Surgical treatment of hepatoblastoma

Pediatr Blood Cancer. 2012 Nov;59(5):800-8. doi: 10.1002/pbc.24220. Epub 2012 Aug 8.


Surgical resection remains the cornerstone of cure in hepatoblastoma (HB). Meticulous review of contrast enhanced CT/MR imaging facilitates PRETEXT and POST-TEXT grouping to determine optimal timing and desired extent of liver resection. Excellent knowledge of liver anatomy is essential and the dissection must ensure protection of the vascular inflow and outflow to the remaining liver at all times. Referral to a liver specialty center in advanced cases may facilitate resectability. Potential surgical complications include bleeding, vascular injury, cardiac arrest, liver failure, and bile leak. The risk of complications can be minimized with preoperative planning, appropriate referral, and precise surgical technique.

Publication types

  • Review

MeSH terms

  • Digestive System Surgical Procedures / adverse effects
  • Digestive System Surgical Procedures / methods
  • Heart Arrest / etiology
  • Hepatoblastoma / diagnostic imaging
  • Hepatoblastoma / surgery*
  • Humans
  • Liver / diagnostic imaging
  • Liver / surgery
  • Liver Failure / etiology
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / surgery*
  • Postoperative Hemorrhage / etiology
  • Risk Factors
  • Tomography, X-Ray Computed
  • Vascular Diseases / etiology