Cette thérapie est une procédure basée sur des cibles, qui délivre des radiations aux tumeurs hépatiques, garantissant ainsi un impact minimal sur les tissus sains.
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major complications (Clavien-Dindo III+) about 5-15%, higher after major resection or cirrhosis."},"contraindications":["Insufficient predicted future liver remnant volume or function","Decompensated cirrhosis (e.g., Child-Pugh C) or significant portal hypertension","Unresectable tumor involving unreconstructable critical vessels or bile ducts","Extensive extrahepatic metastases not curable (relative, tumor-dependent)","Medical unfitness for general anesthesia and major abdominal surgery","Uncorrectable coagulopathy"],"days_in_clinic":{"min":3,"max":10,"unit":"nights","qualifier":"Uncomplicated partial hepatectomy; shorter after minimally invasive minor resection, longer for open major resection."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light walking early; avoid strenuous exercise and heavy lifting for 6-12 weeks, longer after open surgery."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Approximate time for liver remnant regeneration and recovery of function; oncologic outcome is assessed by surveillance imaging."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"After discharge and wound check; shorter after minimally invasive minor resection, longer after open major resection or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound check and suture/staple removal if applicable."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of pathology (margins) and plan for further oncologic care."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Liver function and first surveillance imaging; ongoing surveillance continues per oncology protocol."}}],"indications":["Resectable hepatocellular carcinoma with adequate liver function and remnant volume","Resectable intrahepatic cholangiocarcinoma","Resectable liver metastases (e.g., colorectal) in selected patients","Localized malignant liver tumor with curative intent"],"main_risks":["Bleeding requiring transfusion or reoperation","Post-hepatectomy liver failure, especially with cirrhosis or large resection","Bile leak or biliary fistula","Infection, abscess or wound infection","Fluid collection, ascites or pleural effusion","Venous thromboembolism","Pulmonary complications","Anesthesia-related risks"],"pain":"Moderate to severe postoperative pain for the first several days, higher after open subcostal incisions; managed with multimodal analgesia (often epidural or regional blocks plus oral analgesics), gradually settling over 2-4 weeks.","preparation":["Imaging (CT/MRI) for staging and resectability and liver volumetry","Liver function and blood tests, including coagulation","Cardiopulmonary and anesthesia fitness assessment","Multidisciplinary tumor board review","Fasting before surgery per anesthesia instructions","Smoking and alcohol cessation","Medication review with the surgical team"],"recovery_timeline":[{"phase":"Hospital stay (days 0-10)","description":"Monitoring of liver function, pain control, early mobilization, gradual diet resumption and drain management.","restrictions":["No driving","Gentle walking only"]},{"phase":"Early home recovery (weeks 1-4)","description":"Fatigue and incision discomfort gradually improve; wound and lab follow-up.","restrictions":["No lifting above a few kilograms","Avoid alcohol"]},{"phase":"Return to activity (weeks 4-12)","description":"Gradual return to desk work and light activity.","restrictions":["Avoid heavy lifting and strenuous exercise"]},{"phase":"Full recovery (weeks 12-24)","description":"Return to normal activity as liver regenerates; 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Recurrence risk is high after hepatocellular carcinoma or metastasis resection, so long-term outcome depends on tumor type, stage, margins and liver condition. Surveillance imaging continues for years.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned reoperation within 90 days, mainly for bleeding, bile leak or abscess drainage."},"scars":"Open approach leaves a subcostal or upper midline scar; laparoscopic or robotic approach leaves several small port scars plus a possible small extraction incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for standalone resection."},"stages":[{"code":"resection","label":"Liver tumor resection","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standard single-stage resection; staged or two-step hepatectomy is an exceptional variant."},"success":{"metric":"5-year overall survival after curative resection","value":50,"unit":"percent","horizon":"5 years","population":"Adults with resectable hepatocellular carcinoma and preserved liver function","evidence_status":"limited"},"techniques":[{"name":"Open partial hepatectomy (wedge, segmentectomy or lobectomy)","suits_whom":"Larger or centrally located tumors, major resections, or cases needing vascular control.","recovery":"Longer hospital stay and recovery, roughly 6-10 nights and 6-8 weeks to return to desk work."},{"name":"Laparoscopic or robotic liver resection","suits_whom":"Selected smaller, peripheral tumors in patients with preserved liver function, at experienced centers.","recovery":"Often shorter stay (about 3-6 nights) and faster return to activity."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Operating time for a single partial hepatectomy; varies with extent of resection and approach."},"initial_assessment_documents":["Contrast CT or MRI of the liver","Biopsy or pathology report (if available)","Recent liver function and coagulation blood tests","Tumor marker results (AFP)","Oncologist or hepatologist report with cirrhosis status","Previous abdominal surgery operative reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage resection; stay 2-3 weeks including 3-10 hospital nights and wound check. Later surveillance can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check how often the surgeon performs this type of surgery","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/managing-care/finding-cancer-care","host":"cancer.gov","quote":"How often do they perform the type of surgery you need?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check at which hospital the surgeon practices","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/managing-care/finding-cancer-care","host":"cancer.gov","quote":"At what hospital(s) do they practice?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check how the facility monitors and works to improve its quality of care","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/managing-care/finding-cancer-care","host":"cancer.gov","quote":"How does it check on 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