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Pushing back the frontiers of resectability in liver cancer surgery

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).

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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Published date: March 2008
Keywords: hepatic resection


Local EPrints ID: 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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Author: M. Abu Hilal
Author: J.P.A. Lodge

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