Published:
OR-Live.com Presents: A Treatment for Liver Cancer: Liver Resection With Implantation of Infusion Pump in a Live Webcast From Wake Forest University Baptist Medical Center
Live CME Webcast: Wednesday, October 27, 2004, 5:00 pm EDT
Liver resection is the gold standard
treatment for most patients with primary and metastatic hepatic tumors. In
the past this used to be a formidable surgical procedure with high
post-operative morbidity and mortality. However, increased knowledge of
liver segmental anatomy combined with technological advances and improved
anesthesia/critical care have markedly decreased the risk and made this a
potentially curative option for many patients.
The application of intraoperative ultrasound gives the surgeon detailed
real-time information to facilitate the resection and achieve negative
margins while decreasing blood loss. New devices to transect the liver
parenchyma have made the procedure safer. At Wake Forest University Baptist
Medical Center we are currently in the process of developing minimally
invasive laparoscopic techniques to remove liver tumors with the potential
to speed recovery and shorten hospital stay with similar oncologic
outcomes.
Wake Forest Baptist has an active program of adjuvant hepatic arterial
infusion therapy for patients with hepatic colorectal metastases after
resection or ablation of their tumors. This method of delivery produces a
higher concentration of chemotherapy in the remnant liver, which is at risk
for recurrence, while minimizing systemic toxicity. The chemotherapy is
delivered via an implantable hepatic pump placed at the time of liver
resection or ablation.
Wake Forest Baptist is in collaboration with other centers studying the
combination of hepatic intra-arterial chemotherapy combined with new
systemic agents which are actively accruing patients. This multimodality
approach has the potential to improve the overall and disease-free survival
of patients with hepatic colorectal metastases.
Visit www.OR-Live.com now to learn more, view a program preview, view
doctors and patient comments, or to request an event reminder. A VNR is
available at http://www.or-live.com/wfubmc/1231/rams/vnr.ram.
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