Surgical management of hepatocellular carcinoma: Resection and ablation

Michael A. Choti

Research output: Contribution to journalReview article

36 Scopus citations

Abstract

In this article, the author reviews the recent advances in the surgical management of hepatocellular carcinoma (HCC). Partial hepatic resection or, in some instances, liver transplantation provides the best chance for cure. Risk of perioperative mortality after partial hepatectomy is less than 5% in most experienced centers. Careful preoperative assessment of hepatic function is important to reduce the risk of postoperative liver failure after liver resection. Long-term outcomes after resection are comparable to those with liver transplantation, with reported 5-year survival rates of 25%-50%. Although limited controlled comparative studies exist, surgical and nonsurgical local ablative therapies, including ethanol and radiofrequency ablation, may result in survival benefit.

Original languageEnglish (US)
Pages (from-to)S197-S203
JournalJournal of Vascular and Interventional Radiology
Volume13
Issue number9 II
DOIs
StatePublished - Sep 1 2002

Keywords

  • Liver neoplasms, therapeutic radiology
  • Liver, surgery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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