Surgical technique: new advances for expanding indications and increasing safety in liver resection for HCC: the Eastern perspective

Journal of Hepato-biliary-pancreatic Sciences
T IshizawaNorihiro Kokudo

Abstract

We introduce recent advances in surgical techniques and perioperative management in liver resection for hepatocellular carcinoma (HCC). Our approaches to further enhancing the efficacy of resection for HCC, based on our presentation at "The 6th International Meeting of Hepatocellular Carcinoma: Eastern and Western Experiences" held in Seoul in December 2008, are presented, along with a review of recent advances in this field reported from eastern Asia. In our series, liver resection enabled a 5-year overall survival rate of close to 60%, even among patients with multiple HCCs and those with portal hypertension in a background of Child-Pugh class A cirrhosis. Favorable long-term results were obtained by the precise evaluation of liver function using the indocyanine green (ICG) test and the application of perioperative treatments for gastroesophageal varices and severe thrombocytopenia. Furthermore, promising novel techniques have been applied to increase the efficacy of HCC resection, including the preoperative simulation of liver resection, using three-dimensional computed tomography, a "peeling-off" technique for resecting HCC with macroscopic portal venous tumor thrombus, ICG-fluorescent imaging, predeposit autologous plasma ...Continue Reading

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Citations

Sep 6, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andreas AndreouUNKNOWN International Cooperative Study Group on Hepatocellular Carcinoma
Apr 26, 2014·World Journal of Gastroenterology : WJG·Chang-Ku JiaYu Fu
May 31, 2014·World Journal of Gastroenterology : WJG·Kai Feng, Kuan-Sheng Ma
May 29, 2015·World Journal of Hepatology·Jan Erik SlottaKia Homayounfar
Jun 19, 2015·World Journal of Hepatology·Mauro BorzioRodolfo Sacco

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