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Warum werden zu wenige Patienten mit kolorektalen Lebermetastasen zur Resektion vorgestellt?

Why are too few patients with colorectal liver metastases submitted to resection?

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Zusammenfassung

Die Resektion kolorektaler Lebermetastasen (CRLM) im Rahmen eines multimodalen Therapiekonzeptes ist ein allgemein akzeptierter, potenziell kurativer Behandlungsansatz. Trotz der Tatsache, dass die Leberchirurgie eine Überlebensverlängerung für die Patienten bei guter Lebensqualität darstellt, wird diese Therapieoption bei weitem nicht allen Patienten angeboten. Der Beitrag fasst Ergebnisse der Leberresektion bei CRLM-Patienten zusammen und diskutiert Gründe für die unterschiedliche Einschätzung der Resektabilität selbst durch erfahrene Leberchirurgen. Die Komplexität der Behandlung wird exemplarisch an einem Fall aufgezeigt.

Abstract

The resection of colorectal liver metastases (CRLM) within the framework of a multimodal treatment concept is a generally accepted and potentially curative treatment approach. Despite the fact that liver surgery represents a survival extension for patients with a good quality of life, this treatment option is offered to nowhere near all patients. This article summarizes the results of liver resection for CRLM patients and discusses the reasons for the different estimations of resectability even by experienced liver surgeons. The complexity of the treatment is exemplarily shown based on a case report.

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Authors and Affiliations

  1. Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Chirurgische Onkologie, Klinikum Saarbrücken, Saarbrücken, Deutschland

    G. A. Stavrou & O. Ghamarnejad

  2. Department Chirurgie, Klinik für Leber‑, Gallenwegs- und Pankreaschirurgie, Asklepios Klinik Barmbek, Hamburg, Deutschland

    Karl J. Oldhafer

  3. Medizinische Fakultät, Semmelweis Universität, Campus Hamburg, Hamburg, Deutschland

    G. A. Stavrou & Karl J. Oldhafer

Authors
  1. G. A. Stavrou
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  2. O. Ghamarnejad
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  3. Karl J. Oldhafer
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Correspondence to G. A. Stavrou.

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G.A. Stavrou, O. Ghamarnejad und K.J. Oldhafer geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Stavrou, G.A., Ghamarnejad, O. & Oldhafer, K.J. Warum werden zu wenige Patienten mit kolorektalen Lebermetastasen zur Resektion vorgestellt?. Chirurg 92, 736–741 (2021). https://doi.org/10.1007/s00104-021-01363-3

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