Læknablaðið - 15.07.2001, Qupperneq 15

FRÆÐIGREINAR / LIFRARMEINVÖRP
Lokaorð
Erfitt er að segja til um nákvæmlega hversu margir
sjúklingar hér á landi þarfnast lifrarúrnáms vegna
lifrarmeinvarpa, rislil- og endaþarmskrabbameins.
Nútíma tækni í skurðlækningum og gjörgæslu gerir
kleift að fjarlægja allt að 80% lifrarinnar með
skurðdauða undir 5% (25,30,31,46-48,55,59). Gera
má ráð fyrir að 10-30% af Iifrarmeinvörpum frá
krabbameini í ristli og endaþarmi séu skurðtæk ef
atriðin að ofan eru höfð til hliðsjónar við val á
sjúklingum fyrir skurðaðgerð (68,71-73). Á íslandi
greinast árlega 110 sjúklingar með krabbamein í ristli
og endaþarmi. Pví gætu 10 til 12 sjúklingar á ári
komið til greina fyrir lifrarúrnám og af þeim gætu
þrír til fjórir læknast, sé miðað við ofannefndar
lifunartölur eftir skurðaðgerð. Staðreyndin er sú að
örfáir þessara sjúklinga gangast undir lifrarúrnám
hér á landi. Þess vegna er mikilvægt að koma þeim
skilaboðum til lækna að árangur eftir lifrarúrnám fer
batnandi og full ástæða er til að rannsaka sjúklinga
með lifrarmeinvörp nánar með lifrarskurðaðgerð í
huga.
Þakkir
Roland Anderson prófessor og yfirlæknir við
skurðdeild Háskólasjúkrahússins í Lundi fær
sérstakar þakkir fyrir yfirlestur greinarinnar og
ábendingar.
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