Topic Highlight
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Oct 21, 2014; 20(39): 14381-14392
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14381
Table 2 Summary of recent advances in liver resection for hepatocellular carcinoma
Established
Screening and early detection for high-risk patients (i.e., with HCV or HBV infection, alcoholic, metabolic chronic liver disease, etc.)
Diagnosis with contrast-enhanced imaging for the detection of early lesions
Assessment of liver function (Child-Pugh classification, indocyanine green retention test, MELD score)
Modulation of residual liver function with preoperative portal vein embolization
Anatomic resection removing undetectable disseminated tumor foci in the same portal territory
Under discussion
Three dimensional-CT-assisted preoperative surgical planning facilitates:
Unconventional types of liver resection
Laparoscopic liver resection could be beneficial:
For patients with severe liver dysfunction with lower morbidity
For repeat resection
As a bridging therapy for liver transplantation
Under trial or proposal
Adjuvant and/or combined therapy for advanced tumor
Sorafenib
Intraarterial 5-FU plus IFN therapy for hepatocellular carcinoma with VTT