Our expert fellowship trained surgical oncologists use comprehensive surgical techniques with a dedicated operating team to remove tumors of the liver and pancreas. Intraoperative ultrasound is routinely utilized to guide the identification and accurate removal of tumors of the liver.
Patients with liver tumors are discussed in the multi-disciplinary cancer care conference to determine which treatments would be best for each patient. In addition to conventional therapies (surgery, chemotherapy and radiation), our specialists also use molecularly targeted therapy and liver-directed therapy for select patients.
The treatments include regional therapy to a portion of the liver with radioembolization (Y-90/SIRT), trans-arterial chemoembolization (TACE), and bland embolization. Local therapy also includes stereotactic radiation, microwave and radiofrequency ablation strategies.
For advanced bilateral liver tumors, we offer two-staged liver surgery with portal vein embolization to help preserve healthy liver function. This treatment will expand the number of patients that may be candidates for curative surgery for metastatic (stage 4) colon and rectal cancers.
Patients with pancreas tumors are extensively evaluated for tumor type, appropriateness of undergoing surgery and stage of disease. Endoscopic ultrasound is performed when indicated to assist in the diagnosis. We utilize specialized CT scanning for the pancreas to closely evaluate surrounding structures. Our surgical oncologists routinely perform complex pancreas surgery including pancreaticoduodenectomy (Whipple procedure) as well as other pancreas resections. For locally advanced pancreatic tumors, portal vein/superior mesenteric vein resections with vascular reconstruction are performed when necessary to completely remove these tumors. Often pancreas cancer is treated first with chemotherapy and radiation followed by surgery in order to give you the best chance for complete cancer removal.
For patients with pancreatic cysts or selected pancreatic neuroendocrine tumors, we offer techniques to preserve pancreas function for these often benign or low-grade tumors.
When appropriate, liver and pancreatic resection may be performed with minimally-invasive techniques to minimize pain, reduce length of hospital stay and improve recovery. Some pancreas tumors are low risk and immediate treatment may not be necessary. For these patients we have surveillance programs to monitor these tumors.