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Special Issue
New trends in minimally invasive management of liver tumors
Guest Editor(s): Special Issue Introduction
Fernando Andrés Alvarez, Minimally invasive surgery has evolved greatly in the last decades for nearly all
surgical elds, and liver surgery has not been the exception. For several years,
MD
diagnostic and staging laparoscopy were the only laparoscopic procedures
Chief, Hepato-pancreato-biliary
performed for liver tumors. However, several improvements in imaging
Surgery Section, General Surgery modalities, anesthetic management, new technological devices, the
Service, Clínica Universitaria improvement of surgeon´s skills as well as several advances of the surgical
Reina Fabiola, Córdoba, technique itself have brought us nowadays to a reality in which almost all types
Argentina. of liver resections can be performed safely by laparoscopy. Liver surgeons have
Associate Surgeon, General been constantly pushing the frontiers of resectability, as complete tumor
Surgery Service, Hospital removal has proved to be the best mean to achieve long-term survival or even
Italiano de Buenos Aires, cure. The development of multimodal strategies combining intra-arterial
Buenos Aires, Argentina. procedures, portal vein occlusion and local ablation therapies with surgery,
Email: have led to the successful treatment of patients having high tumor loads and
fernando.alvarez@hospitalitalian otherwise poor prognosis. Minimally invasive surgical approaches such as
o.org.ar laparoscopic or robotic techniques have gained increasing importance in
modern oncological liver surgery, with recent evidence showing a faster
recovery and uncompromised long-term outcomes. Meanwhile, minimally
invasive percutaneous or endoscopic palliation has also evolved greatly in
recent years, allowing chemotherapy treatment and a better quality of life for
those patients who are not candidates to surgical resection.
The overall aim of this Special Issue is to present and discuss recent advances in
the minimally invasive management of patients with liver tumors. Potential topics
may include: laparoscopic liver surgery (totally laparoscopic, hand-assisted or
hybrid), robotic liver surgery, innovative mini-invasive approaches, multimodal
strategies to increase resectability, local ablative therapies, navigation systems
and uorescence guided liver surgery, regenerative liver surgery (percutaneous
portal vein or hepatic vein embolization, in situ split resections, cell-based
therapies), fast track postoperative recovery protocols, palliative percutaneous
or endoscopic treatment of liver malignancies, etc.
Benets
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