Published online Sep 18, 2015. doi: 10.4254/wjh.v7.i20.2292
Peer-review started: May 19, 2015
First decision: July 6, 2015
Revised: August 4, 2015
Accepted: August 30, 2015
Article in press: August 31, 2015
Published online: September 18, 2015
Core tip: Radical treatment of hepatocellular carcinoma (HCC) by liver resection without causing liver failure has been established as a safe approach through selection of an appropriate range of resection of the damaged liver. This background indicates that both evaluation of hepatic functional reserve and measures against concomitant diseases such as thrombocytopenia accompanying portal hypertension, prevention of rupture of esophageal varices, reliable control of ascites, and improvement of hypoalbuminemia are important issues in liver resection in patients with hepatic cirrhosis. The latest information on perioperative management of liver resection in HCC patients with hepatic cirrhosis was reviewed.