Precision surgery for hepatocellular carcinoma

Document Type

Article

Publication Date

4-1-2025

Publication Title

Lancet Gastroenterol Hepatol

Abstract

Hepatocellular carcinoma arises in the setting of cirrhosis in most cases, requiring multidisciplinary input to define resectability. In this regard, more precise surgical management considers patient factors and anatomical states, including resection margins, tumour biology, and perioperative therapy. Together with advances in surgical techniques, this integrated approach has resulted in considerable improvements in patient morbidity and oncological outcomes. Despite this, recurrence rates in hepatocellular carcinoma remain high. As the systemic treatment landscape in hepatocellular carcinoma continues to evolve and locoregional options are increasingly used, we review current and future opportunities to individualise the surgical management of patients with hepatocellular carcinoma.

Medical Subject Headings

Humans; Carcinoma, Hepatocellular; Liver Neoplasms; Hepatectomy; Precision Medicine; Neoplasm Recurrence, Local; Margins of Excision

PubMed ID

39993401

ePublication

ePub ahead of print

Volume

10

Issue

4

First Page

350

Last Page

368

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