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ESTADIFICACIÓN PREOPERATORIA
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ANATOMIA SEGMENTARIAHEPÁTICA (COUINAUD)
Técnica de resección estándar
Técnica:- Hepatectomía derecha - Hepatectomía izquierda - Lobectomía derecha - Lobectomía izquierda - Segmentectomía - Subsegmentectomía - Resección atípica
Margen 1 cm deparénquima normal
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Maniobra de Pringle
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CUSACUSA
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Bisturí de Argón
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3. ABLACION POR RADIOFRECUENCIA
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3. ABLACION POR RADIOFRECUENCIA
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Aguja
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PERCUTANEA LAPAROSCOPICA
LAPAROTOMIA
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Criterios de selección
Contraindicaciones
-Alteraciones en los parámetros de la coagulación (tiempo de protrombina < 40% ó numero de plaquetas < 40.000/m3).-Trombosis portal.-Volumen tumoral superior al 30% del total hepático.
Tumor irresecable o inoperable
< 3 nódulos< 3 cm.
Lesión residual o recurrente tras cirugíaTratamiento puente en espera de trasplante
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Criterios de selección
Nosotros ahora incluimos:
< 4 nódulos< 6 cm.