Torres Orlando Jorge Martins, Marques Márcio Carmona, Santos Fabio Nasser, Farias Igor Correia de, Coutinho Anelisa Kruschewsky, Oliveira Cássio Virgílio Cavalcante de, Kalil Antonio Nocchi, Mello Celso Abdon Lopes de, Kruger Jaime Arthur Pirola, Fernandes Gustavo Dos Santos, Quireze Claudemiro, Murad André M, Silva Milton José de Barros E, Zurstrassen Charles Edouard, Freitas Helano Carioca, Cruz Marcelo Rocha, Weschenfelder Rui, Linhares Marcelo Moura, Castro Leonaldson Dos Santos, Vollmer Charles, Dixon Elijah, Ribeiro Héber Salvador de Castro, Coimbra Felipe José Fernandez
Brazilian Chapter of the International Hepato-Pancreato Biliary Association (BC-IHPBA).
Brazilian Society of Surgical Oncology (BSSO).
Arq Bras Cir Dig. 2016 Jul-Sep;29(3):173-179. doi: 10.1590/0102-6720201600030011.
In the last module of this consensus, controversial topics were discussed. Management of the disease after progression during first line chemotherapy was the first discussion. Next, the benefits of liver resection in the presence of extra-hepatic disease were debated, as soon as, the best sequence of treatment. Conversion chemotherapy in the presence of unresectable liver disease was also discussed in this module. Lastly, the approach to the unresectable disease was also discussed, focusing in the best chemotherapy regimens and hole of chemo-embolization.
在本次共识的最后一个模块中,讨论了一些有争议的话题。首先讨论的是一线化疗进展后该疾病的管理。接下来,对存在肝外疾病时肝切除的益处进行了辩论,以及最佳治疗顺序。本模块还讨论了存在不可切除肝脏疾病时的转化化疗。最后,还讨论了不可切除疾病的治疗方法,重点是最佳化疗方案和化疗栓塞作用。