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Chirurgie von Gallenwegstumoren bei alten Patienten

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Onkologische Chirurgie bei alten Patienten

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Zusammenfassung

Die Inzidenz von GallenwegskarzinomGallenwegskarzinomen steigt im höheren Lebensalter stark an, so dass sich auch bei über 70- und 80-jährigen Patienten immer öfter die Frage nach einer chirurgischen Therapie stellt. Allerdings erfordert dies meist eine große Leberoperation, so dass eine sorgfältige Abklärung obligat ist. Hierzu sollte neben kardiopulmonaler Diagnostik auch eine Leberfunktionsmessung mit Volumetrie gehören. Insbesondere bei eingeschränkter Funktionsreserve der Leber sollten im hohen Alter soweit wie möglich parenchymsparende Resektionen bzw. präkonditionierende Maßnahmen (z. B. Pfortaderembolisation) erwogen werden. Wenn sich keine Kontraindikationen ergeben, sollten auch geeignete alte Patienten reseziert werden, da sie in ähnlichem Maße wie junge Patienten von einer kurativen Operation profitieren.

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Author information

Authors and Affiliations

  1. Universitätsklinikum Leipzig AöR, Hepatobiliäre Chirurgie und Viszerale Transplantation, Liebigstr. 20, 04103, Leipzig, Germany

    D. Seehofer

  2. Klinik für Allgemein-Viszeral- und TransplantationschirurgieCharité – Universitätsmedizin Berlin,, Campus Virchow Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany

    P. Neuhaus

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  1. D. Seehofer
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Editor information

Editors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Schleswig-Holstein, Germany

    Tobias Keck MBA

  2. Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum, Freiburg, Germany

    Ulrich T. Hopt

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Seehofer, D., Neuhaus, P. (2016). Chirurgie von Gallenwegstumoren bei alten Patienten. In: Keck, T., Hopt, U. (eds) Onkologische Chirurgie bei alten Patienten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48712-9_17

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  • DOI: https://doi.org/10.1007/978-3-662-48712-9_17

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48711-2

  • Online ISBN: 978-3-662-48712-9

  • eBook Packages: Medicine (German Language)

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