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The aim is to evaluate surgical resection outcomes for hepatocellular carcinomas in patients with Fontan-associated liver disease.

Surgical Resections for Hepatocellular Carcinomas Arising From Fontan‐Associated Liver Disease; Open, Laparoscopic and Robotic Hepatectomies

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The aim is to evaluate surgical resection outcomes for hepatocellular carcinomas in patients with Fontan-associated liver disease.
Compared long-term outcomes between FALD and non-FALD HCC cases.
Identified candidates for surgical resection based on tumor size and liver conditions.
Considered minimally invasive techniques.
Long-term outcomes are similar for FALD and non-FALD HCC.
Candidates for surgical resection include FALD-HCC ≤ 2 cm and CVP ≤ 12 mmHg.
Post-Fontan surveillance may play a critical role.

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Open, laparoscopic, and robotic hepatectomies show comparable outcomes for FALD and non-FALD HCC, suggesting surgical options.

Motomura et al. (2026) studied this question.

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