The surgical resection of a major portion of the liver for cancer of this viscus has long been neglected. Although the first successful resection of a primary malignant tumor of the liver was performed by LUCKE in 1891, this pioneer effort failed to stimulate interest in the operative removal of hepatic neoplasms. Earlier surgeons were intimidated by the concept of the liver as a huge vascular sponge possessed of three intricate circulatory systems. To the fear of uncontrollable hemorrhage was added the supposed hazard of hepatic insufficiency following the removal of a large portion of an organ with so many vital functions. Last but not least was the difficulty in surgical exposure. Only in recent years has the sporadic interest of surgeons been changed to a growing concern about the possibilities of extirpation of hepatic tumors by the per formance of major hepatic lobectomies. Four factors have contributed to this: 1) the dissemination of more accurate information about the surgical anatomy of the intrin sic and extrinsic hepatic circulatory systems, which has acquainted surgeons with the principles and techniques of hemostasis essential for successful operative intervention on the liver; 2) increased knowledge of the functions and regenerative capacity of the liver; 3) greater diagnostic skill aided by modern laboratory procedures; 4) improved surgical exposure of the liver by the use of laparothoracotomy incisions. Primary liver cancer varies widely in incidence in different parts of the world.
Erscheinungsdatum: 10.07.2012

lgrsnf/A:\Springer\bok%3A978-3-642-48730-9.pdf

nexusstc/Tumors of the Liver/8d42980d11394170e0c2b27d17778c41.pdf

zlib/Medicine/George T. Pack M.D., Abdol H. Islami M.D. (auth.), George T. Pack M.D., F.A.C.S., Abdol H. Islami Ph.D., M.D., F.A.C.S. (eds.)/Tumors of the Liver_2262234.pdf

V. G Allfrey

Spektrum Akademischer Verlag. in Springer-Verlag GmbH

Springer Berlin Heidelberg : Imprint: Springer

Steinkopff. in Springer-Verlag GmbH

Recent Results in Cancer Research / Fortschritte der Krebsforschung / Progrès dans les recherches sur le cancer, 26, Berlin, Heidelberg, 1970

Springer Nature, Berlin, Heidelberg, 2012

Germany, Germany

Jul 10, 2012

lg1093274

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Source title: Tumors of the Liver (Recent Results in Cancer Research)

Front Matter....Pages I-XII
Introduction....Pages 1-3
The Classification of Liver Tumors....Pages 4-14
The Pathologic Anatomy of Primary Hepatic Tumors....Pages 15-37
The Epidemiology of Primary Carcinoma of the Liver....Pages 38-52
Hepatic Carcinogenesis....Pages 53-71
Metastatic Cancer to and from the Liver....Pages 72-84
The Diagnosis of Tumors of the Liver....Pages 85-94
Hepatic Photoscanning as an Aid in Determining Treatment Policies for Cancer Involving the Liver....Pages 95-115
Surgical Anatomy of the Liver....Pages 116-136
Surgical Anatomy of the Extrahepatic Biliary System....Pages 137-161
Anesthesia for Hepatic Lobectomy....Pages 162-165
Surgical Treatment of Liver Tumors....Pages 166-186
Liver Regeneration....Pages 187-212
Transplantation of the Liver....Pages 213-239
Pathology of Tumors of Liver in Infancy and Childhood....Pages 240-258
Metabolism Before and After Hepatic Lobectomy....Pages 259-271
Radiation Therapy of Tumors of the Liver....Pages 272-276
Treatment of Inoperable Cancer of the Liver by Intra-Arterial Radioactive Isotopes and Chemotherapy....Pages 277-292
End Results in the Surgical Treatment of Liver Tumors....Pages 293-298
Back Matter....Pages 299-306

2013-12-12