Liver transplantation (LT) for hepatocellular carcinoma (HCC) has been
controversial, however, with increasing experience the results of the
procedure in these patients have improved. Earlier reports of poor re
sult may have been secondary to advanced tumor and poor patient select
ion. Careful patient selection and preoperative assessment of tumor ch
aracteristic is essential before offering LT to these patients. Result
s of LT in carefully selected cases may be similar to patients receivi
ng LT for other reasons. In cirrhotic patients LT may offer a better l
ong-term survival than liver resection.