Indications

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• Metastasis (colon, breast, neuroendocrine).
  
• Hepatocellular carcinoma.
  
• Cholangiocarcinoma.
  
• Hepatoblastoma.
  
• Gallbladder carcinoma.
  
• Hepatic sarcoma.
  
• Adenoma.
  
• Biliary cystadenoma.
  
• Symptomatic hemangioma or focal nodular hyperplasia.
  
• Hepatic tumor of unknown etiology.

Contraindications

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• Distant metastatic disease for primary liver tumors.
  
• Presence of extrahepatic metastases for metastatic lesions (relative).
  
• Severe medical comorbidity.
  
• Inability to achieve negative margins.
  
• Insufficient estimated liver remnant following resection.
  
• Significant cirrhosis or portal hypertension.

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