Preservation of Caval Flow in Complex Hepatectomy Under Total Vascular Exclusion
Hypothermic liver perfusion during hepatectomy under total vascular exclusion preserving caval flow showed excellent hemodynamical tolerance, with no 90-day mortality and stable hemodynamics. The technique avoids splanchnic congestion and reduces ischemia time, making it a promising approach for patients requiring prolonged vascular control in hepatic surgery.
Liver transplantation gave better 5-year survival than liver resection in combined hepatocellular-cholangiocarcinoma, including tumors within UCSF criteria.
Robotic liver resection using a close-to-open forceps technique was associated with no bile leakage and a shorter hospital stay than laparoscopic resection, even though more complex resections were performed in the robotic group.