HPB Virtual Journal Club Number 3, May 2012

“Advances in Contemporary Liver Resection Surgery”

As morbidity and mortality rates continue to fall worldwide for liver resection surgery, new outcome metrics are being refined to reflect overall quality better. This occurs in parallel to technical advances for hepatectomy. As a result, the indications for liver resection broaden, and this is especially true for the management of colorectal cancer liver metastases. These recently published HPB articles together with expert procedure videos provide your Journal Club the content to meet these Learning Objectives:

  • Understand why mortality data following liver resection is most meaningful and accurate using 90-day mortality rates.
  • Understand how a pre-operative validated nomogram can predict the risk of peri-operative mortality after liver resection for cancer.
  • Understand today’s newest definition for post-hepatectomy hemorrhage as standardized by a collaborative international study group.
  • Understand how new technology can enable surgeons to limit intra-operative blood loss and improve outcomes for hepatectomy.
  • Review short- and long-term outcomes achieved by experts utilizing extended left hepatectomy for colorectal cancer liver metastases.
  • Review outcomes achieved by experts utilizing repeat hepatectomy for recurrent colorectal cancer liver metastases.
  • Understand how FDG-PET/CT can optimize pre-operative staging and guide management decisions for patients with colorectal cancer liver metastases.

VIDEO: IVC Techniques in Liver Resection
Peter Lodge, Rajendra Prasad and Giles Toogood

VIDEO: The Extraglissonian Approach
Professor Joan Figueras Felip