Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?

被引：8
|
作者：
Cawich, Shamir O. [1 ]
Thomas, Dexter A. W. [1 ]
Ramjit, Chunilal [1 ]
Bhagan, Roderick [1 ]
Naraynsingh, Vijay [1 ]
机构：
[1] Univ West Indies, Dept Clin Surg Sci, St Augustine Campus, St Augustine, Trinidad Tobago
来源：
CASE REPORTS IN SURGERY | 2015年 / 2015卷
关键词：
D O I：
10.1155/2015/570968
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Introduction. Although many authorities suggest that major liver resections should only be carried out in high-volume specialized centres, many patients in the Caribbean do not have access to these health care systems. Presentation of a Case. A 50-year-old woman with a solitary colorectal metastasis invading the inferior vena cava underwent an extended left hepatectomy with caval resection and reconstruction. Several technical maneuvers were utilized that were suited to the resource-poor environment. Conclusion. We suggest that good outcomes can still be attained in the resource-poor, low-volume centres once dedicated and appropriately trained teams are available.
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页数：6
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