Latest Surgical Treatment of Hepatocellular Carcinoma Focusing on “Endoscopic Surgical Treatment” and “Hepatic Resection Combined with IVR”

Abstract

The long-term survival after hepatic resection for hepatocellular carcinoma remains unsatisfactory because of the high incidence of tumor recurrence. Both curability and preservation of liver functional reserve are required. We introduced in this paper following: 1) advances in hepatic resection, 2) less invasive endoscopic surgical treatments consisting of endoscopic hepatic resection and endoscopic ablation therapy, 3) hepatic resection followed by adjuvant hepatic arterial infusion chemotherapy for hepatocellular carcinoma patients with vascular invasion, and additional effects of portal vein embolization on hemi-hepatectomy. We believe that this subject might encouraging radiologists to collaborate with surgeons for the purpose of further improvement of hepatocellular carcinoma treatment results.