Liver surgery and adequate diagnostic procedures of liver tumors can successfully treat most patients with liver cancers and liver metastases
Primary liver tumors in liver cancer (hepatocellular carcinoma) or secondary liver tumors in liver cancer(metastasis from primary tumor injuries in the colon, rectum, stomach, esophagus, pancreas, urinary system, breast, lungs, etc.) are tumor injuries frequently diagnosed within the framework of digestive oncology.
There are different risk factors for the development of primary liver cancer tumors, like B virus or C virus infection, or the presence of liver cirrhosis from diverse origins. The evolution of the disease can be easily established at our Hospital thanks to an adequate diagnosis methodology, the use of ultrasonography, helical computerized tomographies, nuclear magnetic resonances, positron emission tomographies and laparoscopic ultrasonography.
The presence of an important quantity of metastasis in both liver lobes can be improved with preoperative chemotherapy adapted to patient characteristics and their liver tumor extension, as well as the immunohistochemical features of the liver tumor. After neoadjuvant treatment, we can turn the initial unresectable injuries into resectable.
Postoperative liver failure is nowadays the main risk in liver cancer surgery. The need of an important liver resection in patients with big liver tumor masses or with multiple liver tumors, forces us to a "preoperative liver manipulation" (a selective portal embolization in order to provoke a compensating hypertrophy of the remaining liver parenchyma).
The ablative techniques for liver tumors such as radiofrequency, percutaneous ethanol injections, chemoembolization or radiosurgery have an important role for us in the treatment of such injuries, and are normally accompanied by surgical treatment as well.
Liver transplant from cadaveric or living donor is an excellent therapeutic option in a specific number of patients with primary liver tumors and chronic hepatopathy.
With certain patients, extracorporeal hepatic surgery can be considered a liver surgical option when resection cannot be done following the conventional methods.