Master Techniques in Surgery: Hepatobiliary and Pancreatic Surgery

 

Description:

Updated with many of the latest techniques, this second edition continues the focus on procedures that is the hallmark of the Master Techniques in Surgery series. You’ll find plainly written details on some of the most common procedures, as well as relevant information on anatomy, patient outcomes to expect, required instruments, and more. Lavishly illustrated with original full-color drawings, the book is your go-to source for easy-to-follow and step-by-step procedural instructions!

 

Table of Contents:

 

PART I Pancreas and Biliary Tract

1 Pancreaticobiliary Surgery: General Considerations

SURGICALLY RELEVANT ANATOMY

PREOPERATIVE CONSIDERATIONS

Diagnosis

Imaging

Patient Preparation

INTRAOPERATIVE CONSIDERATIONS

General Considerations

Patient Positioning

Monitoring/Intravenous Access

Incision

Staging Laparoscopy

Pancreatic Anastomosis Techniques

Drains

THE NORMAL POSTOPERATIVE PATHWAY

DEVIATIONS FROM THE PATHWAY (COMPLICATIONS)

Defining and Grading of Complications

Assessing Risk of Complications

Detection of Complications

Management of Complications

CONCLUSION

2 Pancreaticoduodenectomy With or Without Pylorus Preservation

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Patient Preparation

Technique—Resection (Extirpative Phase)

Technique—Reconstruction Phase

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

SPECIAL CONSIDERATIONS—PANCREATICODUODENECTOMY FOLLOWING NEOADJUVANT THERAPY FOR BORDERLINE RESECTABLE OR LOCALLY ADVANCED PANCREATIC ADENOCARCINOMA

CONCLUSIONS

3 Distal Pancreatectomy—Open

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

OPERATIVE TECHNIQUE—DISTAL PANCREATECTOMY AND SPLENECTOMY

SURGICAL TECHNIQUE—DISTAL PANCREATECTOMY WITH SPLENIC PRESERVATION

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

4 Laparoscopic and Robotic Pancreatic Surgery

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

Preoperative Workup

Imaging

SURGICAL TECHNIQUE

Enhanced Recovery Pathways

Equipment and Setup

DISTAL PANCREATECTOMY

Robotic Approach

Laparoscopic Approach

Pancreatoduodenectomy

Robotic Approach

Laparoscopic Approach

Vascular Resection

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

5 Operative Palliation of Pancreatic Cancer

INDICATIONS/CONTRAINDICATIONS

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

Selection of Patients for Operative Bilioenteric Bypass

Recommendations in Specific Circumstances

SURGICAL TECHNIQUE

Anatomy

Hepaticoenteric Bypass

Cholecystoenteric Bypass

RESULTS

INDICATIONS/CONTRAINDICATIONS

SURGICAL TECHNIQUE

Gastrojejunostomy (Open and Laparoscopic)

OTHER POTENTIAL PALLIATIVE PROCEDURES

Endoscopic Endoluminal Gastroenteric Bypass

CONCLUSIONS

6 Central Pancreatectomy and Enucleation

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Positioning

Technique

Management of the Pancreatic Remnant After Central Pancreatectomy

Enucleation

Management of Pancreas After Enucleation

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

7 Total Pancreatectomy

INTRODUCTION

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Positioning and Exposure

Resection

Reconstruction

Minimally Invasive TP With or Without IAT

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

Malignancy

CONCLUSIONS

8 Debridement for Pancreatic Necrosis

INDICATIONS/CONTRAINDICATIONS

Indications for Surgery

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Pertinent Anatomy and General Operative Principles

