LIVER

Our current volume of liver surgery is 110 procedures per year (2005) with 58 segmental and lobary resections and 52 ablations. This volume is far above the 25 procedures per year needed to qualify as a high volume center (Annals of Surgery vol. October 2005). Post operative stay is generally 4-7 days following resection and 1-2 days following ablation. Operative mortality for resection is 3% and for ablation 1%.

The liver is the only organ that can regenerate following surgery.

The regenerative capacity of the liver allows for resection of up to ~ 75% volume (normal liver) and ~ 40% volume (cirrhotic liver).

Tumors in the liver must be completely resected or ablated with

Medical Oncology evaluation pre and post surgery is strongly recommended and a
requirement for our patients.

More effective chemotherapy and biological agents allow a greater percentage of patients to become surgically resectable following treatment with an improved 5 year survival.

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