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.
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.
Indice testuale
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.
