Nodal Involvement
Fig. 22.1 Schema of lymphatic drainage of the liver. Sublobular and portal lymphatic pathway (a) and superficial pathways (b) (Source: ‘Patterns of spread of disease from the liver’, Figs. 9…
Anesthetic Management
Number of patients Percentage (%) Malignant pathologies • Colon metastasis • Neuroendocrine metastasis • Metastasis of another origin • Hepatocellular carcinoma • Colangiocarcinoma • Vesicular cancer • Others 826 552 22 31 88 22 18 93…
Liver Transplantation for Unresectable Disease
Fig. 20.1 Overall survival after liver transplantation for nonresectable CLM. The Kaplan–Meier (KM) plot shows overall survival from the time of liver transplantation (red line). Stapled lines show 95% CI…
Combined Vascular Resections
Fig. 17.1 A 60-year-old man presented with a liver metastasis adjoining the right anterior branch of the portal triad. The indocyanine retention rate at 15 min was 8.5%, which indicated…
Peritoneal Metastases
Fig. 23.1 Diagnosis of PM on computed tomography. View of an omental involvement such as enhancing nodules or omental cake Nevertheless, all of these imaging modalities strongly underestimate the real…
Vascular Control in Major Hepatic Resections
Inflow control In- and outflow control Non-selective Selective Non selective Selective Hepatic pedicle occlusion (Pringle maneuver) Hemihepatic (right or left; hemi-Pringle) or segmental vascular occlusion Total hepatic vascular exclusion Selective…
Imaging-Based Preoperative Planning
Fig. 4.1 CT-scan of a 38-year-old female patient with synchronous hepatic metastases from a rectosigmoid carcinoma before (left) and after (right) FOLFIRI/cetuximab chemotherapy showing a partial radiologic response Taking into…
Postoperative Complications and Their Management
A Deterioration in liver function tests with no modifications needed in the clinical management of the patient B Deviation from expected post-operative course without requirement for invasive procedures C Multi-system…
Adjacent Organs Invasion: Multivisceral Resections
Fig. 24.1 Abdominal and pelvic multidetector computed tomography (MDCT) in a patient with a large colonic tumor (asterisk), which involves duodenum and pancreas (white arrow) and segment VI of the…
Ex-Vivo Liver Surgery
Fig. 18.1 Computerized tomography of a large cholangiocarcinoma of the right lobe invading the takeoff of the left portal vein (a) and inferior vena cava (b) The confirmation of these…
