Liver Cancers

The nature of cancer is completely different depending on which organ it occurs in, and the way of thinking and method of treatment are also completely different. Liver cancer are roughly divided into two types: (1) primary liver cancer (cancer that develops in the liver itself) and (2) metastatic liver cancer (cancer metastasized to the liver). Liver cancer usually refers to “primary liver cancer.” See below for more information on treatment options.

Primary Liver Cancer
(Principles of treatment for Hepatocellular Carcinoma, Intrahepatic Cholangiocarcinoma, and other primary liver tumors are here

Metastatic Liver Tumors
(Principles of treatment for liver metastases from colorectal cancer, neuroendocrine neoplasms, gastrointestinal stromal tumors (GIST), and other metastatic tumors are here

Multidisciplinary Treatment for Advanced Cancers
(Our treatment policies for advanced hepatocellular carcinoma and multiple liver metastases are here

Laparoscopic Surgery
(Our current policy for laparoscopic liver resection is here

Biliary Cancers (bile duct cancer and gallbladder cancer)

When considering the treatment of cancer of the biliary tract, which is the flow path of bile, it is necessary to understand the anatomy of biliary tree. As shown below, my specialty areas, the liver, biliary tract, and pancreas, are located in areas where blood vessels and intestinal tracts are intricately arranged. Advanced techniques are required to remove only the cancer without damaging important blood vessels and organs, and to perform surgery that does not interfere with the subsequent quality of life. In particular, the bile duct is the only route that carries bile from the liver to the duodenum, so it needs to be resected and reconstructed in surgery.

Among the cancers of the biliary tract, hilar cholangiocarcinoma, proximal bile duct cancer, and gallbladder cancer that occur on the upstream side of the biliary tree require resection of the liver, while distal bile duct cancer that occurs downstream of the biliary tract and cancer that occurs in Vater’s papilla, which is the opening of the bile duct to the duodenum, requires resection of the pancreas. Even if the cancer has developed in the same bile duct, the technique required for resection differs depending on the location and extent of the cancer.

See following links for treatment details.

Hilar cholangiocarcinoma and gallbladder cancer

Distal bile duct cancer