Overview Segment-oriented hepatectomy is defined as the removal of one or more of the eight anatomic segments of the liver. The techniques of segment-oriented anatomic liver resection are based on the pioneering work of Claude Couinaud, who identified intrahepatic anatomy…
Introduction Advances in patient selection, surgical technique, and perioperative management have improved the outcomes of patients undergoing hepatic resection in recent years. As a result, the utilization of liver resection for patients with both benign and malignant disease has increased…
Introduction A wide variety of diseases affect the liver that can potentially be addressed with hepatectomy. They range from benign and asymptomatic, as in the case of simple liver cysts (see Chapter 88 ), to premalignant (biliary cystadenomas) and malignant.…
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Each year, isolated hepatic metastases from a variety of primary malignancies pose a significant clinical dilemma for tens of thousands of patients (see Chapters 90 , 91 , and 92 ). For a small percentage of patients, surgical resection or…
Overview Hepatocellular carcinoma (HCC) represents a challenging malignancy of global importance (see Chapter 89 ). It is the fifth most common solid tumor in terms of incidence and the third leading cause of cancer-related death worldwide. Its incidence mirrors that…
Introduction Over the past decades, the management of colorectal liver metastases (CLM) has been transformed by several improvements in both medical and surgical fields (see Chapters 90 , 97 , 101 , and 102 ). The development of modern and…
Overview The liver is a unique organ with a rich dual blood supply (see Chapter 2 ) and serves as a target organ for many tumor metastases. As the portal vein drains the gastrointestinal (GI) tract, malignancies arising from these…
Cryotherapy Introduction Hepatic ablative techniques remain an important tool in the armamentarium against both primary and metastatic liver tumors. Liver resection continues to be the gold standard in management; however, ablative therapies are useful for patients with limited disease and…
Overview Each year nearly 1 million liver cancers are diagnosed across the world, making liver cancer the fifth most common cancer in men and ninth in women , (see Chapter 89 ). Liver cancer is one of the most fatal…