Presenter: Chaya Shwaartz MD | University Health Network, Toronto General Hospital Background: Laparoscopic resection of segment 8 liver lesions is technically challenging due to the anatomical complexity as well location in dome liver1. In fact, resections are considered be one most laparoscopic resections2–4. Additionally, expertise surgery needed safely expose and dissect hepatic veins. We p...

PURPOSE The aim of this study was to compare the feasibility, efficacy and safety of microwave ablation and saline-linked radiofrequency (Aquamantys) in liver resection. METHODS Sixteen domestic pigs (8 per group) underwent thermoablations. Group A consisted of 8 pigs in which microwave left lateral liver resection was performed. Group B consisted of 8 pigs which underwent left lateral liver ...

BACKGROUND Approximately 25% of patients with colorectal cancer present synchronous metastases, most frequently located in the liver. AIMS The assessment of optimal therapeutic strategies for the primary tumor in such patients. METHODS We analyzed the outcomes of 209 patients who underwent simultaneous or delayed resection of the primary tumor and liver metastases, the survival rates of pat...

OBJECTIVE To evaluate the efficacy of fibrin sealant in reducing resection surface-related complications in liver surgery. BACKGROUND Bile leakage, bleeding, and abscess formation are major resection surface-related complications after liver resection. It is unclear whether application of fibrin sealant to the resection surface is effective in reducing these complications. METHODS In a mult...

This paper discusses liver resection for intraabdominal leiomyosarcoma metastases as a therapy for carefully selected patients. Of the 83 hepatectomies performed from 1992 to 1996, five were resections for liver metastases due to intraabdominal leiomyosarcoma, in 3 patients. The surgical indication was single liver metastases, without any evidence of extrahepatic disease. No mortality occurred ...

BACKGROUND Hydatid liver cysts are rare in North America. The objective of this study was to determine the optimal surgical management for hydatid liver cysts treated outside endemic areas. METHODS We reviewed the cases of consecutive patients who underwent management of hydatid liver cysts. Radical liver resections were compared with other types of procedures. Clinical presentation, investig...

Complete surgical resection remains the only curative treatment option for pancreatic neuroendocrine tumor (PNET). However, the proper management of PNET with liver metastasis remains debatable. We describe two patients with PNET and multiple liver metastases that were treated with aggressive surgical resection. In one case, a 45-year-old man with non-functional PNET with unresectable liver met...

HYPOTHESIS The usefulness of additional edge cryotherapy after liver resection for liver metastases from colorectal cancer to improve involved or inadequate (less than 1 cm) margins is uncertain. DESIGN Retrospective analysis of prospectively collected data. SETTING Department of surgery at a university hospital. PATIENTS Eighty-six consecutive patients with hepatic metastases from colore...

There is limited information available concerning the effect of thymalfasin (Tα1) as an adjuvant therapy in hepatocellular carcinoma (HCC) patient who received liver resection. The present study aimed to evaluate whether Tα1 can improve the prognosis of small HCC patients after liver resection.A total of 206 patients with small HCC who underwent liver resection were analyzed in our retrospectiv...