Positioning

VARD Technique

Open Necrosectomy Technique

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

ACKNOWLEDGMENTS

9 The Beger, Frey, and Bern Procedures for Chronic Pancreatitis

INTRODUCTION

INDICATIONS

PREOPERATIVE PLANNING

SURGERY

BEGER PROCEDURE

Resection

Reconstruction

FREY PROCEDURE

BERN PROCEDURE

Resection

Reconstruction

POSTOPERATIVE CARE

RESULTS

CONCLUSIONS

10 Roux-en-Y Lateral Pancreaticojejunostomy for Chronic Pancreatitis

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

ACKNOWLEDGEMENT

11 Surgical Drainage of Pancreatic Pseudocyst

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE CONSIDERATIONS

Surgical Anatomy

Game Planning

SURGICAL TECHNIQUE

General Considerations

Cyst-Gastrostomy

Cyst-Jejunostomy (with Roux-en-Y)

Cyst-Duodenostomy

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

12 Laparoscopic Cholecystectomy With and Without Bile Duct Exploration

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

LAPAROSCOPIC CHOLECYSTECTOMY

TECHNICAL APPROACH

PREDICTORS OF DIFFICULT CHOLECYSTECTOMY

DIFFICULT SCENARIOS, TECHNIQUES, AND BAILOUT OPTIONS

BAILOUT OPTIONS

LAPAROSCOPIC COMMON BILE DUCT EXPLORATION

POSTOPERATIVE MANAGEMENT AND COMPLICATIONS

CONCLUSIONS

13 Open Cholecystectomy With Choledochotomy and Common Bile Duct Exploration

OPEN CHOLECYSTECTOMY

Indications/Contraindications

Converting to Open Cholecystectomy

SAGES Safe Cholecystectomy Task Force

Technical Principles of Open Cholecystectomy

Variants of Subtotal Cholecystectomy

OPEN COMMON BILE DUCT EXPLORATION

Indications/Contraindications and Preoperative Planning

Open Transcystic CBDE

Drainage Procedures

Open CBDE With Choledochotomy

Technical Principles of Open CBDE

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

14 Ampullary Procedures

INDICATIONS

PREOPERATIVE PLANNING

Laboratory Values

Imaging

Preoperative Biopsies and Frozen Sections

SURGERY

Transduodenal Resection of the Ampulla of Vater (Adapted from Branum GD, Pappas TN, Meyers WC. The management of tumors of the ampulla of Vater by local resection. Ann Surg. 1996;224(5):621-627)

Pancreas-Preserving Duodenectomy (Adapted from Kalady MF, Clary BM, Tyler DS, et al. Pancreas-preserving duodenectomy in the management of duodenal familial adenopolyposis. J Gastrointest Surg. 2002;6(1):82-87)

POSTOPERATIVE MANAGEMENT

Transduodenal Resection and Pancreas-Preserving Duodenectomy

COMPLICATIONS

Transduodenal Resection

Pancreas-Preserving Duodenectomy

RESULTS

Transduodenal Resection

Pancreas-Preserving Duodenectomy

CONCLUSIONS

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

Sphincter of Oddi Dysfunction

Pancreas Divisum

SURGICAL TECHNIQUE

Positioning, Mobilization, Identification

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

15 Repair of Bile Duct Stricture/Injury and Techniques for Accessing the Proximal Biliary Tree*

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Positioning and Incision

Dissection Technique

Technical and Anatomical Considerations for Proximal Biliary Tree Injuries

Anastomosis and Biliary Stent Technique

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

PART II Liver

16 Hepatic Resection: General Considerations

INTRODUCTION

PREOPERATIVE ASSESSMENT

Evaluating Tumor Extent

Evaluating Determinants of Postoperative Liver Function

Timing of Surgery

SURGICAL TECHNIQUE FOR LIVER RESECTION

Type of Resection

Exposure

Principles of Parenchymal Transection

Prevention and Control of Bleeding

PREVENTION AND TREATMENT OF COMMON POSTOPERATIVE COMPLICATIONS

Postoperative Bleeding

Postoperative Liver Dysfunction

Prevention of Bile Leakage and Organ Space Infection

CONCLUSION

17 Right and Extended Right Hepatectomy

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGERY

Pertinent Anatomy

Positioning, Incisions, and Retractors

Anesthetic Considerations

Exploration

Mobilization

Inflow Control (Extrahepatic Dissection)

