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…
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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…
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…
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…