Book chapter
Liver Cancer Necessitating Ex Vivo Resection and Reconstruction
Case-Based Lessons in the Management of Complex Hepato-Pancreato-Biliary Surgery, pp.123-140
Springer International Publishing
03/19/2017
DOI: 10.1007/978-3-319-50868-9_10
Abstract
With primary and metastatic cancers to the liver, the optimal therapy remains curative surgical resection. Various non-anatomical and anatomical liver resections are common practice, but when tumors are in difficult locations, surgeons may require the use of vascular resection with portal venous or arterial reconstruction to obtain negative resection margins. In situations where tumors involve the inferior vena cava (IVC) or hepatic veins, other techniques may be employed for resection that was developed from liver transplant techniques. Ex vivo resection remains the most dramatic of these complex resection techniques and is used for the most difficult tumors to resect, including malignant disease such as hepatocellular carcinoma, cholangiocarcinoma, colorectal metastasis, benign obstructive disease, or echinococcal cysts. Ex vivo resection carries a 10–15% mortality, with a high chance of surgical complications and postoperative liver failure, but offers a potential for cure in otherwise unresectable patients. This chapter outlines the technique of ex vivo resection and highlights two cases where it was used.
Details
- Title: Subtitle
- Liver Cancer Necessitating Ex Vivo Resection and Reconstruction
- Creators
- Jennifer Berumen - University of California, San DiegoAlan Hemming - University of California, San Diego
- Resource Type
- Book chapter
- Publication Details
- Case-Based Lessons in the Management of Complex Hepato-Pancreato-Biliary Surgery, pp.123-140
- Publisher
- Springer International Publishing; Cham
- DOI
- 10.1007/978-3-319-50868-9_10
- Language
- English
- Date published
- 03/19/2017
- Academic Unit
- Surgery
- Record Identifier
- 9984322806402771
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