Leading expert in gastrointestinal cancer surgery, Dr. Martin Schilling, MD, explains a delicate liver resection technique from Japan. This method preserves maximum healthy liver tissue during cancer surgery. It involves isolating and removing only the specific liver segments containing tumors. This approach enables safer removal of multiple lesions from both liver lobes in one operation. Patients experience a smoother recovery and a lower risk of liver failure post-surgery.
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Advanced Liver-Sparing Surgery for Primary and Metastatic Liver Cancer
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- Japanese Liver Resection Technique
- Benefits of Segmental Liver Resection
- Surgical Technique Details
- Patient Recovery Advantages
- Liver Preservation and Cancer Growth
- Medical Second Opinion Importance
- Full Transcript
Japanese Liver Resection Technique
Dr. Martin Schilling, MD, discusses a sophisticated liver cancer surgery technique developed in Japan. This method focuses on the precise, segmental resection of the liver. Surgeons from Tokyo and Kyoto pioneered this approach to gastrointestinal cancer treatment. The core principle is to remove only the diseased tissue while preserving all healthy liver segments.
Benefits of Segmental Liver Resection
The primary benefit of this liver-sparing technique is the preservation of functional liver tissue. Dr. Martin Schilling, MD, explains that leaving more healthy liver intact is crucial for patient recovery. This approach allows for the resection of metastatic liver cancer or primary liver cancer lesions from both sides of the organ during a single operation. It is a physically demanding procedure for the surgeon but offers significant advantages for the cancer patient.
Surgical Technique Details
Dr. Martin Schilling, MD, details the technical steps of this advanced liver cancer treatment. Surgeons meticulously isolate the various segments of the liver by identifying and occluding their individual blood supply in the liver's hilum. By clamping the vessels feeding a specific segment, surgeons can resect only the areas containing the tumor. This precise dissection spares all other liver segments that are free of cancer, enabling complex resections that combine segments like 8, 4B, 5, 2, and 1.
Patient Recovery Advantages
Patients undergoing this specialized liver cancer surgery experience a much smoother postoperative course. Dr. Martin Schilling, MD, emphasizes that recovery is significantly better than after standard major liver resections. A key outcome is the virtual elimination of postoperative liver failure. The preserved healthy liver recovers well, leading to faster overall recuperation for patients with both primary and metastatic liver cancer.
Liver Preservation and Cancer Growth
Preserving healthy liver tissue has a critical biological impact beyond immediate recovery. Dr. Martin Schilling, MD, highlights that the more healthy liver remains after an operation, the fewer growth factors are secreted to stimulate regeneration. These same growth factors can also stimulate the growth of cancer metastases. Therefore, a liver-sparing resection technique is not only crucial for recovery but may also play a role in preventing metastatic cancer growth after surgery.
Medical Second Opinion Importance
Dr. Anton Titov, MD, and Dr. Martin Schilling, MD, discuss the value of a medical second opinion for complex liver cancer cases. This is particularly important for stage 4 colorectal cancer patients with liver metastases. A second opinion from a leading expert helps confirm whether liver metastases surgery is possible and ensures the patient receives the best treatment. It provides confidence that the chosen advanced surgical strategy, like the techniques described by Dr. Schilling, is the optimal approach.
Full Transcript
A leading gastrointestinal cancer surgeon discusses a delicate liver cancer surgery technique that originated from Japan. It is a gentle resection of only the liver segments with cancer present. This is important for the preservation of as much healthy liver tissue as possible.
This liver resection technique allows for the resection of metastatic or primary liver cancer lesions. You can remove cancer from both sides of the liver during a single operation. Patients have a smoother and faster postoperative recovery.
Best liver cancer surgery treatment from Japan. The cancer patient's quality of life after liver metastases resection depends on the remaining functional liver.
