Author/Authors :
zendel, alex tel-aviv university - chaim sheba medical center, tel-hashomer, sackler school of medicine - department of surgery c, Tel-Aviv, Israel , lahat, eylon tel-aviv university - chaim sheba medical center, tel-hashomer, sackler school of medicine - department of surgery b, Tel-Aviv, Israel , dreznik, yael tel-aviv university - chaim sheba medical center, tel-hashomer, sackler school of medicine - department of surgery b, Tel-Aviv, Israel , zakai, barak bar tel-aviv university - chaim sheba medical center, tel-hashomer, sackler school of medicine - department of hpb surgery, Tel-Aviv, Israel , eshkenazy, rony tel-aviv university - chaim sheba medical center, tel-hashomer, sackler school of medicine - department of hpb surgery, Tel-Aviv, Israel , ariche, arie tel-aviv university - chaim sheba medical center, tel-hashomer, sackler school of medicine - department of hpb surgery, Tel-Aviv, Israel
Abstract :
Expanded surgical intervention in colorectal liver metastasis (LM) and improved chemotherapyled to increasing problem of disappearing liver metastases (DLM). Treatment of those continues to evolveand poses a real challenge for HPB surgeons. This review discusses a clinical approach to DLM, emphasizingcrucial steps in clinical algorithm. Particular issues such as imaging, intraoperative detection and surgicaltechniques are addressed. A step-by-step algorithm is suggested.
Keywords :
Disappearing liver metastases (DLM) , complete pathological response , liver imaging , contrastenhanced intraoperative ultrasound (CE , IOUS)
