Resection of T4 hepatocellular carcinomas with adjacent structures, is it justified?

Hepatic resection for bilobar hepatocellular carcinoma: is it justified?

HYPOTHESIS Patients with bilobar stage IVa hepatocellular carcinoma (HCC) are generally considered unsuitable for hepatic resection. Recent data suggest that palliative hepatic resection in selected patients with advanced HCC may result in a favorable survival outcome. The aim of the present study was to evaluate the operative outcome and survival benefits of hepatic resection for patients with...

Is Screening or Resection of “Minimal” (Early) Hepatocellular Carcinoma Justified?

Isolated Resection of Segment I (Caudate Lobe): Is it Justified?

Background: Isolated caudate lobectomy is a challenging surgical procedure for which safe and reliable techniques have yet to be developed. Methods: Isolated caudate lobectomy was performed by initial inflow control of the caudate lobe, full mobilization of the liver from the inferior vena cava by dividing all short hepatic veins, and parenchymal division dorsal to the major hepatic veins with ...

Distal pancreatectomy with en bloc celiac axis resection for pancreatic body-tail cancer: Is it justified?

BACKGROUND The aim of this study was to evaluate the safety and efficacy of distal pancreatectomy with en bloc celiac axis resection (DP-CAR) for pancreatic body-tail cancer. MATERIAL AND METHODS The medical records of 12 patients who underwent DP-CAR for pancreatic body-tail cancer were retrospectively studied, together with a literature review of studies including at least 3 cases of DP-CAR...

Is Repeated Hepatic Resection Justified for Malignancy?

Huguet, C., Bona, S., Nordlinger, B., Lagrange, L., Parc, R., Harb, J. and Benard, F.. (1990) Repeat hepatic resection forprimary and metastatic carcinoma of the liver. Surgery, Gynecology & Obstetrics: 171:398-402 During the last 15 years, 19 patients underwent repeated hepatic resections for malignant lesions of the liver. The first hepatic resection had been performed four to 40 months earli...