A Review on the Concepts for Initially Unresectable Liver Tumors - Bridge to SurgeryOya Andacoglu, Orhan Ozkan, Umit Sekmen, Cengiz Dibekoglu, Yaman Tokat
Review Articles, no. 6, 2022
Article DOI: 10.21614/chirurgia.2767
Surgical treatments of advanced tumors have expanded in the last two decades as a result of ad-vances in surgical techniques, advanced interventional radiology methods, improved intensive care unit settings and increased overall life expectancy. Advanced liver tumors represent a broad category from various malignancies such as liver metastasis or native liver tumors. Not uncom-monly these tumors are not amenable to curative treatment and require down-staging, or local control at the initial diagnosis. Herein we discuss the portal vein embolization (PVE), transarterial radioembolization (TARE) with Yttrium-90 (Y-90), and surgical options namely, two-staged hepatectomy (TSH), and associating liver partition and portal vein ligation for staged hepatecto-my (ALPPS) as bridging strategies for definitive surgical treatment.
Keywords: liver cancer, liver surgery, transarterial radioembolisation, portal vein embolisation, liver partition