An interactive discussion between Todd Ponsky, MD and Max Langham, MD on the management of hepatoblastomas.
Dr. Max Langham is a Professor of Surgery and Pediatrics and the Vice Chairman of the Department of Surgery at the University of Tennessee Health Science Center.
Table of Contents
00:00 - Introduction
01:15 - Work-up of a newly diagnosed liver mass
04:20 - Differential diagnosis of liver mass
08:03 - Tumor biopsy
10:11 - Pretext staging system
14:43 - Upfront resection
16:18 - How to use the pretext system to determine resectability
20:14 - Annotation factors
22:25 - Histologic subtypes
25:17 - Management of unresectable tumors
28:44 - What makes hepatoblastoma high-risk?
30:52 - Approach to pulmonary metastases
34:01 - Chemotherapy regimen for metastatic hepatoblastoma
35:29 - Maneuvers to improve safety and success of liver resection
38:27 - Anesthesia care during resection
39:32 - Key surgical steps
41:58 - When to consider extreme resection and Vascular reconstruction
44:35 - Recurrent disease
46:36 - Post-resection care
47:49 - Management of pretext 4 lesions
49:45 - Summary
Intro track is adapted from "I dunno" by grapes, featuring J Lang, Morusque.
Artist URL: ccmixter.org/files/grapes/16626
License: creativecommons.org/licenses/by/3.0/
