Surgical Resection in HCC

Abstract

Hepatocellular carcinoma (HCC) is a deadly disease. Its incidence is rising worldwide without significant improvement in survival in spite of improving therapies. A wide array of treatment options for HCC exist and include surgery, catheter-based therapies, radiation and systemic therapy. These modalities are often used in combination for optimal management in a multidisciplinary approach. Surgical resection remains one of the only curative therapeutic options for HCC, although it is indicated in select patients with localized disease. Herein, we cover the role of surgical resection in the management of HCC, reviewing the perioperative and operative considerations, in addition to highlighting the advances in minimally invasive surgery and novel navigation technologies.

Minimally Invasive Surgery for Hepatocellular Carcinoma; Latest Advances

“…Its use has been utilized for robotic and laparoscopic assisted cholecystectomy. It has also been more recently applied for a more accurate parenchymal dissection following vascular control by identifying perfused from poorly perfused hepatic parenchyma [60].…”