TY  - CHAP
M1  - Book, Section
TI  - Local Resection of Hepatic Tumor, Nonanatomic
A1  - Ellison, E. Christopher
A1  - Zollinger, Jr., Robert M.
A1  - Pawlik, Timothy M.
A1  - Vaccaro, Patrick S.
A1  - Bitans, Marita
A1  - Baker, Anthony S.
PY  - 2022
T2  - Zollinger’s Atlas of Surgical Operations, 11e
AB  - Surgical  resection  is  the  primary  treatment  for  hepatic  malignancies.  Resection  also  may  be  indicated  for  a  variety  of  benign  lesions,  especially  those  with  malignant  potential  or  those  that  are  causing  symptoms.  The  most  common  malignant  tumors  include  hepatocellular  carcinoma,  intrahepatic  cholangiocarcinoma,  and  metastatic  colorectal  cancer.  In  the  Western  world,  liver  metastases  are  more  common  than  primary  liver  tumors.  A  comprehensive  evaluation  of  the  overall  health  status,  oncologic  appropriateness,  and  anatomic  resectability  is  required  for  appropriate  patient  selection.  A  lesion  is  considered  resectable  if  negative  margins  can  be  obtained  while  leaving  an  adequate  amount  of  functional  liver  parenchyma  with  hepatic  arterial  and  portal  venous  inflow,  venous  outflow,  and  biliary  drainage.  Although  the  advantages  and  disadvantages  of  anatomic  versus  nonanatomic  resection  for  various  tumor  types  is  beyond  the  scope  of  this  chapter,  in  general,  nonanatomic  liver  resections  are  appropriate  for  peripherally  located  small  liver  lesions.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1187822326
ER  -