Minisymposium

Pediatric Radiology

, Volume 36, Issue 3, pp 187-191

First online:

Surgical treatment of hepatoblastoma in children

  • Piotr CzaudernaAffiliated withDepartment of Paediatric Surgery, Medical University of Gdansk Email author 
  • , Jean-Bernard OtteAffiliated withDepartment of Paediatric Surgery and Liver Transplantation, Catholic University of Louvain
  • , Derek J. RoebuckAffiliated withDepartment of Radiology, Great Ormond Street Hospital
  • , Dietrich von SchweinitzAffiliated withDepartment of Paediatric Surgery, Dr. von Hauner Children’s Hospital
  • , Jack PlaschkesAffiliated withDepartment of Paediatric Surgery, Inselspital

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Abstract

Hepatoblastoma is the most common liver malignancy in children. With rare exceptions, complete tumour resection is required to cure the patient. Radical tumour resection can be obtained either with standard partial hepatectomy or orthotopic liver transplantation. At present, the surgical approach to hepatoblastoma differs significantly between treatment groups in different parts of the world. Our aim was to review current surgical policy in hepatoblastoma. All aspects of surgery in hepatoblastoma are discussed, including biopsy, tumour resection principles, modern achievements in the field of liver surgery, and the indications and potential contraindications for liver transplantation. Every effort should be made to resect hepatoblastoma completely either by standard partial hepatectomy or by the use of liver transplantation in difficult or clearly unresectable cases.

Keywords

Liver Hepatoblastoma Treatment Surgery Children