Optimizing Surgical Oncology: Biliary Tract and Primary Liver Tumors

Edited by Dr. T. Clark Gamblin, this issue of Surgical Oncology Clinics of North America focuses on the latest advancements in the diagnosis and treatment of biliary tract and primary liver tumors. The comprehensive guide covers a wide range of topics, including imaging updates, endoscopic and percutaneous approaches, surgical considerations, and evolving treatment options for various types of biliary tract and primary liver tumors.

Understanding Biliary Tract and Primary Liver Tumors

Dr. Gamblin’s edition begins with an in-depth exploration of the who, what, and why of biliary tract and primary liver tumors. This foundational knowledge sets the stage for the subsequent discussions on imaging updates, treatment options, and surgical strategies.

Imaging Updates for Biliary Tract or Primary Liver Tumors

The guide delves into the latest imaging technologies and techniques used in diagnosing biliary tract and primary liver tumors. These updates are crucial for healthcare providers seeking to improve patient outcomes through early detection and accurate staging.

Endoscopic and Percutaneous Approaches to Treat Biliary Tract and Primary Liver Tumors

This section of the guide addresses the controversies and advances in endoscopic and percutaneous treatments for biliary tract and primary liver tumors. It provides insights into the benefits and limitations of these minimally invasive approaches, helping healthcare providers make informed decisions for their patients.

Surgical Considerations of Hilar Cholangiocarcinoma

The surgical management of hilar cholangiocarcinoma is a complex and challenging task. This chapter offers expert advice on the preoperative evaluation, surgical techniques, and postoperative care for patients with this aggressive malignancy.

Gall Bladder Cancer: Managing the Incidental Diagnosis

Incidental gall bladder cancer diagnoses are becoming increasingly common. This section of the guide discusses the optimal management strategies for these unexpected findings, including the role of surgery, adjuvant therapies, and surveillance protocols.

Approaches and Outcomes to Distal Cholangiocarcinoma

Distal cholangiocarcinoma presents unique challenges due to its location and potential impact on surrounding structures. This chapter reviews the various surgical and nonsurgical approaches to managing this disease, highlighting the benefits and drawbacks of each strategy.

Evolving Surgical Options of Hepatocellular Carcinoma

As the most common type of primary liver cancer, hepatocellular carcinoma (HCC) requires a multifaceted approach to treatment. This section of the guide explores the evolving surgical options for HCC, including liver transplantation, resection, and ablation techniques.

Staging of Biliary and Primary Liver Tumors: Current Recommendations and Workup

Accurate staging is crucial for determining the optimal treatment plan for patients with biliary tract or primary liver tumors. This chapter outlines the current staging systems and diagnostic workup recommended for these malignancies.

Systemic and Targeted Therapy for Biliary Tract Tumors and Primary Liver Tumors

Systemic and targeted therapies play an increasingly important role in the management of biliary tract and primary liver tumors. This section of the guide reviews the available treatment options, including chemotherapy, targeted agents, and immunotherapy.

Regional Chemotherapy for Biliary Tract and Primary Liver Cancer

Regional chemotherapy offers a potential advantage over systemic therapy by delivering high concentrations of cytotoxic agents directly to the tumor site. This chapter discusses the role of regional chemotherapy in the treatment of biliary tract and primary liver cancer.

Role of Radioembolization for Biliary Tract and Primary Liver Cancer

Radioembolization is a minimally invasive treatment that combines the benefits of radiation therapy and embolization. This section of the guide explores the role of radioembolization in the management of biliary tract and primary liver cancer, highlighting its potential benefits and limitations.

Inoperable Biliary Tract and Primary Liver Tumors: Palliative Treatment Options

For patients with inoperable biliary tract or primary liver tumors, palliative care is essential for improving quality of life and managing symptoms. This chapter reviews the available palliative treatment options, including stenting, drainage procedures, and pain management strategies.

Expanding the Surgical Pool for Hepatic Resection to Treat Biliary and Primary Liver Tumors

Advances in surgical techniques and perioperative care have expanded the pool of patients eligible for hepatic resection. This final chapter of the guide discusses the criteria for selecting patients for surgical intervention and the potential benefits of this approach for patients with biliary tract and primary liver tumors.