title: Complex liver resections for colorectal metastases: are they safe in the low-volume, resource-poor Caribbean setting?
abstract: 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.
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
authors.forename: Shamir O
authors.initials: SO
authors.lastname: Cawich
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
authors.forename: Dexter A W
authors.initials: DA
authors.lastname: Thomas
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
authors.forename: Chunilal
authors.initials: C
authors.lastname: Ramjit
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
authors.forename: Roderick
authors.initials: R
authors.lastname: Bhagan
authors.affiliation: Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.
authors.forename: Vijay
authors.identifier: 0000-0002-5445-3385
authors.initials: V
authors.lastname: Naraynsingh