[Frontiers in Bioscience E4, 462-469, January 1, 2012]

Extended hepatic resection in advanced hepatoblastoma

Joerg Fuchs1, Guido Seitz1, Rupert Handgretinger2, Steven W Warmann1

1Department of Pediatric Surgery, University of Tuebingen, Tuebingen, Germany, 2Department of Pediatric Oncology, University of Tuebingen, Tuebingen, Germany

TABLE OF CONTENTS

1. Abstract
2. Introduction
2.1. Challenges in liver tumor surgery
2.2. Assessment of resectability in HB
2.3. Risk stratification of HB
3. Surgical techniques for advanced HB
3.1. Extended right and left hepatectomy (trisegmentectomy)
3.2. Mesohepatectomy
3.3. Extended atypical left hepatectomy
3.4. Resection of HB with reconstruction of hepatic vessels
4. Conclusions
5. References

1. ABSTRACT

Complete surgical resection of the primary tumor is one of the most important prognostic factors for hepatoblastoma (HB). This goal can mean a relevant challenge in some cases of advanced HB, especially since an anatomical resection should be realised. Over recent years several surgical techniques for advanced liver resections in children have been developed and refined. In this article the authors summarize their own experience with advanced liver resections for HB and give an overview over indications and specifications for the different approaches.