BookUmberto Cillo, Luciano De Carlis, editors ; foreword by Paolo De Paolis.
Summary: In the past, liver resections and liver transplantations were performed by different surgical teams, with very little interplay between the two. However, the evolution toward more complex operations called for an increasingly intense interaction between these surgical techniques: split liver and living donor liver transplantation have become popular in the transplant community, utilizing the Coinaud segmental anatomy in a very sophisticated way, while portal and arterial resection and reconstruction have become indispensable methods for treating Klatskin tumors infiltrating the hepatic hilum. This book offers a complete overview of the connections between liver transplantation and hepatobiliary surgery. It focuses on ex situ techniques for resection of tumors at the suprahepatic confluence, with or without venous reconstruction, and on total vascular exclusion of the liver with the aid of a venovenous bypass that should be a surgical option for referral centers in hepatopancreatobiliary surgery. By taking into consideration the development of minimally invasive liver surgery, it will introduce readers to a variety of new perspectives such as: vascular exclusion techniques with or without extracorporeal circulation, hemodynamic implications and lessons learned from liver transplant surgery, and technical details on pediatric transplantation and its informative role in modern biliary tract surgery. .
Contents:
1 Introduction
2 Cross training and didactic interplay
3 Preoperatory assessment of comorbidities in liver transplantation and HBP surgery
4 Vascular exclusion
5 Cooling technique
6 Machine perfusions
7 Chirurgia Ex situ
8 Vascular reconstructions
9 Biliary reconstruction
10 LDLT
11 Pediatric LDLT
12 Left Split Liver
13 Right Split Liver
14 Full-left Full-righr Slit Liver Transplantation
15 Outflow liver obstruction
16 Small for Size Syndrome
17 Regeneration techniques
18 Combined cardiothoracic and abdominal approach
19 Portal thrombosis
20 Bridging and downstaging: the role of Minimally-invasive surgery
21 Robotic surgery in liver transplantation and resection
22 Other "bridge" therapies
23 General Surgery in Liver transplant recipient
24 Anesthesia and resuscitation: from transplantation to major HPB interventions
25 Multimodal treatments for liver metastatic NeuroEndocrine Tumors: from resection to transplantation. .