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العنوان
LIVER RESECTION FOR LARGE SIZED HEPATOCELLULAR CARCINOMA/
المؤلف
Abou Fateera,Mohamed Mohamed Ahmed
هيئة الاعداد
باحث / محمد محمد أحمد أبو فطيرة
مشرف / عمرو أحمد عبدالعال
مشرف / هانى سعيد عبد الباسط
مشرف / نهال رضوان
مشرف / محمدأحمد أبو النجا
تاريخ النشر
2017
عدد الصفحات
194.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - GeneralSurgery
الفهرس
Only 14 pages are availabe for public view

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from 197

Abstract

This study aims to assess the outcome of resection for patients having large-sized hepatocellular carcinomas with sizes more than 8 cm. Treatment of hepatocellular carcinoma of more than 5 cm size is a major challenge. These tumors transcend the properties of AC Milan. Ironing using thermal frequency does not work with these sizes. Hepatocellular carcinoma of patients in healthy liver patients is often large (more than 10 cm) without vascular proliferation and is diagnosed in the presence of tumor symptoms. The only major treatment is the large hepatic resection with the removal of the lymph nodes, which is permissible and tolerable in the absence of concomitant hepatic diseases, as well as a good regenerative capacity for the remaining part of the liver. Long-term results for the eradication of hepatocellular carcinoma in the absence of chronic hepatocellular disease are significantly better than those in CF patients with reports of disease-free life rates of 60-65%. There is a strong relationship between the size of eradication and post-operative risk, which limits the cause of eradication of patients with impaired liver function and who have large tumors. Indeed, the partial removal of patients with liver disease should follow two contradictory goals: 1) to be radically removed without the presence of residue or vascular spread. 2) Maintains the largest possible volume of liver tissue to prevent the occurrence of postoperative hepatic failure. Measuring the remaining liver volume by means of a CT scan has shown that it is beneficial to select patients for large hepatic resection. Hepatic portal vein injection is an optional procedure that may increase the size and function of the remaining part of the liver and increase the safety of liver removal without long-term damage. Numerous studies have evaluated the eradication of large-scale hepatocellular carcinoma. Yang conducted a study to compare the eradication of single-cell hepatocellular carcinoma with a large volume, a small one and a third nodule. A similarity was found in the clinical and analytical results, but they were better in the case of nodal tumors.