ʻO kahi haʻawina i paʻi ʻia ma ka Journal of the American Medical Association Surgery i kēia lā ʻo ia ka mea mua ma ʻAmelika ʻĀkau e hōʻike i ka hoʻololi ʻana i ke akepaʻa ola he mea hiki ke koho ʻia no nā poʻe maʻi i hoʻopaʻa ʻia i ka maʻi maʻi colorectal a me nā ʻōpū o ka ate ʻaʻole hiki ke wehe ʻia.
Wahi a ke aʻo ʻana, hoʻokahi makahiki a me ka hapa ma hope o kā lākou hoʻololi ʻana i ke akepaʻa hāʻawi ola, ua ola nā mea maʻi a pau he 10 a ʻo 62 pākēneka i noho manuahi ʻole.
"Ke lawe nei kēia [haʻawina] i ka manaʻolana no nā poʻe maʻi i loaʻa ka manawa pōʻino o ke ola ʻana i kekahi mau mahina hou aʻe," wahi a ka mea kākau mua o ke aʻo ʻana, ʻo Roberto Hernandez-Alejandro, MD, ʻo ia ke poʻo o ka Abdominal Transplant and Liver Surgery Division ma URMC. ua hana ʻoi aku ka nui o ka hoʻololi ʻana i ka ate hāʻawi ola no nā poʻe maʻi me nā metastases ate colorectal ma mua o nā kikowaena ʻē aʻe ma ʻAmelika ʻĀkau.
"Me kēia, ke wehe nei mākou i nā manawa no ka poʻe maʻi e ola lōʻihi - a no kekahi o lākou e ho'ōla ʻia," i hoʻohui ʻia ʻo Hernandez-Alejandro, ʻo ia hoʻi kahi mea noiʻi ma Wilmot Cancer Institute o URMC.
ʻO ke aʻo ʻana, i mālama ʻia ma waena o URMC, ka University Health Network (UHN) a me ka Cleveland Clinic, i kālele ʻia i ka maʻi maʻi colorectal no ka mea e pālahalaha ana ia i ke ake a ʻaʻole hiki ke wehe ʻia mai ke ake me ka ʻole o ka transplant piha. ʻO ka mea pōʻino, ʻaʻole hiki i kēia mau maʻi ke loaʻa i kahi hoʻololi o ka ate i hāʻawi ʻia ma muli o ka hemahema o ke kino ma ʻAmelika ʻAmelika.
Mahalo i nā holomua hou o ka mālama ʻana i ka maʻi kanesa, hiki i ka nui o kēia mau maʻi ke loaʻa i ko lākou maʻi maʻi ma lalo o ka mana ʻōnaehana, ʻo ia hoʻi ʻo ko lākou mau ate ʻo nā mea wale nō e kū nei ma waena o lākou a me kahi lepili "cancer free". Manaʻo nā mea kākau noiʻi e hiki ke hāʻawi i kēia mau mea maʻi i kahi manawa lua.
Ua loaʻa ka haʻawina ma luna o 90 mau maʻi mai kahi kokoke a mamao. ʻO nā mea maʻi a me nā mea hāʻawi i hele i kahi kaʻina hoʻomaʻamaʻa paʻa a ʻo ka poʻe i kū i nā koina kikoʻī i hana ʻia i nā ʻokiʻoki e hoʻopau piha i nā ate maʻi o nā maʻi a hoʻololi iā lākou me ka hapalua o nā ake o kā lākou mea hāʻawi.
Ua nānā pono ʻia nā poʻe maʻi ma o ke kiʻi kiʻi a me ka nānā ʻana i ke koko no nā hōʻailona o ka hoʻi hou ʻana o ka maʻi maʻi a e hoʻomau ʻia e hahai ʻia a hiki i ʻelima mau makahiki ma hope o ko lākou ʻoki ʻana. I ka manawa i paʻi ʻia ai ke aʻo ʻana, ua mālama ʻia ʻelua mau maʻi ma hope o ʻelua mau makahiki a keu aʻe a ola lāua ʻelua a maikaʻi ʻole, ʻaʻohe maʻi kanesa.
"Ke hōʻike nei kēia haʻawina ʻo ka hoʻololi ʻana he lāʻau lapaʻau maikaʻi ia e hoʻomaikaʻi ai i ka maikaʻi o ke ola a me ke ola ʻana no nā poʻe maʻi me ka maʻi maʻi colorectal i metastasized i ke ake," wahi a ka mea kākau moʻolelo kiʻekiʻe ʻo Gonzalo Sapisochin, MD, he kauka lapaʻau transplant ma ka Ajmera Transplant Center a me ka Sprott Department o ka Ope ana ma UHN.
"Ma ke ʻano o ka ʻike mua ʻana o ʻAmelika ʻAmelika, he hana koʻikoʻi ia i ka neʻe ʻana i kēia protocol mai ke kahua noiʻi i ka maʻamau o ka mālama," i hoʻohui ai ʻo Sapisochin, ʻo ia hoʻi kahi mea noiʻi kauka ma ka Toronto General Hospital Research Institute a me kahi kumu aʻoaʻo i ka Ke Keʻena ʻOihana ma ke Kulanui o Toronto.
He aha e lawe ʻia mai kēia ʻatikala:
- ʻO kahi haʻawina i paʻi ʻia ma ka Journal of the American Medical Association Surgery i kēia lā ʻo ia ka mea mua ma ʻAmelika ʻĀkau e hōʻike i ka hoʻololi ʻana i ke akepaʻa ola he mea hiki ke koho ʻia no nā poʻe maʻi i hoʻopaʻa ʻia i ka maʻi maʻi colorectal a me nā ʻōpū o ka ate ʻaʻole hiki ke wehe ʻia.
- The study, which was conducted across URMC, the University Health Network (UHN) and the Cleveland Clinic, focused on colorectal cancer because it tends to spread to the liver and often cannot be removed from the liver without a full transplant.
- Adds Sapisochin, who is also a clinician investigator at the Toronto General Hospital Research Institute and an associate professor in the Department of Surgery at the University of Toronto.
