Surgery of Liver Mets from CRC must take the credit for the development and progress of liver surgery as well the way to liver transplantation. No where else the hope of a long term survival of patients with stage four metastatic disease has been realized other than with colorectal liver Mets ( 40-45% 5 year survival following curative resection ).
00:00 Colorectal Liver Metastases in IASO Masterclass 02:22 Colorectal liver metastases involve multiple specialties for treatment. 06:44 Instructions for the session 09:14 Colorectal liver metastases cases 13:36 Importance of colonoscopy in evaluating colorectal liver metastases 15:44 CT chest looks for lung nodules, CT abdomen checks for liver and lymph nodes, MRI pelvis assesses primary lesion and lymph nodes. 19:47 PET-CT advised for high CEA levels and suspicious CT scan findings 21:34 Colorectal cancer with liver metastases 25:36 Consider neoadjuvant chemotherapy followed by reassessment. 27:28 Chemotherapy before surgeries helps assess disease biology 31:15 Timing of treatment plan for colorectal liver metastases 32:52 Sequential treatment approach for colorectal liver metastases. 37:13 Treatment options depend on tumor board discussions and team comfort 39:03 Targeted therapy may be beneficial for unresectable liver metastases. 42:51 Importance of imaging in surgical planning 44:51 Consider diversion stoma in emergency scenarios for prolonged obstruction 48:46 Stenting is done for two main reasons 50:44 Evaluation of patient with colorectal liver metastases 55:30 Importance of proper CT scan window settings 57:43 PET CT and MRI used to confirm suspicious liver lesions 1:01:39 Consider fitness for chemotherapy before treatment. 1:03:42 Consider upfront surgery for patient's liver and rectum conditions. 1:07:26 Surgical decision-making for managing colorectal liver metastases 1:09:31 Controversies and decision making in synchronous liver metastasis 1:13:14 Treatment options for colorectal liver metastases 1:15:05 Synchronous resection may result in poorer survival compared to liver first approach 1:19:15 Chemotherapy does not significantly impact survival outcomes for solitary or synchronous multiple colorectal liver metastases 1:21:14 Surgery is the primary treatment for colorectal liver metastasis, leading to long-term survival and cure. 1:25:05 Challenges in two-stage hepatectomy 1:26:55 Liver preservation is crucial in addressing colorectal liver metastases. 1:30:51 Effective resection of colorectal liver metastases 1:32:53 Resection of colorectal liver metastases with multiple metastasis cases 1:37:05 Intraoperative ultrasound for liver visualization 1:38:56 Maximally invasive surgery with minimal access approach 1:42:58 Extended ultrasound-guided one-stage hepatectomy is the preferred option. 1:44:58 One-stage surgery is a safer option for liver tunnel surgery 1:49:01 Ablation techniques like RFA and microwave are used with specific margins for achieving a comparable result to surgical resection. 1:51:14 Combined surgery and ablation for colorectal liver metastases 1:55:07 Margin and indications for adjuvant radiation 1:56:56 Adjuvant RT may have limited benefit in CRM-negative situations 2:00:42 Minimal use of stoma in colorectal tumor surgery 2:02:30 For patients with post artists, diversion is always safe. 2:06:29 Volunteering for exposure to the training is crucial for future cancer patients. Crafted by Merlin AI.
The lecture by Dr. Mehta was mindblowing, really infomative.
Surgery of Liver Mets from CRC must take the credit for the development and progress of liver surgery as well the way to liver transplantation. No where else the hope of a long term survival of patients with stage four metastatic disease has been realized other than with colorectal liver Mets ( 40-45% 5 year survival following curative resection ).
00:00 Colorectal Liver Metastases in IASO Masterclass
02:22 Colorectal liver metastases involve multiple specialties for treatment.
06:44 Instructions for the session
09:14 Colorectal liver metastases cases
13:36 Importance of colonoscopy in evaluating colorectal liver metastases
15:44 CT chest looks for lung nodules, CT abdomen checks for liver and lymph nodes, MRI pelvis assesses primary lesion and lymph nodes.
19:47 PET-CT advised for high CEA levels and suspicious CT scan findings
21:34 Colorectal cancer with liver metastases
25:36 Consider neoadjuvant chemotherapy followed by reassessment.
27:28 Chemotherapy before surgeries helps assess disease biology
31:15 Timing of treatment plan for colorectal liver metastases
32:52 Sequential treatment approach for colorectal liver metastases.
37:13 Treatment options depend on tumor board discussions and team comfort
39:03 Targeted therapy may be beneficial for unresectable liver metastases.
42:51 Importance of imaging in surgical planning
44:51 Consider diversion stoma in emergency scenarios for prolonged obstruction
48:46 Stenting is done for two main reasons
50:44 Evaluation of patient with colorectal liver metastases
55:30 Importance of proper CT scan window settings
57:43 PET CT and MRI used to confirm suspicious liver lesions
1:01:39 Consider fitness for chemotherapy before treatment.
1:03:42 Consider upfront surgery for patient's liver and rectum conditions.
1:07:26 Surgical decision-making for managing colorectal liver metastases
1:09:31 Controversies and decision making in synchronous liver metastasis
1:13:14 Treatment options for colorectal liver metastases
1:15:05 Synchronous resection may result in poorer survival compared to liver first approach
1:19:15 Chemotherapy does not significantly impact survival outcomes for solitary or synchronous multiple colorectal liver metastases
1:21:14 Surgery is the primary treatment for colorectal liver metastasis, leading to long-term survival and cure.
1:25:05 Challenges in two-stage hepatectomy
1:26:55 Liver preservation is crucial in addressing colorectal liver metastases.
1:30:51 Effective resection of colorectal liver metastases
1:32:53 Resection of colorectal liver metastases with multiple metastasis cases
1:37:05 Intraoperative ultrasound for liver visualization
1:38:56 Maximally invasive surgery with minimal access approach
1:42:58 Extended ultrasound-guided one-stage hepatectomy is the preferred option.
1:44:58 One-stage surgery is a safer option for liver tunnel surgery
1:49:01 Ablation techniques like RFA and microwave are used with specific margins for achieving a comparable result to surgical resection.
1:51:14 Combined surgery and ablation for colorectal liver metastases
1:55:07 Margin and indications for adjuvant radiation
1:56:56 Adjuvant RT may have limited benefit in CRM-negative situations
2:00:42 Minimal use of stoma in colorectal tumor surgery
2:02:30 For patients with post artists, diversion is always safe.
2:06:29 Volunteering for exposure to the training is crucial for future cancer patients.
Crafted by Merlin AI.