Liver Disease
Hepatic Abscesses
The fellow should be able to:
- Demonstrate an understanding of the different etiologies of hepatic abscesses
- Demonstrate an understanding of the evaluation of a patient with a hepatic abscess
- Describe the treatment options for hepatic abscesses including indications for IR and surgery
- Describe the surgical technique for hepatic abscesses including open and minimally invasive techniques
- Understand the difference in treatment of hydatid abscesses and describe management techniques
Resources
- Topic Summary
- Overview Article:
- Additional Resources:
- Additional helpful review: Lardière-Deguelte, S.; Rago. E.; et al. Hepatic abscess: Diagnosis and management. Journal of Visceral Surgery. 2015; Vol. 152; 231-243.
- Surgical vs. percutaneous drainage: Ferraioli, G.; Garlaschelli, A.; et al. Digestive and Liver Disease. 2008; Vol. 40; 690-696.
- Aspiration vs. catheter drainage: Cai, Y; Xiong, X.; et al. Percutaneous needle aspiration versus catheter drainage in the managment of liver abscess: a systematic review and meta-analysis. Department of Bile Duct Surgery, West China Hospital. 2014.
- Laparoscopic approach: Tan, L.; Zhou, H.; et al. Laparoscopic drainage of cryptogenic liver abscess. Surg Endosc. 2013; Vol. 27; 3308-3314.
- Interesting historical paper: Gainsford, Walter D., MD; Mark, James B.D., MD. Surgical Management of Hepatic Abscess. The American Journal of Surgery. 1969; Vol. 118; 317-326.
Liver Masses
The fellow should be able to:
- Demonstrate an understanding of the acute management of a patient presenting with a liver mass
- Describe the treatment options for an acutely bleeding hepatic mass, including the roles of angioembolization and surgery
Resources
- Topic Summary
- Overview Article:
- Additional Resources:
- Bleeding after image-guided biopsy: Boyum, James H.; Atwell, Thomas D.; et al. Incidence of major hemorrhage after aggressive image-guided liver mass biopsy in the era of individualized medicine. Abdom Radiol. 2019; Vol. 44; 2067-2073.
- Preoperative embolization: Zhang, F.; Li, L.; et al. Transarterial embolization with hepatectomy for ruptured hepatocellular carcinoma: a meta-analysis. Minimally Invasive Therapy & Allied Technologies. 2022; Vol. 31; 676-683.
- Laparoscopic approach after embolization: Yoshiya, Shohei; Iwaki, Kentaro; et al. Laparoscopic Left Hepatectomy for Ruptured Hepatocellular Carcinoma Controlled After Transcatheter Arterial Embolization: Case Report and Review of the Literature. in vivo. 2018; Vol. 32; 659-662.
- Mortality risk factors: Lin, Hao-Ming; Lei, Li-Ming; et al. Risk factor analysis of perioperative mortality after ruptured bleeding in hepatocellular carcinoma. World Journal of Gastroenterology. 2014; Vol. 20; 14921-14926.
- Historical Paper: Andersson, Roland; Tranberg, Karl-Goran; et al. Hemoperitoneum After Spontaneous Rupture of Liver Tumor: Results of Surgical Treatment. HPB Surgery. 1988; Vol. 1; 81-83.