Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?

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...

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Main Authors: Shamir O. Cawich, Dexter A. W. Thomas, Chunilal Ramjit, Roderick Bhagan, Vijay Naraynsingh
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/570968
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author Shamir O. Cawich
Dexter A. W. Thomas
Chunilal Ramjit
Roderick Bhagan
Vijay Naraynsingh
author_facet Shamir O. Cawich
Dexter A. W. Thomas
Chunilal Ramjit
Roderick Bhagan
Vijay Naraynsingh
author_sort Shamir O. Cawich
collection DOAJ
description 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.
format Article
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institution Kabale University
issn 2090-6900
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language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-79c68191cdf8425d90447ec74ffc14da2025-02-03T05:58:10ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/570968570968Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?Shamir O. Cawich0Dexter A. W. Thomas1Chunilal Ramjit2Roderick Bhagan3Vijay Naraynsingh4Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and TobagoDepartment of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and TobagoDepartment of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and TobagoDepartment of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and TobagoDepartment of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and TobagoIntroduction. 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.http://dx.doi.org/10.1155/2015/570968
spellingShingle Shamir O. Cawich
Dexter A. W. Thomas
Chunilal Ramjit
Roderick Bhagan
Vijay Naraynsingh
Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?
Case Reports in Surgery
title Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?
title_full Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?
title_fullStr Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?
title_full_unstemmed Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?
title_short Complex Liver Resections for Colorectal Metastases: Are They Safe in the Low-Volume, Resource-Poor Caribbean Setting?
title_sort complex liver resections for colorectal metastases are they safe in the low volume resource poor caribbean setting
url http://dx.doi.org/10.1155/2015/570968
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