[Role of the radiologist in surgery of colorectal liver metastases : What should be removed and what must remain].
Radiologe 2019;
59:791-798. [PMID:
31410495 DOI:
10.1007/s00117-019-0577-7]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND
The radical resection of colorectal liver metastases is the only curative option for affected patients. If properly performed, surgery provides the chance of long-term tumor-free survival.
OBJECTIVE
Summary of the critical interaction points between radiology and surgery in the planning and performance of (complex) liver resections.
RESULTS
There are many interaction points between radiology and surgery in the treatment of patients with colorectal liver metastases. Radiology supports surgery by providing detailed information of the localization of metastases, information on liver inflow and outflow as well as basic information on liver quality and function. Perioperatively, it provides interventional treatment options for postoperative complications as well as ablation of non-resectable metastases.
CONCLUSION
Complex liver resections can only be performed properly and successfully after thorough planning by an interdisciplinary board of surgeons, radiologists and associated disciplines.
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