Liver Directed Therapies

Minimally invasive liver directed therapies have established their role in the treatment of hepatic neoplasms. The Barcelona Clinic staging systems is the most widely used staging system and combines staging and management. While surgical resection or liver trans- plantation are commonly performed for very early stage cancers, patient ’ s typically pre-sent with advanced disease. For those with single or small lesions, percutaneous tumor ablation may be curative. Transarterial chemoembolization or radioembolization are palliative treatments reserved for those with unresectable tumors or as bridge to transplant. In this chapter, we discuss the role of liver directed therapies throughout various stages of liver cancer, the management of these procedures, and its impact on patient care.