Inflow Control (Intrahepatic Approach)

Inflow Control (Segment IV)

Outflow Control

Parenchymal Transection

Special Considerations

Adjacent Organs

Postresection

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

18 Left and Extended Left Hepatectomy

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

Cardiorespiratory Assessment

Hepatic Reserve Assessment

Radiology Assessment

PREOPERATIVE PREPARATION

ANESTHESIA

SURGICAL TECHNIQUE

Left Lateral Sectionectomy

Left Hemihepatectomy

Left Hepatic Trisectionectomy

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

19 Techniques to Enhance Future Liver Remnant Function

ABBREVIATIONS

INTRODUCTION

INDICATIONS FOR PREOPERATIVE PORTAL VEIN OCCLUSION

TECHNIQUES OF PORTAL VEIN OCCLUSION

Portal Vein Ligation or Embolization

Portal Vein Embolization

Embolization of the Segment 4 Portal Branches

ASSESSMENT OF THE HYPERTROPHY RESPONSE AND TIMING OF RESECTION AFTER PORTAL VEIN OCCLUSION

COMPLICATIONS OF PVE

INDICATIONS FOR 2-STAGE HEPATECTOMY

TECHNIQUE OF TRADITIONAL 2-STAGE LIVER HEPATECTOMY

THE ALPPS PROCEDURE

INDICATIONS FOR ALPPS

TECHNIQUE OF “CLASSICAL” ALPPS

Stage 1

Stage 2

COMPLICATIONS OF ALPPS

PREOPERATIVE BILIARY DRAINAGE AND PVE

TECHNIQUES OF PREOPERATIVE BILIARY DRAINAGE

CONCLUSION

20 Central Hepatectomy

INTRODUCTION

INDICATIONS

CONTRAINDICATIONS

Anatomical Considerations

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Anesthesia and Postoperative Analgesia

Positioning

Exposure

Initial Assessment and Intraoperative Ultrasound

Control of Segment IV Inflow

Control of Segments V and VIII Inflow

Control of the Middle Hepatic Vein

Parenchymal Division

Concomitant Caudate Lobectomy

Concomitant En Bloc Resections of Bile Duct and Portal Vein

Surgical Drainage

POSTOPERATIVE MANAGEMENT

RESULTS

CONCLUSION

21 Hepatic Caudate Resection

INTRODUCTION

INDICATIONS

PREOPERATIVE PLANNING

OPERATIVE TECHNIQUE

POSTOPERATIVE MANAGEMENT

POSTOPERATIVE COMPLICATIONS

RESULTS

CONCLUSIONS

22 Right Anterior and Posterior Sectionectomy (Bisegmentectomy)

INTRODUCTION

INDICATIONS AND CONTRAINDICATIONS

Indications

Contraindications

PREOPERATIVE PLANNING

Blood Tests

Cross-sectional Imaging

Assessment of Functional Liver Remnant (FLR)

