Uticaj rutinske limfadenektomije hepatičnog sliva na trajanje resekcije jetre zbog metastaza kolorektalnog karcinoma

Dragan D Basarić; Ivan Soldatović; Nebojša S Lekić; Vladimir Djordjević; Ljubomir Djurašić; Marjan Micev

doi:10.2298/VSP170720151B

Dragan D Basarić University of Belgrade, Faculty of Medicine, Belgrade, Serbia
Ivan Soldatović University of Belgrade, Faculty of Medicine, Belgrade, Serbia
Nebojša S Lekić University of Belgrade, Faculty of Medicine, Belgrade, Serbia
Vladimir Djordjević Clinical Centre of Serbia, †First Surgical Clinic, Belgrade, Serbia
Ljubomir Djurašić Clinical Centre of Serbia, Clinic for Physical Medicine and Rehabilitation, Serbia
Marjan Micev Clinical Centre of Serbia, Department of Pathology, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP170720151B

Keywords: kolorektalne neoplazme, jetra, neoplazme, limfne metastaze, operativne procedure, lečenje, ishod

Abstract

Apstrakt

Uvod/Cilj. Metastaze su u današnje vreme samo relativna kontraindikacija za hirurško lečenje kolorektalnog karcinoma (KRK). Cilj ove studije je bio da se utvrdi uticaj rutinske limfadenektomije hepatičnog sliva na trajanje resekcije jetre zbog metahronih jetrinih metastaza KRK. Metode. Ukupno 50 bolesnika sa metastazama jetre KRK podvrgnuto je resekciji jetre sa rutinskom limfadenektomijom hepatičnog sliva. Rezultati. Veći volumen metastaza jetre (u mL), broj zahvaćenih segmenata jetre, broj metastaza u jetri i veličina najveće metastaze u jetri (u mm) određivali su dužinu trajanja resekcije jetre i operacije u celini. Vreme trajanja limfadenektomije iznosilo je od 25 do 55 min (prosečno 32,2 min). Zaključak. Rutinska limfadenektomija hepatičnog sliva kod resekcije jetre zbog metahronih metastaza KRK neznatno produžava vreme trajanja operacije.

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