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Techniques in Liver Surgery is a practical textbook giving a clear, step-by-step account of the many techniques now used in liver surgery, ranging from the standard approaches to liver resection and transplantation, through to advanced procedures such as major liver resections using hypothermic perfusion, auxi liary liver transplantation and transplantation from living related donors. In addition to specific techniques, the book provides detailed coverage of the surgical anatomy of the liver, the basic approaches to liver surgery and the history of the specialty itself. Throughout, the book is superbly illustrated with detailed colour line drawings, intraoperative photographs and radiological images, providing an invaluable source of information on the surgical anatomy of the liver and all of the common and less common techniques that are likely to be encountered by the hepatobiliary surgeon, both in training and in practice.
Ultrasound guidance of liver surgery is a very sophisticated approach that permits the performance of otherwise unfeasible operations, discloses the true extent of tumors, increases the indications for hepatectomy, and renders surgery safer. Despite this, it has remained relatively neglected in the literature over the past two decades, during which time much progress has been achieved. This is the first atlas on the subject, and it is comprehensive in scope. The state of the art in the use of ultrasound for resection guidance is carefully documented, and new techniques for exploration of the biliary tract and facilitation of transplant surgery are presented. Further important topics include the role of ultrasound in laparoscopic approaches, the use of contrast agents for diagnosis and staging, and developments in the planning of surgical strategy. The editor is a leading authority whose group has been responsible for a variety of advances in the field. He has brought together other experts whose aim throughout is to provide clear information and guidance on the optimal use of ultrasound when performing liver surgery. This atlas is intended especially for hepatobiliary surgeons but will also be of considerable value for general surgeons.
This volume is a complete manual of operative techniques for battling a severe liver injury. It provides an easy pre-operative and intra-operative reference with clear illustrations, line drawings as well as actual intra-operative color pictures, supplemented by online video segments. The early sections of the book deal with the fundamentals of surgical anatomy and critical maneuvers in the resuscitation of the patient in extremis. The various technical maneuvers for manual control of hemorrhage, debridement-resection as well as formal lobectomy of the liver, the identification of biliary tract injuries and other miscellaneous techniques, such as balloon tamponade of missile tracts, are discussed in complete detail. The book also sketches the role of liver transplantation surgeons in the acute trauma setting. The final chapters focus on the urgent problem of teaching operative techniques to young trauma surgeons in an era of dwindling surgical experience. Written by authors who are world- renowned experts in trauma management, often termed “master-surgeons”, Operative Techniques for Severe Liver Injury is required preparation for all surgeons who are likely to face a massive crush injury of the liver.
Techniques of Liver Surgery is a concise, step-by-step guide to a range of techniques used in liver surgery, from standard approaches to transplantation. The book is divided into twelve chapters, beginning with indications for liver resection, and techniques for transection of the liver. Subsequent chapters cover operations for benign lesions, carcinoma of the gall bladder and bile ducts, hepatocellular carcinoma, and colorectal liver metastases. Later chapters focus on liver transplants, covering procurement of the liver, recipient hepatectomy and implantation. The closing chapters cover liver transplant from a living donor. Each chapter assesses indications, contraindications, and preoperative planning, before providing a full step-by-step explanation of the procedure. The book also features a detailed description of the “W” technique, a safer technique for performing the hepatic artery anstomosis in living donor liver transplantation. Enhanced by 240 full colour images and illustrations, Techniques of Liver Surgery is an ideal resource for hepatobilliary and transplant surgeons. Key Points Concise, step-by-step guide to techniques in liver surgery Chapters on transaction, various lesions and cancers, and liver transplant from deceased and living donors 240 full colour images and illustrations
This book provides a comprehensive overview of the current limitations and unmet needs in Hepatocellular Carcinoma (HCC) diagnosis, treatment, and prevention. It also provides newly emerging concepts, approaches, and technologies to address challenges. Topics covered include changing landscape of HCC etiologies in association with health disparities, framework of clinical management algorithm, new and experimental modalities of HCC diagnosis and prognostication, multidisciplinary treatment options including rapidly evolving molecular targeted therapies and immune therapies, multi-omics molecular characterization, and clinically relevant experimental models. The book is intended to assist collaboration between the diverse disciplines and facilitate forward and reverse translation between basic and clinical research by providing a comprehensive overview of relevant areas, covering epidemiological trend and population-level patient management strategies, new diagnostic and prognostic tools, recent advances in the standard care and novel therapeutic approaches, and new concepts in pathogenesis and experimental approaches and tools, by experts and opinion leaders in their respective fields. By thoroughly and concisely covering whole aspects of HCC care, Hepatocellular Carcinoma serves as a valuable reference for multidisciplinary readers, and promotes the development of personalized precision care strategies that lead to substantial improvement of disease burden and patient prognosis in HCC.
