Ricerc@Sapienza

Background: Visceral artery aneurysms (VAAs), although rare, represent a life-threatening disease with high mortality rates. With the more frequent use of diagnostic tests, there has been an incidental detection of these lesions which are mostly asymptomatic. It follows that surgeons are increasingly called to decide on the most appropriate management of VAAs between an open surgical or endovascular approach and among the different endovascular options currently available.

In this chapter we aim at presenting status of art in Liver Surgery. After a brief introduction about natural evolution of HCC either in cirrhotic and non-cirrhotic patients, this manuscript will focus on planning and timing surgery: CT evaluation of remnant liver, biopsy and US evaluation of liver disease, intra-operative US, surgical techniques, such as major and limited hepatectomies, two-stage hepatectomies, each of them in open or mini-invasive approach, and their possible complications. Follow-up and further interventions during expected recurrences will be highlighted.