Liver surgery techniques and liver imaging are constantly evolving, allowing for ever more detailed planning of surgical strategy and complex liver resections. The development of living-donor liver transplantation (LDLT; see Chapter 121 ) has led to a comfort and familiarity…
Background The liver’s amazing capacity to regenerate is unique in the human body and has captivated mankind since ancient civilizations, as in the Greek myths of the giant villain Tityus and the heroic Titan Prometheus (see Introduction). Twenty-seven centuries later,…
Over the three last decades, advances in liver surgery have included extensive experience in living and deceased donor-liver transplantation (see Chapters 105 and 125 ), induction of liver hypertrophy by interventional radiology (portal vein embolization and radioembolization) (see Chapters 94B…
Living-donor hepatectomy is a major surgical operation performed on a healthy person only for the benefit of a recipient who requires liver transplantation (see Chapters 105 , 125 , and 128 ). In 1989 Strong (1999) performed donor left hepatectomy…
Introduction Local tumor control is still the most important consideration in the treatment of hepatocellular carcinoma (HCC), which is the most common diagnosis associated with hepatic resection in the setting of cirrhosis. Because liver resection can completely remove cancerous tissues,…
Overview Perihilar cholangiocarcinoma , is a devastating disease because the majority of patients are diagnosed with advanced disease at initial presentation. At the present time, surgical resection offers the only possibility of cure for this disease, and achieving tumor-free surgical…
Introduction Although gallbladder cancer is rare, accounting for just 1.2% of all global cancers, it is the most common biliary tract malignancy, making up 80% to 95% of all biliary cancer diagnoses (see Chapter 49 ). Gallbladder cancer occurs most…
Introduction Liver resection plays an increasingly important role in the management of benign as well as primary and metastatic liver tumors (see Chapters 50 , 51B , 88 , 89 , and Chapter 90, Chapter 91, Chapter 92, Chapter 93…
Introduction Major hepatectomy is typically defined as a resection of three or more contiguous hepatic segments. Most commonly, this definition encompasses right and left hemihepatectomies and extended left and right hepatectomies. Extended hemihepatectomies can include a small subsegmental portion of…
Introduction First described by Samuel Collins in 1685 and later by Abraham Vater in 1720, the ampulla of Vater is a papillary structure in the second portion of the duodenum in which the common bile duct and the pancreatic duct…