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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Format: | Article |
Language: | English |
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Wiley
2015-01-01
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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 |
id | doaj-art-79c68191cdf8425d90447ec74ffc14da |
institution | Kabale University |
issn | 2090-6900 2090-6919 |
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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