Abstract
In Western countries, hepatocellular carcinoma (HCC) is the most common primary liver cancer. Its incidence is increased in patients with chronic liver disease mostly due to hepatitis B or C infections [1]. In patients with cirrhosis, screening can improve survival by diagnosing the tumor while it is still small and asymptomatic [2]. Liver transplantation is a curative option for HCC in patients with underlying chronic liver disease but cannot be applied on a large scale due to patient age and alcohol abuse, associated diseases, and shortage of donors [3, 4]. Therefore, other treatments, such as hepatic resection and percutaneous techniques such as ethanol injection and radiofrequency ablation (RFA), are needed either as bridging treatments or alternative management for those unsuitable for a liver transplant. Although hepatic resection performed in cirrhotic patients remains a surgical challenge for both surgeons and patients, it can attain a high curative rate, a morbidity rate of 10–40%, and a mortality rate <10% [5–7]. Open liver resection plays a paramount role in the curative treatment of HCC in patients with adequate liver function [8]. With improvements in technology and equipment, laparoscopic liver resection (LLR) is now considered a safe procedure, even for managing liver tumors, if performed by experienced surgeons [6].
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© 2013 Springer-Verlag Italia
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Belli, G., Limongelli, P., Belli, A., Russo, G., D’Agostino, A. (2013). Minimally Invasive Surgery in Cirrhotic Patients. In: Calise, F., Casciola, L. (eds) Minimally Invasive Surgery of the Liver. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2664-3_18
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DOI: https://doi.org/10.1007/978-88-470-2664-3_18
Publisher Name: Springer, Milano
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