Cardiopulmonary Assessment and Medical Clearance

SURGICAL TECHNIQUE

Anatomy

Positioning

Technique

INTRAOPERATIVE CONSIDERATIONS

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

CONCLUSIONS

23 Hepatic Segmental Resections

INTRODUCTION

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

Radiologic Planning

Patient Assessment

SURGICAL TECHNIQUE

Pertinent Anatomy

Anesthetic Considerations

Positioning and Exposure

Intraoperative Assessment

Parenchymal Transection

Standard Segmental Resections

Noteworthy Combined Segmental Resections

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

CONCLUSIONS

24 Enucleation of Hepatic Lesions

INDICATIONS/CONTRAINDICATIONS

Pathologic Considerations

Anatomic Considerations

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Positioning and Access

Operative Technique

Minimally Invasive Techniques

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

CONCLUSIONS

25 Resection of Hilar Cholangiocarcinoma

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

MDCT before Biliary Drainage

EUS, Endoscopic Biliary Drainage, and Mapping Biopsy

CT Volumetry and Evaluation of Liver Functional Reserve Using ICG-R15%

Portal Vein Embolization

Major Hepatectomy and Bile Duct Resection

SURGICAL TECHNIQUE

Required Hilar Anatomy for the Surgical Treatment of Hilar Cholangiocarcinoma

Common Surgical Procedures for Major Hepatectomy and Bile Duct Resection

Vascular Resection and Reconstruction

Biliary Reconstruction

POSTOPERATIVE MANAGEMENT

RESULTS

CONCLUSIONS

ACKNOWLEDGMENTS

26 Gallbladder Cancer

INDICATIONS/CONTRAINDICATIONS

Indications

Contraindications

PREOPERATIVE PLANNING

Diagnosis

Clinical Staging

Imaging

Neoadjuvant Therapy

SURGERY

Day of Surgery/Positioning

Subhilar Lymphadenectomy with or without Removal of the Extrahepatic Biliary Tree

Hepaticojejunostomy

POSTOPERATIVE MANAGEMENT

Follow-up

Adjuvant Therapy

COMPLICATIONS

Bile Duct Injury/Leak

Port-Site Disease

RESULTS

CONCLUSIONS

27 Treatment of Liver Cysts

INTRODUCTION

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Unroofing of a Simple Cyst

POSTOPERATIVE MANAGEMENT

RESULTS

Enucleation of Biliary Cystadenomas

Laparoscopic Resection of Cysts

Hydatid Liver Disease

Polycystic Liver Disease

CONCLUSIONS

28 Congenital Dilation of the Biliary Tract

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Choledochal Cyst Resection—Pertinent Anatomy

Surgical Techniques for Congenital Dilations of the Biliary Tract

Traditional Laparotomy “Open” Technique

Laparoscopic Surgical Technique

Equipment and Positioning

Port-Site Location

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

CONCLUSIONS

29 Vascular Isolation and Techniques of Vascular Reconstruction

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

SURGICAL TECHNIQUE

Positioning and Incision

ASSESSMENT OF RESECTABILITY

STRATEGIES TO ACHIEVE VASCULAR CONTROL

COLD PERFUSION FOR LIVER RESECTIONS WITH VASCULAR RECONSTRUCTION

IN SITU HYPOTHERMIC PERFUSION

EX VIVO LIVER RESECTION

SURGICAL PROCEDURE

EX SITU LIVER RESECTION

HEPATIC VEIN AND INFERIOR VENA CAVA RECONSTRUCTION

REIMPLANTATION

POSTOPERATIVE CARE

CONCLUSIONS

30 Minimally Invasive Partial Hepatectomy

INDICATIONS/CONTRAINDICATIONS

PREOPERATIVE PLANNING

Equipment and Instruments

Patient Preparation

SURGICAL TECHNIQUE I: GENERAL PRINCIPLES

Pertinent Anatomy

Patient Positioning

Port Placement, Exploration, and Ultrasonography

Mobilization, Control of Inflow/Outflow, and Marking the Liver

Parenchymal Transection

Conversion to Laparotomy

Extraction, Drainage, and Closure

SURGICAL TECHNIQUE II: SPECIFIC PROCEDURES

Metastasectomy or Tumorectomy

Segmentectomy

Left Lateral Sectionectomy

Hemihepatectomy

Right Hemihepatectomy

Left Hemihepatectomy

POSTOPERATIVE MANAGEMENT

COMPLICATIONS

RESULTS

Deciding Between Robotic and Laparoscopic Approach

CONCLUSIONS

Index

 

An aparitie	25-Jul-19
Autor	Keith D. Lillemoe
Dimensiuni	15.27 x 2.29 x 22.86 cm
Editura	LWW
Format	Hardcover
ISBN	9781496385574
Limba	Engleza
Nr pag	456