Liver resection surgery and liver transplantation for hepatocellular carcinoma/primary liver cancer

Primary liver cancer is also known as hepatocellular carcinoma.
Its clinical presentation and screening - • Hepatocellular carcino...
LI-RADS - Imaging for liver cancer - • Imaging for Liver Canc...
Treatment overview of hepatocellular carcinoma - • Primary liver cancer /...
The Barcelona clinic liver cancer staging system has recently undergone some changes in 2022 liver cancer staging and recommendations. However, the role of liver resection and liver transplantation is still debated in the BCLC 0 and A stages. The current debate highlights the recent literature on the same and enumerates the points in favor of and against both modalities.
Liver resection is recommended even in the 2022 BCLC as the treatment of choice in patients with preserved liver function.
Transplantation is preferred when liver function is not good and the child-pugh score is more than 8. Liver transplantation comes with its own set of problems such as cost, availability of donors, and so on.. So, selecting the treatment option depends on a lot of factors especially when 5-year survivals may be similar in both groups with appropriately selected cases.
So, do have a look at this video on primary liver cancer management / hepatocellular carcinoma treatment predominantly focussing on liver resection and liver transplantation.
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[@khaliddurrani6432]

Agreed that LTx is the treatment of choice in suitable patients within the extended criteria but in our low& middle income countries LTX is not available to most patients as it is resource intensive and prohibitively expensive for patients as well as the National health. Hence the only potentially curative option is resection in patients who are operable and resectable. Even patients with un-resectable tumors can be down staged by prior techniques such as PVE, TACE or ablation. So the need for more HPB units with IR facilities to manage the burden of malignant liver disease.

[@pratikshah5790]

Thank you for sharing
Just one suggestion for presenter
Apart from author name ,reference article should be mentioned
Correct spelling of author
So it can be found on Google

[@edusurgclinics]

Thank you for your appreciation and suggestion. Will definitely incorporate it in future. Do share the links, other videos to your students, juniors, colleagues and feel free to communicate on [e-mail]. 😇🍀