Dr. Emmanuel
  • About
  • Stomach and Oesophagus Centre
  • Competences
    • Oesophageal cancer
    • Stomach cancer
    • Liver cancer
    • Pancreatic Cancer
    • Colorectal cancer (colon)
    • Colorectal cancer (rectum/rectum)
    • Metastatic surgery
    • Peritoneal carcinomatosis (HIPEC/PIPAC)
    • Adrenal Tumors
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  • About
  • Stomach and Oesophagus Centre
  • Competences
    • Oesophageal cancer
    • Stomach cancer
    • Liver cancer
    • Pancreatic Cancer
    • Colorectal cancer (colon)
    • Colorectal cancer (rectum/rectum)
    • Metastatic surgery
    • Peritoneal carcinomatosis (HIPEC/PIPAC)
    • Adrenal Tumors
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3D illustration of a liver -

Liver cancer

Your specialist for liver cancer.

"We don't give up on anyone, ever." This has probably also become the guiding principle of our interdisciplinary team, which has set itself the goal of ensuring the best possible life and quality of life for our patients suffering from liver cancer. I myself am considered an internationally recognized specialist in liver cancer.

Types of liver cancer

Different types of tumors are distinguished:

Primary liver cancer

The primary Liver cancer, such as liver carcinoma or bile duct carcinoma, arises directly in the liver.

Liver metastases

Liver metastases are metastases of other tumors. Most of them are metastases of colon and rectal cancer, of the lung, and of the mammary gland.

Illustration of liver tumor
Illustration of liver tumor

Liver cancer symptoms

The Liver cancer symptoms are often difficult to detect. These include a Pressure pain in the right upper abdomen and general Feeling of weakness, associated with weight loss and possibly yellowing of the skin and eyes. In advanced liver disease, such as the Cirrhosis of the liver, it also comes to small, spidery birthmarks on the skin.

Liver
Liver

Diagnostics

At the beginning there is usually the high-resolution UltrasoundIf necessary, contrast medium ultrasound can also be used to detect suspicious foci in the liver. If it is unclear what type of liver cancer is involved, in individual cases a Liver puncture provide information. In addition, on the basis of special Blood values be determined which liver cancer diagnosis to accept.

New high-tech imaging techniques, such as the Computed tomography, the Thin-slice computed tomography and high resolution Magnetic resonance imaging, are now authoritative components of the diagnosis.

Supplementary therapies

In the case of extensive infestation, a combination of surgical intervention and Supplementary therapies necessary. These therapies are also available to us if removal is not possible:

Radio Frequency Ablation / RFA / Microwave

With the so-called Radio Frequency Ablation or microwave ablation the tumor is contained by the local destruction of cells by extreme heat.

NanoKnife/Irreversible Electroporation (IRE)

At the University Clinic for Surgery in Salzburg, we will now be using an absolutely innovative treatment method for the first time under my leadership - the NanoKnife, also Irreversible Electroporation (IRE) called. Short electrical pulses of several thousand volts are used to destroy the tumor tissue.

The advantage: Damage to surrounding healthy tissue can be prevented and tumors adjacent to very delicate tissue can be reached.

Embolization procedure

Likewise, we apply the Embolization procedure in which the blood vessels supplying the tumor with nutrients are closed off by destructive substances so that the tumor dies. For this purpose, we have the Chemoembolization and the SIRT (Selective Internal Radio Therapy) available. SIRT is a nuclear medicine therapy based on the introduction of small radioactive beads into the tumor tissue of the liver. For this purpose, several million of these small beads are administered via a small catheter that has previously been placed in the hepatic artery from the groin.

Cancer treatment

Liver cancer treatment

At our clinic, liver surgery is performed minimally invasively whenever possible.  This is less stressful and it can be faster than usual - if necessary - with the subsequent Chemotherapy can be started. In addition, only small scars remain and the hospital can be left after a few days.

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Dr. Emmanuel

Contact

Univ.-Prof. Dr. Klaus EMMANUEL, F.A.C.S.

Head of the Department of General, Visceral and Thoracic Surgery at Salzburg University Hospital, Paracelsus Medical University

Johann-Wolf-Strasse 15
5020 Salzburg

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