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Minimally invasive surgery techniques in transplantation
The advent and refinement of minimally invasive surgery (MIS) techniques within the realm of oncologic hepatobiliary surgery (see Chapter 127 ) has paved the way for the collateral development of this field in living donor liver transplantation (LDLT) (see Chapter…
Robotic-assisted placement of hepatic arterial infusion pump
Introduction Hepatic arterial infusion was described nearly six decades ago as a regional treatment of hepatic tumors (see Chapters 50 , 90 , and 97 ). Robotic-assisted approaches to placement of hepatic arterial infusion pumps have become more prevalent following…
Laparoscopic major and complex liver resection
The increasing use of laparoscopic procedures has been driven by the ability to perform surgery through small rather than large incisions, with reduced postoperative pain and enhanced recovery. This began with laparoscopic cholecystectomy (see Chapter 36 ) introduced in 1988…
Minimally invasive segmental hepatic resection
Introduction When hepatobiliary surgeons consider what treatment is best for a patient with a tumor in the liver, several questions must be answered. What kind of tumor is it, which resection margin is necessary, is the liver sick or healthy,…
Minimally invasive pancreaticoduodenectomy
Introduction Since its initial description by Codevilla in 1898, through the first procedure performed by Kauch in 1909 and the two-stage procedure described by Whipple in 1935, the pancreaticoduodenectomy (PD) technique has evolved significantly over the last decades to become…
Minimally invasive distal and central pancreatectomy
Introduction Minimally invasive distal and central pancreatectomies are well accepted as safe and effective surgical approaches for the management of left-sided pancreatic lesions. , Several variations exist in the minimally invasive techniques, which will be detailed in this chapter. The…
Minimally invasive techniques in HPB surgery: laparoscopic and robotic: General principles and considerations
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Techniques of pancreas transplantation
Introduction Diabetes mellitus is associated with extensive morbidity and mortality and represents a significant medical, financial, and emotional burden on society. Long-term diabetes mellitus is frequently associated with cardiovascular, cerebrovascular, peripheral vascular, neurologic, renal, and ophthalmologic complications. Diabetes remains the…
Techniques of liver replacement
Historic overview The multiple steps by which liver replacement became the treatment of choice for several liver and biliary diseases were summarized in 2002. , The basic operation was developed in dogs during the years 1958 through 1960 and first…