TY  - CHAP
M1  - Book, Section
TI  - LEFT HEPATECTOMY (SEGMENTS 2, 3, 4 ± SEGMENT 1)
A1  - Ellison, E. Christopher
A1  - Zollinger, Robert M.
PY  - 2016
T2  - Zollinger's Atlas of Surgical Operations, 10e
AB  - There  are  a  number  of  indications  for  removal  of  all  or  part  of  the  left  lobe  of  the  liver.  The  most  common  indication  is  evidence  of  one  or  more  metastases  from  a  previously  resected  colorectal  cancer.  The  diagnosis  is  supported  by  a  rising  carcinoembryonic  antigen  (CEA)  level  during  repeated  postoperative  evaluations.  Liver  function  studies  are  performed  and  evaluated.  Imaging  scans  verify  the  location,  size,  and  probable  number  of  metastases.  The  initial  operative  notes  and  the  pathologist’s  report  should  be  carefully  studied  for  evidence  of  metastasis  at  the  time  of  the  initial  operation.  Studies  to  identify  abdominal  and  lung  metastases,  including  colonoscopy,  must  be  negative.  A  period  of  delay  may  be  chosen  to  reassess  the  trend  of  the  CEA  levels  and  CT  scans,  as  well  as  to  evaluate  the  risk  of  a  second-look  procedure  in  an  elderly  patient.  PET/CT  to  identify  occult  intra-  and  extrahepatic  disease  should  be  undertaken.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1127273488
ER  -