Delicate liver dissection by every segment has been developed by surgeons from Japan. Dr. Martin Schilling, MD: is one of the few people who use this method of liver cancer resection in Europe. This liver cancer resection method allows for better and faster recovery of patients after surgery.
A medical second opinion clarifies a stage 4 liver cancer diagnosis. A leading Swiss gastrointestinal cancer surgeon discusses the importance of healthy liver preservation in metastatic liver cancer or primary liver cancer surgery.
The more healthy liver that remains after the operation, the fewer growth factors are secreted to stimulate liver regeneration. But those same growth factors also stimulate cancer metastases growth. Preserving as much healthy liver during cancer resection as possible is important to prevent metastatic cancer growth.
A medical second opinion helps to decide if liver metastases surgery is possible in stage 4 colon cancer. Best treatment for advanced stage 4 colorectal cancer with liver metastatic lesions.
Dr. Martin Schilling, MD: A medical second opinion from a leading expert helps to find the best treatment for stage 4 colorectal cancer with liver metastases.
Dr. Anton Titov, MD: Get a medical second opinion on advanced colorectal cancer and be confident that your treatment is the best. Best colorectal cancer surgeon for liver metastases. A video interview with a leading surgeon in gastrointestinal cancer treatment surgery.
Best liver cancer surgery treatment method from Japan. It is crucial to spare healthy liver.
Dr. Anton Titov, MD: Let's continue our conversation about liver cancer. It's very important in liver surgery for primary liver cancer. It is also crucial for metastatic liver cancer. A surgeon has to preserve as much functional healthy liver as possible. It makes it possible for the healthy liver to regenerate.
Dr. Anton Titov, MD: Could you talk about the surgical techniques that you use? How do you make sure as much healthy liver is preserved during the liver cancer surgical treatment? You certainly have a lot of experience in the surgical treatment of primary liver cancer. You also operate on metastatic liver cancer.
Dr. Martin Schilling, MD: Liver-sparing surgical techniques were mostly developed by Japanese cancer surgeons from Tokyo and Kyoto. This is an example of my work and surgical training in Japan.
Cancer surgeons isolate the various segments of the liver by occluding the blood supply that goes into those liver segments. This is a very subtle surgical technique in the hilum of the liver. This liver cancer treatment technique allows one to identify vessels feeding individual liver segments.
Dr. Martin Schilling, MD: Then you can clamp those blood vessels and resect only those liver segments that contain the liver cancer tumor. This surgical liver cancer treatment method spares all other liver segments that are free of cancer.
This cancer treatment also provides the advantage to resect liver tumors on both sides of the liver during the same surgical operation. You can resect, for example, segment 8, segment 4B, or segment 5 and segment 2 and segment 1.
You can combine those liver cancer resection procedures into one operation. This leaves as much healthy liver tissue intact as possible. This liver cancer treatment technique is physically demanding from the cancer surgeon.
Dr. Martin Schilling, MD: But the postoperative course for the metastatic liver cancer or primary liver cancer patients is much, much smoother. It is better than recovery after standard major resections for cancer in the liver.
We do not see at all, or see very, very rarely, any liver failure in those patients. The liver recovers well after liver cancer resection surgery by this advanced technique.
Dr. Anton Titov, MD: Is this liver cancer resection technique being used more widely? Or is it essentially only used in Japan and by you? This surgical liver resection method is not used by many Western cancer surgeons.
Dr. Martin Schilling, MD: It is a liver cancer surgery technique mostly used in Japan. Best liver cancer surgery treatment from Japan. Liver-sparing resection allows for the preservation of more healthy liver. Cancer patients recover faster after surgery.
A leading Swiss gastrointestinal cancer surgeon discusses a delicate liver cancer surgery technique that originated from Japan. Gentle resection of only the liver segments with cancer present is important for the preservation of as much healthy liver tissue as possible.
This liver resection technique allows for the resection of metastatic or primary liver cancer lesions from both sides of the liver during a single operation. Patients have a smoother and faster postoperative recovery.