroenterology ...
- Articles in the publication
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Journal of Gastr ...
- By the university
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University of Gothenburg
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Uppsala University
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Karolinska Institutet
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Linköping University