Liver resection in Cirrhotic liver: Are there any limits?

INTERNATIONAL JOURNAL OF SURGERY

卷:82

Editorial Material

Chan, Albert^1,2,3  Kow, Alfred⁴  Hibi, Taizo⁵  Di Benedetto, Fabrizio⁶  Serrablo, Alejandro⁷ 

[1] Univ Hong Kong, Dept Surg, Div Hepatobiliary & Pancreat Surg, Hong Kong, Peoples R China

[2] Univ Hong Kong, Dept Surg, Liver Transplantat, Hong Kong, Peoples R China

[3] Univ Hong Kong, State Key Lab Liver Res, Hong Kong, Peoples R China

[4] Natl Univ Singapore, Dept Surg, Div Hepatobiliary & Pancreat Surg, Singapore, Singapore

[5] Kumamoto Univ, Grad Sch Med Sci, Dept Pediat Surg & Transplantat, Kumamoto, Japan

[6] Univ Modena & Reggio Emilia, Hepatopancreatobiliary Surg & Liver Transplantat, Modena, Italy

[7] Miguel Servet Univ Hosp, HPB Surg Div, Zaragoza, Spain

关键词: Liver resection;    Robotic liver surgery;    ALPPS;    Associating liver partition and portal vein ligation for staged heaptectomy;    ICG;    Cirrhosis;    Hepatectomy;    Hepatocellular carcinoma;    Bile leakage;    Liver failure;    Volumetry;    Portal vein embolization;   

DOI  :  10.1016/j.ijsu.2020.06.050

来源: Elsevier

【 摘 要 】

Liver resection remains one of the most technically challenging surgical procedure in abdominal surgery due to the complex anatomical arrangement in the liver and its rich blood supply that constitutes about 20% of the cardiac output per cycle. The challenge for resection in cirrhotic livers is even higher because of the impact of surgical stress and trauma imposed on borderline liver function and the impaired ability for liver regeneration in cirrhotic livers. Nonetheless, evolution and advancement in surgical techniques as well as knowledge in perioperative management of liver resection has led to a substantial improvement in surgical outcome in recent decade. The objective of this article was to provide updated information on the recent developments in liver surgery, from preoperative evaluation, to technicality of resection, future liver remnant augmentation and finally, postoperative management of complications.

【 授权许可】

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