Blumgart's Video Atlas: Liver, Biliary & Pancreatic Surgery

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Transduodenal resection of the papilla of vater Tumors arising in the region of the papilla of Vater may have their origin from the distal bile duct, the duodenum, the ampulla of Vater itself, or the pancreas. Because the epithelium of…

General principles and preoperative approaches Although pancreatic cancer is the most common of periampullary tumors, cancers of the ampulla, the duodenum, and the distal bile duct have a better long-term survival after curative pancreaticoduodenectomy. Although rare, there also are cystic…

Introduction This chapter addresses the resection of primary malignancy of the intrahepatic and extrahepatic biliary tree. Gallbladder cancer is an important extrahepatic biliary cancer that is often discovered incidentally. Cholangiocarcinoma occurs at the biliary confluence, in the mid-duct, or in…

Cholecystectomy Open cholecystectomy for cholelithiasis is performed only in cases in which laparoscopic techniques do not allow a safe procedure. Cholecystectomy is also part of other operations, such as liver resection and pancreaticoduodenectomy. Basically, two techniques are used to perform…

Introduction Most hepatic cysts, regardless of type, remain asymptomatic, and hepatic function is not affected. Occasionally cysts are the focus of hemorrhage or infection, or produce hepatic dysfunction by bile duct compression or portal hypertension. This chapter emphasizes open surgical…

Wedge resection Wedge resection of peripherally placed lesions within the liver is carried out easily for tumors measuring up to 2 to 3 cm in diameter. However, lesions occupying the convex surface of the liver and away from the free…

Introduction * * Note that resection of segments II and III (left lobectomy) in this text is described as a major resection in Chapter 5 . Segmental resection conserves functional liver parenchyma and minimizes the physiologic impact of liver resection.…

Left hepatectomy * Inflow control The hilar plate is lowered. The left hepatic artery is ligated and divided. Any accessory or replaced hepatic artery arising from the left gastric artery is similarly ligated. Dissection at the base of the umbilical…