title: Surgical treatment of hepatoblastoma.
abstract: Surgical resection remains the cornerstone of cure in hepatoblastoma (HB). Meticulous review of contrast enhanced CT/MR imaging facilitates PRETEXT and POST-TEXT grouping to determine optimal timing and desired extent of liver resection. Excellent knowledge of liver anatomy is essential and the dissection must ensure protection of the vascular inflow and outflow to the remaining liver at all times. Referral to a liver specialty center in advanced cases may facilitate resectability. Potential surgical complications include bleeding, vascular injury, cardiac arrest, liver failure, and bile leak. The risk of complications can be minimized with preoperative planning, appropriate referral, and precise surgical technique.
authors.affiliation: Division of Pediatric Surgery, Primary Children's Medical Center, University of Utah, Salt Lake City, Utah 84113, USA. rebecka.meyers@imail.org
authors.forename: Rebecka L
authors.initials: RL
authors.lastname: Meyers
authors.forename: Piotr
authors.initials: P
authors.lastname: Czauderna
authors.forename: Jean-Bernard
authors.initials: JB
authors.lastname: Otte
mesh_terms: D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006323:Heart Arrest / Q000209:etiology; D018197:Hepatoblastoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000601:surgery; D017093:Liver Failure / Q000209:etiology; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000209:etiology; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000209:etiology