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Imaging Features of Main Hepatic Resections: The Radiologist Challenging

Liver resection is still the most effective treatment of primary liver malignancies, including hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA), and of metastatic disease, such as colorectal liver metastases. The type of liver resection (anatomic versus non anatomic resection) depends on...

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Detalles Bibliográficos
Autores principales: Cutolo, Carmen, Fusco, Roberta, Simonetti, Igino, De Muzio, Federica, Grassi, Francesca, Trovato, Piero, Palumbo, Pierpaolo, Bruno, Federico, Maggialetti, Nicola, Borgheresi, Alessandra, Bruno, Alessandra, Chiti, Giuditta, Bicci, Eleonora, Brunese, Maria Chiara, Giovagnoni, Andrea, Miele, Vittorio, Barile, Antonio, Izzo, Francesco, Granata, Vincenza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9862253/
https://www.ncbi.nlm.nih.gov/pubmed/36675795
http://dx.doi.org/10.3390/jpm13010134
Descripción
Sumario:Liver resection is still the most effective treatment of primary liver malignancies, including hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA), and of metastatic disease, such as colorectal liver metastases. The type of liver resection (anatomic versus non anatomic resection) depends on different features, mainly on the type of malignancy (primary liver neoplasm versus metastatic lesion), size of tumor, its relation with blood and biliary vessels, and the volume of future liver remnant (FLT). Imaging plays a critical role in postoperative assessment, offering the possibility to recognize normal postoperative findings and potential complications. Ultrasonography (US) is the first-line diagnostic tool to use in post-surgical phase. However, computed tomography (CT), due to its comprehensive assessment, allows for a more accurate evaluation and more normal findings than the possible postoperative complications. Magnetic resonance imaging (MRI) with cholangiopancreatography (MRCP) and/or hepatospecific contrast agents remains the best tool for bile duct injuries diagnosis and for ischemic cholangitis evaluation. Consequently, radiologists should be familiar with the surgical approaches for a better comprehension of normal postoperative findings and of postoperative complications.