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Nutritional Support After Surgery of the Liver

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Nutritional Support after Gastrointestinal Surgery

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Abstract

Liver resection remains the only curative treatment for hepatic malignancies. Many progresses have been recently done in the field of chemotherapy that, in association with surgery, could guarantee the best survival for patients with liver malignancies including primitive cancer (hepatocellular carcinoma, cholangiocarcinoma) and metastatic cancer (colorectal liver metastasis, breast cancer). The main concept of resectability in liver surgery is associated to the concept of leaving a sufficient quote of liver parenchyma to guarantee a sufficient liver function which is mandatory to reduce the risk of postoperative liver failure. Recently, several improvements in the perioperative management of surgical patient have been introduced. For example, prediction of future remnant liver could be calculated with 3D reconstruction software, as well as quality of liver function with the ICG test. Minimally invasive surgery (robotic and laparoscopic) has also contributed to minimize the surgical trauma. Furthermore, adhesion to the ERAS (enhanced recovery after surgery) protocols has contributed to reduce postoperative in hospital stay.

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Authors and Affiliations

  1. Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy

    Riccardo Memeo

  2. Ambulatorio di Medicina Integrata, G. Bernabei Hospital, Ortona, Italy

    Anna D’Eugenio (Consultant Nutritionist)

Authors
  1. Riccardo Memeo
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  2. Anna D’Eugenio
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Correspondence to Riccardo Memeo .

Editor information

Editors and Affiliations

  1. Department of Emergency and Organ Transplant, University of Bari Aldo Moro, Bari, Italy

    Donato Francesco Altomare

  2. Department of Emergency and Organ Transplant, University of Bari Aldo Moro, Bari, Italy

    Maria Teresa Rotelli

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Memeo, R., D’Eugenio, A. (2019). Nutritional Support After Surgery of the Liver. In: Altomare, D., Rotelli, M. (eds) Nutritional Support after Gastrointestinal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16554-3_8

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  • DOI: https://doi.org/10.1007/978-3-030-16554-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16553-6

  • Online ISBN: 978-3-030-16554-3

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