Full Description
Liver surgery has made extraordinary progress over the past 40 years, evolving from the first, timid partial resections in the 1950s to today's major resections and organ transplants. Examining the rea- sons for this progress, one cannot but be impressed by the substan- tial role that has been played by radiology. Formerly, preoperative planning was based on only nebulous scintigraphic scans. Today, surgeons have at their disposal a wide variety of radiological modalities for diagnosis and topography which are precise enough to exclude most operative surprises. Fur- thermore, the radiologist is becoming increasingly involved in ther- apy: prior to operation for tumor reduction by embolization and after resection for treatment of local complications - which could otherwise necessitate difficult and occasionally dangerous reoper- ations. As the author writes in his preface, it is not really astonishing that a radiologist is publishing a book on this topic, and he must be congratulated for his work-up, which combines important personal experience with a complete analysis of published papers on this topic.
Contents
1 Anatomy of the Liver.- 1.1 Hepatic Veins.- 1.2 Portal Vein.- 1.3 Hepatic Arteries.- 1.4 Biliary Ducts.- 1.5 Lymphatic Drainage.- 2 Malignant Liver Lesions: Pathology.- 2.1 Hepatocellular Carcinoma.- 2.2 Hepatoblastoma.- 2.3 Cholangiocarcinoma.- 2.4 Mesenchymal Tumors.- 2.5 Metastases.- 3 Diagnosis and Staging of Malignant Liver Disease.- 3.1 Clinical Aspects.- 3.2 Biochemical Tests.- 3.3 Techniques in Imaging Malignant Liver Disease.- 3.4 Imaging Malignant Focal Liver Lesions.- 3.5 Percutaneous Liver Biopsy.- 3.6 Principles of Staging of Liver Lesions.- 3.7 Which Method to Choose?.- 4 Surgical Treatment of Malignant Liver Lesions.- 4.1 Liver Resection.- 4.2 Arterial Ligature: Dearterialization.- 4.3 Cryosurgery.- 4.4 Transplantation.- 5 Radiotherapy.- 5.1 Tolerance of the Liver to Radiation.- 5.2 External Radiotherapy.- 5.3 Internal Radiotherapy.- 5.4 Radiotherapy Combined with Chemotherapy.- 6 Ethanol Injection Therapy of Liver Tumors.- 6.1 Patient Selection.- 6.2 Technique.- 6.3 Results.- 7 Systemic Chemotherapy.- 7.1 Tumor Response to Chemotherapy.- 7.2 Hepatocellular Carcinomas.- 7.3 Liver Metastases.- 8 Selective Perfusion of Chemotherapeutic Agents.- 8.1 General Considerations.- 8.2 Regional Chemotherapy: The "Surgical Way".- 8.3 Regional Chemotherapy: the "Radiological" Way.- 8.4 Complications and Side Effects of Regional Chemotherapy.
