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Better preoperative planning improves liver resection outcomes |
Trevor W Reichman |
Richmond, USA
Author Affiliations: Division of Transplantation, Department of Surgery, Virginia Commonwealth University, Richmond, VA, USA (Reichman TW)
Corresponding Author: Trevor W Reichman, MD, PhD, Associate Professor of Surgery, Division of Transplantation, Department of Surgery, Virginia Commonwealth University, PO Box 980057, Richmond, VA 23298, USA (Tel: +1-804-828-2461; Fax: +1-804-828-4858; Email: trevor.reichman@vcuhealth.org) |
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Abstract Since the advent of liver resection as a treatment option for benign and malignant liver diseases, liver resections have continued to become safer with most centers reporting low morbidity and mortality.[1, 2] Gradual improvements in outcomes over the last decade have largely been due to improvement in surgical techniques including the more routine use of laparoscopy and advances in perioperative care.[3] Improvements in abdominal imaging have also lead to better patient selection and improved surgical planning. Despite these advances, there is still a large group of patients that are deemed “technically unresectable” due to anatomical restrictions or incompatible liver volumes. As a community, even in this day and age, we are also still far from achieving zero morbidity and mortality for patients.[4]
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