Surgical Management of Hepatobiliary and Pancreatic Disorders

Hepato-pancreato-biliary (HPB) surgery is now firmly established within the repertoire of modern general surgery. Indeed, in many major tertiary centres there are now specific teams for both pancreatic and liver surgery. However, in most hospitals outside these major centres the day-to-day management and decision-making for patients with these disorders remains the remit of the general surgeon and presents often highly complex clinical scenarios. Surgical Management of Hepatobiliary and Pancreatic Disorders, 2nd Edition, is a detailed guide to management in problems arising from cancer, trauma, cysts and other conditions, both acute and chronic. It covers the spectrum of common HPB diseases that will confront the general surgeon in his or her regular practice. The chapters are problem-based, rather than didactic descriptions of pathology and surgical technique. It is sufficiently comprehensive to cover the broad spectrum of HPB surgery for candidates coming to examinations at the completion of surgical training and will act as a comprehensive reference tool for surgeons in practice and in training. Graeme Poston Department of Surgery, University Hospital Aintree, Liverpool, UK Michael D'Angelica Memorial Sloan-Kettering Cancer Center, Division of Hepatobiliary Surgery, New York, USA René Adam Hopital Paul Brousse, Villejuif, France "This book demonstrates the wisdom of the new knowledge and technical skills of these diverse disciplines where cooperative efforts contribute toward the benefit of the patients with HPB disorders." - From the Foreword, by Yuji Nimura, MD, President of the Aichi Cancer Center and Past-President of the IHPBA "This is a work of high quality in both information and production … I recommend the book to any general or specialist surgeon who manages these diseases, and to trainees approaching examinations at completion of surgical training" - J R Soc Med 2003; 96: 201-202 (for the First Edition) CONTENTS Anatomy/Imaging/Surgical technique * Surgical anatomy of the liver and bile ducts * Anatomy of the pancreas * Hepatic resection * Ultrasound for HPB disorders * Liver Surgery in Elderly Patients * Small solitary hepatic metastases: when and how? * Managing complications of hepatectomy * Pancreatic resection * Surgical complications of pancreatectomy * Laparoscopy in HPB disease * Cross-sectional Imaging for HPB Disorders (MRI and CT) Liver a. Malignant i. Metastases * Liver metastases: Detection and imaging * Surgery for metastatic colorectal cancer * Chemotherapy for metastatic CRCa (incl.. syst, haip, isolated perfusion) * Multi-modal approaches to the management of colorectal liver metastases * Management of Neuroendocrine Tumor Hepatic Metastasis * Non-colorectal, non-neuroendocrine liver metastases * Chemotherapy-associated hepatotoxicity * Thermal ablation of liver metastases Liver a. Malignant ii. Primary * Resection for hepatocellular carcinoma * Treatment of laparoscopically discovered gallbladder cancer * Liver transplantation for HCC: Asian Perspectives * Non-Surgical Treatment of Hepatocellular Carcinoma * Resection of intrahepatic cholangiocarcinoma * Transplantation for Hilar Cholangiocarcinoma * Rare vascular liver tumors Liver b. Benign * Management of recurrent pyogenic cholangitis * Liver abscess: Amebic, Pyogenic and Fungal * Benign solid tumours of the adult liver Liver trauma * Portal hypertension * Liver Transplantation for Acute and Chronic Liver * Benign cystic disease of the liver * Management of hydatid disease of the liver * Surgical management of primary sclerosing cholangitis Bile ducts and Gallbladder a. Malignant * Management of advanced Gallbladder cancer * Extrahepatic cholangiocarcinoma * Endoscopic Management of Malignant Biliary Obstruction Bile ducts and Gallbladder b. Benign * Choledochal cyst detected in adulthood * Bile duct Injuries and benign biliary strictures * Gallstones and CBD stones – surgical and non-surgical approaches Pancreas a. Malignant * Adenocarcinoma of the pancreas * Palliation of pancreas cancer * Cystic tumors of the pancreas * Neuroendocrine pancreatic tumors * Rare tumors of the pancreas Pancreas b. Benign * Acute pancreatitis * Chronic pancreatitis * Pancreatic injury * Pancreas transplantation Pediatric HPB disorders * Pediatric HPB disorders