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Pushing back the frontiers of resectability in liver cancer surgery

Record type: Article

Thanks to advances in surgical technique, anaesthesia and peri-operative care, hepatic resection has evolved from a rare procedure with an associated mortality rate of up to 20% to a routine surgery carried out in high volume liver units with an operative risk of less than 5%. This review concentrates on the techniques employed in radical hepatic resection, considering in particular: (1) The feasibility of extended hepatic parenchymal resections; (2) The treatment of lesions compromising the hepatic in-flow; and (3) The treatment of lesions compromising the hepatic out-flow. We discuss how these aims can be achieved by: minimizing the blood loss; minimizing the remnant liver parenchymal injury; performing an adequate oncological resection; and creating adequate venous out-flow reconstruction, using case series and case histories to illustrate these points.

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Citation

Abu Hilal, M. and Lodge, J.P.A. (2008) Pushing back the frontiers of resectability in liver cancer surgery European Journal of Surgical Oncology, 34, (3), pp. 272-80. (doi:10.1016/j.ejso.2007.07.201). (PMID:17949941).

More information

Published date: March 2008
Keywords: hepatic resection

Identifiers

Local EPrints ID: 172251
URI: http://eprints.soton.ac.uk/id/eprint/172251
ISSN: 0748-7983
PURE UUID: d2bbc175-cfd7-4398-be0f-5df382fc2d39

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Date deposited: 25 Jan 2011 09:24
Last modified: 18 Jul 2017 12:14

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Contributors

Author: M. Abu Hilal
Author: J.P.A. Lodge

University divisions


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