Liver Metastases and Liver Surgery

This episode delves into liver metastases and liver surgery. We discuss both colorectal and non-colorectal liver metastasesFor colorectal liver metastases we cover:- epidemiology- how they are diagnosed and how to work them up- medical treatment including chemotherapy both neoadjuvantly and adjuvantly- the decision making on who to operate on, and the treatment sequence when considering the colorectal primary- other liver targeted treatmentsWe talk about liver surgery including:- preoperative considerations such as the future liver remnant quality and quantity to prevent postoperative liver failure- how to improve the future liver remnant- what is postoperative liver failure- postoperative surveillancePrinciples of liver surgery:- liver mobilisation- inflow control- outflow control- low CVP- parenchymal dissectionFor non-colorectal liver metastases we have a quick summary at the end of the episode about which ones would be considered for surgery.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021