Evolving Surgical Options for Hepatocellular Carcinoma

摘要

Surgical resection and liver transplant remain the cornerstones of curative treatment options for hepatocellular carcinoma. Determining the best treatment option for each patient is a complex decision based on degree of liver cirrhosis, extent of tumor, and overall patient performance status. A multidisciplinary approach is best. With widespread adoption, the role of laparoscopic liver resection for hepatocellular carcinoma continues to expand. Long-term oncologic outcomes are similar for laparoscopic and open resection, with improved short-term results, mainly blood loss and hospital length of stay. Liver transplant remains the ideal treatment of cirrhotic patients with signs of portal hypertension and hepatocellular carcinoma.