Springer, 2019. — 236 p. — (Updates in Surgery) — ISBN: 9783030197612
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.
Cross Training and Didactic Interplay in Liver Transplantation and Hepatobiliary Surgery
Preoperative Assessment of Comorbidities in Liver Transplantation and Hepatobiliary Surgery
Liver Resection and Total Vascular Exclusion
Cooling Techniques and Ex Situ Liver Surgery
Machine Perfusion in Liver Transplantation
Liver Vascular Reconstructions
Biliary Reconstruction Techniques: From Biliary Tumors to Transplantation
The Interplay Between Living Donor Liver Transplantation and Liver Surgery
Pediatric Living Donor Liver Transplantation
Left Split Liver
Extended Right Split Liver Graft
Full-Left Full-Right Split Liver Transplantation
Small-for-Size Syndrome
Regeneration Techniques: TSH and ALPPS
Combined Cardiothoracic and Abdominal Approach
Portal Vein Thrombosis in Liver Transplantation and in Non-transplant Treatment
APOLT and RAPID Techniques
Robotic Surgery in Liver Transplantation and Resection
Other “Bridge” Therapies for Liver Transplantation: RFA, TACE, and TARE
Interplay Between General Surgery and Liver Transplantation
Liver Transplantation as a Challenge for the Anesthesiologist: Preoperative Cardiac Assessment to Orient the Perioperative Period
Liver Resection and Transplantation for Metastases from Gastroenteropancreatic Neuroendocrine Tumors