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      불가피하게 전방접근법으로 간절제를 시행한 횡격막침윤 거대 간세포암종

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      https://www.riss.kr/link?id=A104578448

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      다국어 초록 (Multilingual Abstract)

      Purpose: Most liver surgeons perform a right hepatic resection
      for a hepatocellular carcinoma (HCC) for the complete
      mobilization of the right lobe of liver, via the conventional
      approach, prior to a parenchymal transection. However, in
      selected patients, with a massive hepatoma that has invaded
      to the diaphragm, the conventional mobilization of the liver
      prior to a parenchymal transection may be very difficult and
      result in excessive bleeding. The feasibility of an ‘anterior
      approach’ was evaluated by analyzing of the clinical result
      of the surgical treatment for a massive hepatoma with diaphragmatic
      invasion.
      Methods: Between November, 2001 and November, 2002,
      six patients underwent a major right hepatic resection, using
      an anterior approach, for a HCC that had invaded or was
      adhered to the diaphragm, preventing the easy mobilization
      of the right lobe of the liver.
      Results: There was no hospital mortality among six patients.
      A massive transfusion, followed by massive bleeding, was
      performed in four patients, but no post-operative liver failure
      occurred.
      Conclusion: These cases, performed via an anterior approach,
      had massive bleeding, but no hospital mortality or postoperative
      liver failure was observed. If the patients had
      undergone the procedure via the conventional approach,much more bleeding would have been expected. An ‘anterior
      approach' is a safe and effective option in selected patients
      with a massive hepatoma and diaphragmatic invasion.
      번역하기

      Purpose: Most liver surgeons perform a right hepatic resection for a hepatocellular carcinoma (HCC) for the complete mobilization of the right lobe of liver, via the conventional approach, prior to a parenchymal transection. However, in selected p...

      Purpose: Most liver surgeons perform a right hepatic resection
      for a hepatocellular carcinoma (HCC) for the complete
      mobilization of the right lobe of liver, via the conventional
      approach, prior to a parenchymal transection. However, in
      selected patients, with a massive hepatoma that has invaded
      to the diaphragm, the conventional mobilization of the liver
      prior to a parenchymal transection may be very difficult and
      result in excessive bleeding. The feasibility of an ‘anterior
      approach’ was evaluated by analyzing of the clinical result
      of the surgical treatment for a massive hepatoma with diaphragmatic
      invasion.
      Methods: Between November, 2001 and November, 2002,
      six patients underwent a major right hepatic resection, using
      an anterior approach, for a HCC that had invaded or was
      adhered to the diaphragm, preventing the easy mobilization
      of the right lobe of the liver.
      Results: There was no hospital mortality among six patients.
      A massive transfusion, followed by massive bleeding, was
      performed in four patients, but no post-operative liver failure
      occurred.
      Conclusion: These cases, performed via an anterior approach,
      had massive bleeding, but no hospital mortality or postoperative
      liver failure was observed. If the patients had
      undergone the procedure via the conventional approach,much more bleeding would have been expected. An ‘anterior
      approach' is a safe and effective option in selected patients
      with a massive hepatoma and diaphragmatic invasion.

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      다국어 초록 (Multilingual Abstract)

      Purpose: Most liver surgeons perform a right hepatic resection
      for a hepatocellular carcinoma (HCC) for the complete
      mobilization of the right lobe of liver, via the conventional
      approach, prior to a parenchymal transection. However, in
      selected patients, with a massive hepatoma that has invaded
      to the diaphragm, the conventional mobilization of the liver
      prior to a parenchymal transection may be very difficult and
      result in excessive bleeding. The feasibility of an ‘anterior
      approach’ was evaluated by analyzing of the clinical result
      of the surgical treatment for a massive hepatoma with diaphragmatic
      invasion.
      Methods: Between November, 2001 and November, 2002,
      six patients underwent a major right hepatic resection, using
      an anterior approach, for a HCC that had invaded or was
      adhered to the diaphragm, preventing the easy mobilization
      of the right lobe of the liver.
      Results: There was no hospital mortality among six patients.
      A massive transfusion, followed by massive bleeding, was
      performed in four patients, but no post-operative liver failure
      occurred.
      Conclusion: These cases, performed via an anterior approach,
      had massive bleeding, but no hospital mortality or postoperative
      liver failure was observed. If the patients had
      undergone the procedure via the conventional approach,much more bleeding would have been expected. An ‘anterior
      approach' is a safe and effective option in selected patients
      with a massive hepatoma and diaphragmatic invasion.
      번역하기

      Purpose: Most liver surgeons perform a right hepatic resection for a hepatocellular carcinoma (HCC) for the complete mobilization of the right lobe of liver, via the conventional approach, prior to a parenchymal transection. However, in selected patie...

      Purpose: Most liver surgeons perform a right hepatic resection
      for a hepatocellular carcinoma (HCC) for the complete
      mobilization of the right lobe of liver, via the conventional
      approach, prior to a parenchymal transection. However, in
      selected patients, with a massive hepatoma that has invaded
      to the diaphragm, the conventional mobilization of the liver
      prior to a parenchymal transection may be very difficult and
      result in excessive bleeding. The feasibility of an ‘anterior
      approach’ was evaluated by analyzing of the clinical result
      of the surgical treatment for a massive hepatoma with diaphragmatic
      invasion.
      Methods: Between November, 2001 and November, 2002,
      six patients underwent a major right hepatic resection, using
      an anterior approach, for a HCC that had invaded or was
      adhered to the diaphragm, preventing the easy mobilization
      of the right lobe of the liver.
      Results: There was no hospital mortality among six patients.
      A massive transfusion, followed by massive bleeding, was
      performed in four patients, but no post-operative liver failure
      occurred.
      Conclusion: These cases, performed via an anterior approach,
      had massive bleeding, but no hospital mortality or postoperative
      liver failure was observed. If the patients had
      undergone the procedure via the conventional approach,much more bleeding would have been expected. An ‘anterior
      approach' is a safe and effective option in selected patients
      with a massive hepatoma and diaphragmatic invasion.

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2016 평가예정 신규평가 신청대상 (신규평가)
      2013-03-01 평가 등재후보 탈락 (기타)
      2011-01-01 평가 등재후보 1차 FAIL (등재후보1차) KCI등재후보
      2009-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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