title: [Repeat hepatic resections].
abstract: Five cases of iterative liver resections are presented, out of a total of 150 hepatectomies performed between 1.01.1995-1.01.1998. The resections were carried out for recurrent adenoma (one case), cholangiocarcinoma (two cases), hepatocellular carcinoma (one case), colo-rectal cancer metastasis (one case). Only cases with at least one major hepatic resection were included. Re-resections were more difficult than the primary resection due, first of all, to the modified vascular anatomy. Intraoperative ultrasound permitted localization of intrahepatic recurrences. Iterative liver resection appears to be the best therapeutical choice for patients with recurrent liver tumors.
authors.affiliation: Spitalul Clinic Fundeni, Clinica Chirurgicală, Bucureşti.
authors.forename: I
authors.initials: I
authors.lastname: Popescu
authors.forename: S
authors.initials: S
authors.lastname: Ciurea
authors.forename: V
authors.initials: V
authors.lastname: Braşoveanu
authors.forename: D
authors.initials: D
authors.lastname: Pietrăreanu
authors.forename: D
authors.initials: D
authors.lastname: Tulbure
authors.forename: S
authors.initials: S
authors.lastname: Georgescu
authors.forename: D
authors.initials: D
authors.lastname: Stănescu
authors.forename: V
authors.initials: V
authors.lastname: Herlea
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000601:surgery; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000601:surgery; D018281:Cholangiocarcinoma / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
vernacular_title: Rezecţiile hepatice iterative.