Benign Liver Tumors
OVERVIEW Print Section Listen In practice, patients with benign liver tumors typically present in three broad clinical scenarios: (1) a liver tumor incidentally discovered in an asymptomatic patient, (2) a…
Hepatocellular Carcinoma
BACKGROUND Print Section Listen Hepatocellular carcinoma (HCC) is the fifth most common cancer globally and accounts for the third most cancer deaths worldwide (Fig. 127-1). Although geographic variability exists in…
Non-colorectal, Non-neuroendocrine Liver Metastases
INTRODUCTION Print Section Listen The liver is one of the most common sites of metastatic involvement for not only gastrointestinal malignancies, but also for a broad spectrum of cancers. While…
Cystic Lesions of the Liver and Biliary Tract
OVERVIEW Print Section Listen Improvements in radiographic imaging over the last several decades have led to an increased recognition of cystic lesions in the liver and biliary tract. These cysts…
Management of Hepatic Metastases from Neuroendocrine Tumors
BACKGROUND AND HISTORICAL ELEMENTS Print Section Listen Oberdorfer first described a tumor different from classic adenocarcinoma in the early 1900s, and referred to it as “karzinoid.” Historically, carcinoid has been…
Colorectal Liver Metastases
EPIDEMIOLOGY Print Section Listen Colorectal cancer (CRC), the fourth most common malignancy worldwide, remains by far the first cause of liver metastases and the first liver malignancy in Western societies.1…
Interventional Radiology: Applications to Hepatobiliary Tumors
INTRODUCTION Print Section Listen Hepatocellular carcinoma (HCC) is the sixth most common cancer for both sexes or the fifth most common cancer for men worldwide with 749,000 new cases diagnosed…
Distal Cholangiocarcinoma and Periampullary Cancer
INTRODUCTION Print Section Listen Located deep within the surgical soul, and surrounded by a forest of critical structures, cancers of the distal biliary tract and periampullary region are difficult to…
Anatomic Considerations, Operative Techniques, and Perioperative Management of Hepatobiliary Malignancies
INTRODUCTION Print Section Listen Surgical resection is the first-line treatment for selected patients with hepatobiliary malignancies. With refinements in surgical techniques and perioperative patient care, the safety of liver resection…
Minimally Invasive Techniques and Outcomes in Hepatic Resection
INTRODUCTION Print Section Listen The safety of liver surgery made great strides in the last half of the twentieth century thanks to an improvement in the knowledge of hepatic anatomy,…
