Hello friends, I’m Dr Praveen Kammar, a cancer surgeon specializing in digestive and gynecological cancers. Today, we’re discussing whether surgery is possible for Stage 4 colon cancer that has spread to the liver, a condition called colorectal liver metastasis and how we approach preserving liver function while removing tumors.
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Video Flow:
0:00 Introduction
0:20 Colorectal Liver Metastasis
1:00 Metachronous Liver Metastasis
2:00 Can colorectal Liver Metastasis be cured by surgery?
2:55 Types of Surgery in Liver Metastasis
4:00 Why is it important to save Maximum Liver tissue?
5:00 How Surgery is performed?
8:20 Summary
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Stage 4 Colon Cancer Spread to Liver!! क्या सर्जरी हो सकती है? | Dr Praveen Kammar, Mumbai
Is Surgery Possible in Stage 4 Colon Cancer with Liver Metastasis?
Surgery can be possible in about 20-30% of patients with colon cancer that has spread to the liver (Stage 4). Advances in treatment offer hope for a cure in select cases.
What Is Colorectal Liver Metastasis?
It means colon cancer has spread to the liver, the most common site for metastasis in colon cancer patients.
What Is the Goal of Surgery for Liver Metastasis?
To remove tumor nodules with negative margins while preserving maximum healthy liver tissue to maintain liver function.
How Much Liver Needs to Be Preserved During Surgery?
Healthy liver: at least 20-25%
Post-chemotherapy liver: 30-35%
Damaged liver (fatty liver, cirrhosis): at least 40%
Why Is Preserving Liver Tissue Important?
To ensure good long-term outcomes, considering patients’ existing health conditions and possible future chemotherapy.
What Is Parenchyma-Preserving Liver Metastasectomy?
A surgical technique focused on removing cancer while conserving as much liver tissue as possible.
How Is Surgical Planning Done for Liver Metastases?
Using advanced imaging like liver MRI and thin-slice triphasic CT scans to map tumors and affected liver segments.
Why Is Liver MRI Important?
It detects even small metastases, especially in damaged or post-chemotherapy livers.
What Does Triphasic CT Scan Show?
The exact liver segments affected and how much liver will remain after surgery.
How Does 3D Imaging Help in Surgery?
Software creates 3D maps to plan removal of segments while ensuring remaining liver has adequate blood supply and drainage.
What Blood Flows Must Be Preserved in Remaining Liver?
Arterial blood supply
Portal vein flow
Hepatic venous drainage
How Is Surgery Executed Safely?
Intraoperative ultrasound is used during surgery to map disease in real-time and guide tumor removal.
What Are the Requirements for a Successful Liver Metastasis Surgery?
Experienced surgical, anesthesia, and ICU teams plus well-equipped hospital facilities are critical due to the technical complexity.
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Related Videos:
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About Dr. Praveen Kammar
Dr Praveen Kammar is a surgical oncologist practising in the city of Mumbai.
He completed his MCh course in surgical oncology from the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centres in the country. He also holds a fellowship in Colorectal surgery from Yopnsei cancer centre, Seoul, South Korea. Dr Praveen’s main area of focus is colorectal and GI oncology, Gynecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers.
#ColonCancer #Stage4Cancer #LiverMetastasis #CancerSurgery #ColorectalCancer #LiverCancerTreatment #Cancer #CancerTreatment #DrPraveenKammar
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