|
Liver Surgery |
| Liver surgery comprises various operations of the liver for different disorders. The most common operation performed on the liver is a resection (removal of a portion of the liver). The most typical indication for liver resection is a malignant tumor. Tumors can be primary (developed in the liver) or metastatic (developed in another organ, then migrated to the liver). The majority of liver metastases come from the colon although liver metastases from other sites are occasionally considered for resection if the primary disease has been controlled. Liver resection patients are carefully evaluated by a multidisciplinary team to ensure the absence of the extrahepatic (outside the liver) tumor. In rare instances resection of tumor in both the liver and other sites can be done with a chance for cure however this is the exception not the rule. Liver resections performed on patients with extrahepatic disease may relieve the symptoms caused by the tumor, but offer little improvement in survival. In highly selected cases liver transplantation may be offered to patients with primary liver tumors limited to the liver that would otherwise be unresectable. ( See Liver transplant) Benign tumors of the liver (cyst, adenoma, hemangioma) can be successfully managed by liver resection as well. If the location of a benign tumor is superficial and small in size, the operation can be performed laparoscopically (by making small punctures in the abdomen while viewing through a video camera). Liver resections are also performed on people willing to donate part of their liver to a loved one during live donor liver transplant .
The University of Florida Center for Hepatobiliary Disease: Performs over 200 major liver surgery procedures per year. Are among the few liver surgeons in the country to have successfully performed “ex-vivo” liver resection during which the liver is completely removed from the body, the tumor cut away and then the tumor free liver reimplanted in the body. Offers all modalities of treatment of liver tumors including radiofrequency ablation, cryoablation, liver transplantation, intra-arterial chemotherapy, transarterial chemoembolization, intra-arterial Yttrium 90, and conformal beam radiotherapy (cyberknife)
|