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Related Experiment Video

Updated: Oct 20, 2025

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
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Vascular surgery in liver resection.

Olga Radulova-Mauersberger1,2,3,4,5, Jürgen Weitz6,7,8,9,10, Carina Riediger6,7,8,9,10

  • 1Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany. Olga.Radulova-Mauersberger@uniklinikum-dresden.de.

Langenbeck'S Archives of Surgery
|September 14, 2021
PubMed
Summary

Vascular resection and reconstruction in oncological liver surgery, though complex, offers long-term survival for advanced liver cancer. Specialized centers achieve improved outcomes through expertise and multimodal treatments.

Keywords:
Caval shiftHepatectomyLiver arteriesLiver tumorsPortal interpositionVena cava resection

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Area of Science:

  • Hepatobiliary Surgery
  • Surgical Oncology
  • Vascular Reconstruction

Background:

  • Malignant liver tumors with vascular involvement typically have a poor prognosis without surgical resection.
  • Surgery remains the only curative option for advanced hepatic malignancy, offering long-term survival.
  • Vascular involvement necessitating reconstruction is often considered a contraindication, limiting surgical options.

Purpose of the Study:

  • To review vascular reconstruction techniques in oncological liver surgery.
  • To highlight advances and standards in extended surgical procedures for liver tumors with vascular involvement.
  • To emphasize the role of specialized centers in achieving successful outcomes.

Main Methods:

  • Literature review of vascular reconstruction techniques in oncological liver surgery.
  • Presentation of institutional experience in complex vascular resections and reconstructions.
  • Analysis of factors contributing to improved postoperative results.

Main Results:

  • Vascular resection and reconstruction are complex but safely performed in specialized centers.
  • Improved surgical and anesthesiological experience enhances postoperative outcomes.
  • Multimodal treatment concepts and preconditioning measures reduce morbidity and mortality.

Conclusions:

  • Curative resection for liver tumors with vascular involvement significantly improves long-term survival.
  • Extended surgical procedures in specialized centers can shift palliative concepts towards curative therapy.
  • Advancements in surgical techniques and multimodal care are crucial for managing advanced hepatic malignancy.