Abstract
The technical issues discussed herein represent part of the panorama of innovative approaches proposed for the surgical treatment of hepatocellular carcinoma (HCC); in particular, the attention is focused on the recent advances in the field of planning the surgical strategy and performing liver dissection via ultrasound guidance. It is described how recent technical advances have allowed the range of scenarios for which surgery is indicated in liver cirrhosis patients with HCC to be widened. Indeed, the ability to spare the liver parenchyma with respect to liver inflow and outflow and its biliary drainage as well as to perform the anatomic removal of subsegmental portions of the liver has enabled surgeons to provide new therapeutic horizons, and will probably result in modifications to the therapeutic flow charts of HCC patients once the new horizons are fully accepted by nonsurgical specialists devoted to the treatment of these complex patients.
| Original language | English |
|---|---|
| Pages (from-to) | 394-398 |
| Number of pages | 5 |
| Journal | Journal of Hepato-Biliary-Pancreatic Sciences |
| Volume | 17 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jul 2010 |
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Keywords
- Contrast-enhanced intraoperative ultrasound
- Hepatocellular carcinoma
- Intraoperative ultrasound
- Liver cirrhosis
- Liver surgery
ASJC Scopus subject areas
- Medicine(all)
- Hepatology
- Surgery
Cite this
Surgical technique : New advancements for expanding indications and safety. The Western experience. / Torzilli, Guido.
In: Journal of Hepato-Biliary-Pancreatic Sciences, Vol. 17, No. 4, 07.2010, p. 394-398.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgical technique
T2 - New advancements for expanding indications and safety. The Western experience
AU - Torzilli, Guido
PY - 2010/7
Y1 - 2010/7
N2 - The technical issues discussed herein represent part of the panorama of innovative approaches proposed for the surgical treatment of hepatocellular carcinoma (HCC); in particular, the attention is focused on the recent advances in the field of planning the surgical strategy and performing liver dissection via ultrasound guidance. It is described how recent technical advances have allowed the range of scenarios for which surgery is indicated in liver cirrhosis patients with HCC to be widened. Indeed, the ability to spare the liver parenchyma with respect to liver inflow and outflow and its biliary drainage as well as to perform the anatomic removal of subsegmental portions of the liver has enabled surgeons to provide new therapeutic horizons, and will probably result in modifications to the therapeutic flow charts of HCC patients once the new horizons are fully accepted by nonsurgical specialists devoted to the treatment of these complex patients.
AB - The technical issues discussed herein represent part of the panorama of innovative approaches proposed for the surgical treatment of hepatocellular carcinoma (HCC); in particular, the attention is focused on the recent advances in the field of planning the surgical strategy and performing liver dissection via ultrasound guidance. It is described how recent technical advances have allowed the range of scenarios for which surgery is indicated in liver cirrhosis patients with HCC to be widened. Indeed, the ability to spare the liver parenchyma with respect to liver inflow and outflow and its biliary drainage as well as to perform the anatomic removal of subsegmental portions of the liver has enabled surgeons to provide new therapeutic horizons, and will probably result in modifications to the therapeutic flow charts of HCC patients once the new horizons are fully accepted by nonsurgical specialists devoted to the treatment of these complex patients.
KW - Contrast-enhanced intraoperative ultrasound
KW - Hepatocellular carcinoma
KW - Intraoperative ultrasound
KW - Liver cirrhosis
KW - Liver surgery
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UR - http://www.scopus.com/inward/citedby.url?scp=79952111665&partnerID=8YFLogxK
U2 - 10.1007/s00534-009-0232-1
DO - 10.1007/s00534-009-0232-1
M3 - Article
C2 - 19894016
AN - SCOPUS:79952111665
VL - 17
SP - 394
EP - 398
JO - Journal of Hepato-Biliary-Pancreatic Sciences
JF - Journal of Hepato-Biliary-Pancreatic Sciences
SN - 1868-6974
IS - 4
ER -