title: [Liver resection in hepatocellular carcinoma].
abstract: Hepatic resection offers the only chance of cure for patients with hepatocellular carcinoma. Preoperative tumor staging is based on radiologic procedures (ultrasound, CT- and MR-imaging). Compromised hepatic function will limit resectability, leaving only palliative procedures. Unfavorable prognostic tumor factors (diameter > 5 cm, multifocal, nonencapsulated, vascular invasion) should lead to a combination of adjuvant chemotherapy/chemoembolization and surgical intervention. In irresectable situations multimodality treatment protocols (combined i.v. chemotherapy, radio-immuno-therapy) play an increasing role.
authors.affiliation: Chirurgische Klinik und Poliklinik, Abteilung für Allgemeine Chirurgie, Eberhard-Karls-Universität Tübingen.
authors.forename: W
authors.initials: W
authors.lastname: Lauchart
authors.forename: M J
authors.initials: MJ
authors.lastname: Sessler
authors.forename: R
authors.initials: R
authors.lastname: Viebahn
authors.forename: M
authors.initials: M
authors.lastname: Naruhn
authors.forename: P E
authors.initials: PE
authors.lastname: Huppert
authors.forename: H D
authors.initials: HD
authors.lastname: Becker
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D010166:Palliative Care; D015996:Survival Rate