Role of liver transplantation in the treatment of unresectable liver cancer.

Abstract:

:Resection remains the treatment of choice in liver cancer. In order to avoid liver transplantation in conventionally unresectable tumors ex-situ ("bench" procedure), in-situ and ante-situm resection technique should be preferred whenever feasible. Despite the deficiency of donor organs, a single center experience with 198 patients reveals that liver transplantation continues its role as a therapeutic option for selected patients. At present "favorable" indications for transplantation are International Union against Cancer (UICC) - stage II hepatocellular carcinoma as well as the subtype fibrolamellar carcinoma, uncommon tumors such as epitheloid hemangioendothelioma, hepatoblastoma, and liver metastases from neuroendocrine tumors. Due to unsatisfying results, intrahepatic bile duct-, stage III and IV hepatocellular carcinoma, hemangiosarcoma, and liver metastases from nonendocrine primaries should be excluded from liver transplantation alone. For these advanced tumors, especially in cases of extrahepatic involvement, a combination of liver transplantation and multivisceral resection has been proven feasible. However, a significant improvement in patient survival may only be expected only by currently investigated multimodality treatment protocols which will require further randomized studies.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Pichlmayr R,Weimann A,Oldhafer KJ,Schlitt HJ,Klempnauer J,Bornscheuer A,Chavan A,Schmoll E,Lang H,Tusch G

doi

10.1007/BF00299775

subject

Has Abstract,Author List Incomplete

pub_date

1995-11-01 00:00:00

pages

807-13

issue

6

eissn

0364-2313

issn

1432-2323

journal_volume

19

pub_type

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