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Critical elements of pediatric liver cancer surgery

  • Zachary J. Kastenberg
  • , Reto M. Baertschiger
  • , Alex G. Cuenca
  • , Nhu Thao Nguyen Galvan
  • , Caroline P. Lemoine
  • , Jonathan P. Roach
  • , Ashley E. Walther
  • , Stephen P. Dunn
  • , John A. Goss
  • , Patrick J. Healey
  • , Jonathan Karpelowsky
  • , Eugene S. Kim
  • , Max R. Langham
  • , Rebecka L. Meyers
  • , Riccardo A. Superina
  • , Greg M. Tiao
  • , Christopher B. Weldon
  • , Alex J. Bondoc
  • , Kimberly J. Riehle
  • , Sanjeev A. Vasudevan
  • University of Utah
  • Children’s Hospital at Dartmouth
  • Boston Children's Hospital
  • Texas Children's Hospital Houston
  • Children's Memorial Hospital
  • The Children's Hospital, Aurora
  • Cincinnati Children's Hospital Medical Center
  • Seattle Children's
  • The Children's Hospital at Westmead
  • Cedars-Sinai Medical Center
  • St. Jude Children Research Hospital

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The appropriate management of pediatric liver malignancies, primarily hepatoblastoma and hepatocellular carcinoma, requires an in depth understanding of contemporary preoperative risk stratification, experience with advanced hepatobiliary surgery, and a good relationship with one's local or regional liver transplant center. While chemotherapy regimens have become more effective, operative indications more well-defined, and overall survival improved, the complexity of liver surgery in small children provides ample opportunity for protocol violation, inadequate resection, and iatrogenic morbidity. These guidelines represent the distillation of contemporary literature and expert opinion as a means to provide a framework for preoperative planning and intraoperative decision-making for the pediatric surgeon.

Original languageEnglish
Article number151340
JournalSeminars in Pediatric Surgery
Volume32
Issue number5
DOIs
StatePublished - Oct 2023

Keywords

  • Cancer
  • Hepatoblastoma
  • Liver
  • Resection
  • Transplantation

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