Expanding the Surgical Pool for Hepatic Resection to Treat Biliary and Primary Liver Tumors

Surg Oncol Clin N Am. 2019 Oct;28(4):763-782. doi: 10.1016/j.soc.2019.06.010. Epub 2019 Aug 2.

Abstract

Surgical management of primary liver and biliary tract tumors has evolved over the past several decades, resulting in improved outcomes in these malignancies with historically poor prognoses. Expansion of patient selection criteria, progress in neoadjuvant and adjuvant therapies, development of techniques to increase future liver remnant, and the select utilization of liver transplantation have all contributed to increasing the patient pool for surgical intervention. Ongoing and future studies need to focus on improving multimodality treatment regimens and further refining the selection criteria for transplantation in order to optimize utilization of limited organ resources.

Keywords: Associating liver partition and portal vein ligation (ALPPS); Cholangiocarcinoma; Hepatocellular carcinoma; Liver transplantation; Portal vein embolization; Transarterial radioembolization.

Publication types

  • Review

MeSH terms

  • Biliary Tract Neoplasms / pathology
  • Biliary Tract Neoplasms / surgery*
  • Hepatectomy / methods*
  • Humans
  • Liver Neoplasms / pathology
  • Liver Neoplasms / surgery*
  • Patient Selection*
  • Prognosis