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Barbara Jaun
Lara Baumgartner

Ihre Meinung ist uns wichtig

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Barbara Jaun
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Ihre Meinung ist uns wichtig

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Surgical treatment of hepatocellular carcinoma (HCC) plays a central role in curative treatment concepts. In recent years, minimally invasive surgery, particularly laparoscopic liver resection, has established itself as a gentle yet effective method. It offers advantages such as reduced postoperative pain, shorter hospital stays, and faster recovery. For selected patients with liver cirrhosis and limited tumor burden, liver transplantation is another curative option. Transplant oncology focuses on precise patient selection and oncological follow-up to minimize the risk of tumor recurrence. Modern concepts such as downstaging make it possible to prepare patients with initially non-transplantable tumors for transplantation.

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Die chirurgische Behandlung des hepatozellulären Karzinoms (HCC) spielt eine zentrale Rolle im kurativen Therapiekonzept. In den letzten Jahren hat sich die minimalinvasive Chirurgie, insbesondere die laparoskopische Leberresektion, als schonende und zugleich effektive Methode etabliert. Sie bietet Vorteile wie geringere postoperative Schmerzen, kürzere Krankenhausaufenthalte und schnellere Erholung. Bei ausgewählten Patienten mit Leberzirrhose und begrenzter Tumorlast ist die Lebertransplantation eine weitere kurative Option. Die Transplantationsonkologie fokussiert sich dabei auf eine präzise Patientenselektion und die onkologische Nachsorge, um das Risiko für ein Tumorrezidiv zu minimieren. Moderne Konzepte wie das Downstaging ermöglichen es, Patienten mit zunächst nicht transplantablen Tumoren dennoch für eine Transplantation vorzubereiten.

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Il trattamento chirurgico del carcinoma epatocellulare (HCC) svolge un ruolo centrale nel concetto di terapia curativa. Negli ultimi anni, la chirurgia mininvasiva, in particolare la resezione epatica laparoscopica, si è affermata come metodo delicato ma efficace. Offre vantaggi quali minor dolore postoperatorio, degenze ospedaliere più brevi e recupero più rapido. In pazienti selezionati affetti da cirrosi epatica e carico tumorale limitato, il trapianto di fegato rappresenta un'altra opzione curativa. L'oncologia dei trapianti si concentra sulla selezione precisa dei pazienti e sulle cure di follow-up oncologiche per ridurre al minimo il rischio di recidiva del tumore. Concetti moderni come il downstaging consentono di preparare al trapianto pazienti con tumori inizialmente non trapiantabili.

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Le traitement chirurgical du carcinome hépatocellulaire (CHC) joue un rôle central dans le concept de thérapie curative. Ces dernières années, la chirurgie mini-invasive, en particulier la résection hépatique laparoscopique, s’est imposée comme une méthode douce mais efficace. Il offre des avantages tels que moins de douleurs postopératoires, des séjours hospitaliers plus courts et une récupération plus rapide. Chez certains patients atteints de cirrhose du foie et d’une charge tumorale limitée, la transplantation hépatique est une autre option curative. L'oncologie de transplantation se concentre sur la sélection précise des patients et sur les soins de suivi oncologique afin de minimiser le risque de récidive tumorale. Des concepts modernes tels que le downstaging permettent de préparer les patients présentant des tumeurs initialement non transplantables à la transplantation.

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