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master's thesis
Sinkrone resekcije jetre kod metastaza kolorektalnog karcinoma
Zagreb: University of Zagreb, School of Medicine, 2017. urn:nbn:hr:105:828094
Šerić, Ivan
University of Zagreb
School of Medicine
Department of Surgery

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Šerić, I. (2017). Sinkrone resekcije jetre kod metastaza kolorektalnog karcinoma (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:828094

Šerić, Ivan. "Sinkrone resekcije jetre kod metastaza kolorektalnog karcinoma." Master's thesis, University of Zagreb, School of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:105:828094

Šerić, Ivan. "Sinkrone resekcije jetre kod metastaza kolorektalnog karcinoma." Master's thesis, University of Zagreb, School of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:105:828094

Šerić, I. (2017). 'Sinkrone resekcije jetre kod metastaza kolorektalnog karcinoma', Master's thesis, University of Zagreb, School of Medicine, accessed 26 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:828094

Šerić I. Sinkrone resekcije jetre kod metastaza kolorektalnog karcinoma [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2017 [cited 2024 November 26] Available at: https://urn.nsk.hr/urn:nbn:hr:105:828094

I. Šerić, "Sinkrone resekcije jetre kod metastaza kolorektalnog karcinoma", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2017. Available at: https://urn.nsk.hr/urn:nbn:hr:105:828094

Metadata
TitleSinkrone resekcije jetre kod metastaza kolorektalnog karcinoma
Title (english)Synchronous liver resection in colorectal carcinoma metastases
AuthorIvan Šerić
MentorMATE ŠKEGRO (mentor)
Committee memberTomislav Luetić (predsjednik povjerenstva)
Committee memberTomislav Meštrović (član povjerenstva)
Committee memberMATE ŠKEGRO (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Surgery)
Zagreb
Defense date and country2017-07-14, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Oncology
Abstract
Kolorektalni karcinom jedan je od najčešćih tumora u općoj populaciji. Gotovo petina pacijenata u trenutku postavljanja dijagnoze ima metastaze u jetri (sinkrone jetrene metastaze). Optimalan izbor liječenja za takve bolesnike je kontroverzan. Ovaj rad analizira kirurške ishode i stopu komplikacija za pacijente podvrgnute sinkronoj resekciji jetre kod metastaza kolorektalnog karcinoma. Uključeni su svi pacijenti koji su bili podvrgnuti takvom zahvatu u zadnjih 5 godina (od 1.1.2011. do 31.12.2016.) na Klinici za kirurgiju Kliničkog bolničkog centra Zagreb. Usporedivši dobivene rezultate s podatcima iz literature ustanovljeno je da nema značajnije razlike u ishodima ili stopi komplikacija pri sinkronoj resekciji jetrenih metastaza i primarnog kolorektalnog karcinoma u odnosu na druge kirurške pristupe liječenju takve bolesti. Nadalje, pacijenti koji su bili podvrgnuti takvoj resekciji imali su značajno kraći postoperativni boravak u bolnici. Naposljetku, zaključeno je da je sinkrona resekcija jetre kod metastaza kolorektalnog karcinoma jednako siguran postupak kao i ostali pristupi liječenja takve bolesti, čak i kad se promatraju pacijenti podvrgnuti tako složenom postupku, i vodi do kraćeg postoperativnog boravka pacijenta u bolnici, a samim time i bržeg uključivanja u adjuvantne modalitete liječenja (kemoterapija i radioterapija). Sinkrona resekcija jetre kod metastaza kolorektalnog karcinoma ima povoljan učinak i na pacijente, ali i na troškove pojedine ustanove pa bi, gdje je god to moguće, to trebao biti pristup izbora.
Abstract (english)
Colorectal carcinoma is one of the most common malignant tumours. Almost a fifth of all diagnosed patients will be diagnosed with liver metastases at the same time (synchronous liver metastases). Optimal treatment for those patients is controversial. This paper will analyse the surgical outcome and complication rate for patients presenting with synchronous colorectal cancer liver metastasis in the simultaneous approach. The patients involved were all patients that underwent simultaneous surgery in the UHC Zagreb in the period of the last five years (2011 – 2016), presenting with synchronous metastases diagnosed before surgery or intraoperatively. Results have shown that there was no significant difference in the rate of surgical complications or outcome compared to staged surgery data found in the literature. Furthermore, patients undergoing simultaneous resection had significantly fewer days of hospital stay. In conclusion, simultaneous resection was found to be equally safe as staged resection, even when evaluating patients undergoing more complex operations and led to shorter hospital stay. Under appropriate clinical circumstances, simultaneous resection offers benefits to patients and the health care system and should be the recommended surgical approach.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:828094
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2018-03-26 09:11:10