The role of liver resection in malignant disease has changed with great improvement in morbidity, mortality and long-term survival. New understanding of liver anatomy, improved perioperative care, anesthesia techniques, and technological advances has improved this aspect of patient care. Liver resections are high-risk procedures performed by experienced surgeons. With improved techniques in liver resections, the patients previously considered unrespectable have now an opportunity to undergo curative surgery.
Types of major resections An important decision in any liver resection is choosing the amount of parenchyma to be removed. Anatomic resections usually involve 2 or more hepatic segments, while non-anatomic resection involves resection of the metastases with a margin of uninvolved tissue. Vascular control Blood loss is among the most important variables influencing postoperative…