This book comprehensibly describes the clinical details of anatomic hepatic resection using the Glissonean pedicle approach for hepatocellular carcinoma. It includes all aspects of the surgical anatomy of the liver, preoperative management of patients, surgical techniques, and intraoperative key points to prevent postoperative complications. The first three chapters provide a general introduction to the clinical anatomy of the liver, preoperative management of patients with hepatocellular carcinoma, basic techniques for hepatic resection using the Glissonean approach, and the application of dye staining in anatomic hepatic resection. Subsequent chapters present the technical details of anatomical segmentectomy (Couinaud’s classification), sectionectomy and hemi-hepatectomy for hepatocellular carcinoma using the modified suprahilar Glissonean approach. All of these hepatectomies can be performed using simple and easily available surgical instruments. In addition, it discusses precise transection of the deepest hepatic parenchyma guided by methylene blue staining. It is a useful and timely reference for hepatobiliary surgeons, clinical staff, and medical students.
This atlas describes and illustrates in detail the surgical procedures employed in laparoscopic anatomical liver resection, according to tumor location. The surgical approach and techniques are explained for each type of laparoscopic liver resection based on the involved anatomical segment, section, and hemi-liver. Attention is also drawn to potential complications and the means of preventing and managing them. Beyond anatomical liver resection, guidance is provided on non-anatomical resections that do not pay regard to segmental, sectional, or lobar anatomy. The coverage is completed by the inclusion of useful information on instruments and energy devices as well as the basic skills required for laparoscopic liver resection. In presenting a clear practical approach to each laparoscopic anatomical major and minor resection, the Color Atlas of Laparoscopic Liver Resection will be an invaluable guide for trainees. In addition, it will equip more experienced surgeons with much useful information that will enable them to further improve their technique.
A concise, illustrated guide to the operative techniques and medical management of liver transplantation Filled with more than 1,000 images, illustrations, and bulleted text, this invaluable book provides a highly visual approach to liver transplantations for a diverse audience of healthcare professionals who treat patients with acute and chronic liver failure that requires full or partial transplantation. With coverage of all topics in the field, this reader-friendly and practical book serves as an ideal reference for residents, fellows, and senior physicians. It is easy to read, simple, and practical. FEATURES Over 1,000 high quality images and illustrations Multi-Disciplinary Approach Overview Liver Disease - Native and Recurrent Recipient Candidate Evaluation Donor Evaluation - Live and Deceased Pharmacy Anesthesia Operative Techniques Post-Operative Management Pathology Dermatological Findings Imaging And much more, including Immunology, Ethics, Quality Control, Risk Management, and Cellular and Tissue Engineering
This book presents a concept of hepatic segmentation with respect to the Glissonean pedicle tree. It also outlines surgical procedures for segmentectomy and cone-unit resection. Detailed illustrations depict every important action a surgeon must consider while performing these operations.
Hepatobiliary and Pancreatic Surgery is part of the Master Techniques in Surgery Series, which presents common and advanced procedures in the major subspecialties of general surgery. The series is overseen by Josef E. Fischer, MD, editor of the classic two-volume reference Mastery of Surgery. Hepatobiliary and Pancreatic Surgery depicts surgery of the liver, hepatobiliary tree, and pancreas, including cholecystectomy and hepatic resections. Both laparoscopic and open procedures are depicted. The book is written by acknowledged master surgeons, emphasizes surgical procedures, and is lavishly illustrated with original full-color drawings. Each chapter briefly assesses indications, contraindications, and preoperative planning before fully explaining and illustrating the procedure in step-by-step detail. Outcomes, complications, and follow-up are also discussed. Each chapter ends with a brief reference list. A companion website will offer the fully searchable content of the book and procedural videos.