The field of hepatobiliary surgery has evolved dramatically in the past few decades, with improved understanding of the anatomic segments of the liver, advancements in modern imaging techniques, better operative instrumentation, and improved anesthesia care, as well as postoperative management.…
Introduction Over the past three decades, the evolution of minimally invasive surgery has paved the way for performing complex abdominal operations. Although the implementation of laparoscopic surgery was incorporated in all fields of abdominal surgery, its limitations are becoming clearer…
Introduction Malignancies of the hepatobiliary system can only be cured by resectional treatment, despite the advent of modern chemotherapeutic agents. Ablation and liver transplantation can provide a cure for certain liver cancers, but they are limited by size of lesion,…
Introduction Surgical shunts for portal hypertension and variceal bleeding are rarely undertaken today, making this chapter either irrelevant or more important than ever. I believe the latter. The decline in surgical shunting is generally a consequence of the perceived outcomes…
Introduction The application of minimally invasive techniques in hepatopancreaticobiliary (HPB) surgery has lagged behind other surgical specialties, such as bariatric and colorectal surgery. This is a testament to the unique and complex nature of HPB operations, particularly pancreaticoduodenectomies. The application…
Introduction Approximately 18,000 people in the US have developed esophageal cancer in 2019. Over the past 35 years, there has been tremendous increase in the incidence of adenocarcinoma of the esophagus. While squamous cell carcinoma has increased three-fold in incidence,…
Introduction The application of laparoscopic techniques to gastric operations has become the preferred approach whenever feasible because of the known advantages of minimally invasive surgery. However, laparoscopy for advanced operations, such as gastric surgery, is beyond the technical abilities of…