Leading gastrointestinal cancer surgeon discusses importance of healthy liver preservation. Surgery in metastatic liver cancer or primary liver cancer. The more healthy liver remains after the operation, the fewer growth factors are secreted to stimulate liver regeneration. But same growth factors also stimulate cancer metastases growth. Preserving as much healthy liver during cancer resection as possible is important. It prevents metastatic cancer re-growth.

Liver-sparing cancer surgery method prevents tumor re-growth. Dr. Anton Titov, MD. Preservation of as much healthy liver in resection of liver cancer is very important. Dr. Martin Schilling, MD. Primary liver cancer or metastatic liver cancer resection must keep all healthy liver around the tumor. Liver regeneration is driven by growth factors. Same growth factors drive caner cell regrowth. Chemotherapy must be started soon after liver cancer surgery resection to prevent metastases from growing. Dr. Martin Schilling, MD. Medical second opinion clarifies stage 4 gastric cancer diagnosis. Medical second opinion helps to decide if liver metastases surgery is possible in stage 4 gastric cancer. Best treatment for advanced stage 4 gastric cancer with liver metastatic lesions. Dr. Anton Titov, MD. Medical second opinion from leading expert helps to find the best treatment for stage 4 gastric cancer with liver metastases. Get medical second opinion on advanced gastric cancer and be confident that your treatment is the best. Best gastric cancer treatment center for liver metastases. Video interview with leading surgeon in gastrointestinal cancer treatment surgery. Liver-sparing cancer surgery method prevents tumor re-growth. Liver sparing cancer surgery. Dr. Anton Titov, MD. Let's discuss liver cancer. Both primary or metastatic cancer. You have studied liver regeneration after liver cancer surgery. Please share your experience about treating primary liver cancer or metastatic liver cancer. Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. Liver is a very unique organ. Liver can regenerate after you resect it. Regeneration of liver is done by a number of growth factors that circulate in the cancer patient's blood. Dr. Anton Titov, MD. Those growth factors stimulate not only the growth of the liver. These growth factors can also stimulate the growth of remaining tumor cells in the liver. There are also metastatic cancer cells in the rest of the body. Dr. Martin Schilling, MD. Physicians have to prevent cancer cells from being stimulated by liver growth factors. Growth factors are secreted after the liver cancer resection surgery. Therefore, you have to do two things. #1. You have to always preserve as much liver as possible during liver cancer surgery. It is true both for primary liver cancer and for metastatic liver cancer. #2. You have to start treating the liver cancer patients with chemotherapy very fast after liver cancer surgery. That's what we do in our treatment of primary liver cancer or metastatic liver cancer. The surgical aspects of this problem can be solved in this way. We do liver parenchymal tissue sparing operations. Liver-sparing cancer surgery method prevents tumor re-growth. Cancer surgeon must resect the single liver segments. Remove only liver segments that contain the cancerous tumor. Dr. Martin Schilling, MD. Esophageal cancer, Gastric cancer, Pancreatic cancer, Liver cancer and Colon cancer surgeon, Switzerland. In my clinical practice we would do that procedure in about 90% of all liver cancer patients. Therefore, our rate of hemihepatectomy is only 15%. Hemihepatectomy is removing 50% of the liver or more. Usually other liver cancer surgery centers have rate of hemihepatectomy of about 50%. Many other centers ignore this very important oncological principle. Dr. Anton Titov, MD. That is a very significant difference. Dr. Martin Schilling. Yes, it is. Liver-sparing cancer surgery method prevents tumor re-growth. Leading liver cancer surgeon explains how preservation of healthy liver inhibits metastases growth.