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E-raamat: Operative Solutions in Hepatobiliary and Pancreatic Surgery [Oxford Medicine Online e-raamatud]

(, Professor of Surgery, University of Adelaide, Australia), (, Consultant Hepatobiliary Surgeon Leicester General Hospital and Honorary Senior Lecturer, University of Leicester, UK)
  • Formaat: 352 pages, 239 black and white line drawings
  • Ilmumisaeg: 29-Apr-2010
  • Kirjastus: Oxford University Press
  • ISBN-13: 9780199584178
Teised raamatud teemal:
  • Oxford Medicine Online e-raamatud
  • Raamatu hind pole hetkel teada
  • Formaat: 352 pages, 239 black and white line drawings
  • Ilmumisaeg: 29-Apr-2010
  • Kirjastus: Oxford University Press
  • ISBN-13: 9780199584178
Teised raamatud teemal:
"Hepatobiliary and pancreatic surgery is a relatively new specialty and the vast majority of patients present initially outside tertiary referral centres. Many conditions such as gallstones, acute and chronic pancreatitis, obstructive jaundice and malignancies of the liver, biliary tract and pancreas are still managed outside specialist centres or are not suitable for referral. Many general surgeons continue to manage these problems and in some parts of the world the geography and distances involved makes referral for specialist care difficult or impossible. The relative scarcity of specialist centres for the management of these difficult conditions also means that the majority of trainees do not get sufficient exposure prior their definitive appointmentto equip them with the tools needed to confidently manage many of the problems they may face. Operative Solutions in Hepatobiliary and Pancreatic Surgery combines clearly written, practical text with over 200 illustrations and numerous flow charts whichtake the reader through the management of all the commonly encountered hepatobiliary and pancreatic pathologies and procedures. All aspects of hepatobiliary and pancreatic surgery are discussed in a clear and consistent style, while the flow charts are designed to be modified by the reader to adapt them to local practice and the facilities and expertise available. This book is invaluable for the senior trainee or newly appointed specialist who requires clear, practical advice on how to manage the wide range of problems that present to surgeons outside specialist centres"--Provided by publisher.

Hepatobiliary and pancreatic surgery is a relatively new specialty and the vast majority of patients present initially outside tertiary referral centres. Many conditions such as gallstones, acute and chronic pancreatitis, obstructive jaundice and malignancies of the liver, biliary tract and pancreas are still managed outside specialist centres or are not suitable for referral. Many general surgeons continue to manage these problems and in some parts of the world the geography and distances involved makes referral for specialist care difficult or impossible. The relative scarcity of specialist centres for the management of these difficult conditions also means that the majority of trainees do not get sufficient exposure prior their definitive appointment to equip them with the tools needed to confidently manage many of the problems they may face.
Operative Solutions in Hepatobiliary and Pancreatic Surgery combines clearly written, practical text with over 200 illustrations and numerous flow charts which take the reader through the management of all the commonly encountered hepatobiliary and pancreatic pathologies and procedures. All aspects of hepatobiliary and pancreatic surgery are discussed in a clear and consistent style, while the flow charts are designed to be modified by the reader to adapt them to local practice and the facilities and expertise available. This book is invaluable for the senior trainee or newly appointed specialist who requires clear, practical advice on how to manage the wide range of problems that present to surgeons outside specialist centres.
List of figures
xxi
List of tables
xxxv
Section 1 Pancreas
1(88)
Pancreatitis
2(87)
Acute pancreatitis
2(2)
Gallstones
4(1)
Alcohol
5(1)
Recurrent acute pancreatitis
6(1)
Inflammatory masses
7(1)
Pseudocysts
7(1)
Minimally invasive treatment
8(1)
Pancreaticocystgastrostomy
8(2)
Pancreaticocystjejunostomy
10(5)
Ascites and pleural effusions
15(1)
Compartment syndrome
15(1)
Laparostoma
16(1)
Pancreatic necrosis
16(1)
Pancreatic abscess
17(1)
Retroperitoneal bleeding
17(1)
Chronic pancreatitis
18(3)
Large duct disease
21(1)
Pancreaticodochogastrostomy
22(1)
Strictures and focal disease
23(1)
Expanded head
24(1)
Small duct disease
24(1)
End-stage disease with or without previous surgery
24(2)
Total pancreatectomy and islet cell transplantation
26(2)
Pancreatic trauma
28(2)
Classification
30(1)
Conservative management
31(1)
Surgical management
31(2)
Delayed presentation
33(1)
Pancreatic fistulae
34(1)
Management
34(2)
Established fistulae
36(1)
Pancreatic tumours
36(1)
Investigation
36(1)
Pancreatic anatomy
37(1)
Developmental anatomy
37(1)
Surgical anatomy
38(2)
Benign (non-neuroendocrine) lesions
40(1)
Cystic tumours of the pancreas
41(2)
Distal pancreatectomy
43(2)
Spleen-preserving distal pancreatectomy for benign disease
45(4)
Distal pancreatectomy for malignant disease
49(2)
Neuroendocrine tumours of the pancreas
51(5)
Pancreatic adenocarcinoma
56(6)
Determining operability
62(3)
Biliary bypass procedure (hepaticojejunostomy)
65(7)
Pancreaticoduodenectomy (Whipple's procedure)
72(14)
Laparoscopic pancreatic surgery
86(3)
Section 2 Duodenum
89(16)
Trauma
89(5)
Trauma to the first and second part of the duodenum
89(3)
Delayed presentation
92(1)
Trauma to the third and fourth part of the duodenum
92(2)
Delayed presentation
94(1)
Duodenal bleeding
94(2)
Benign bleeding
94(1)
Malignant bleeding
95(1)
Perforated duodenal ulcer
96(1)
Duodenal tumours
97(7)
Benign tumours
97(1)
Malignant tumours
97(1)
Duodenal ampullary tumours
97(5)
Duodenal adenocarcinoma
102(1)
Duodenal invasion from external malignancy
102(2)
Duodenal diverticula
104(1)
Section 3 Liver
105(104)
Anatomical considerations
105(1)
Liver trauma
106(5)
Conservative management
106(5)
Resection principles
111(14)
Mobilization of the liver
113(1)
Incision
113(3)
The hepatic pedicle
116(1)
Hilar dissection
116(7)
Intrahepatic approach
123(2)
Identification of segmental pedicles
125(1)
Methods of parenchymal transection
125(1)
Resection options
126(14)
Segmental resections
126(1)
Segments I (the caudate lobe)
126(1)
Segment II
126(1)
Segment III
126(1)
Segment II and III resection
127(1)
Segment IV
127(2)
Segment V
129(1)
Segment VI
130(1)
Segment VII
130(1)
Segment VIII
130(1)
Traditional resections
130(1)
Right hepatectomy (Segments V-VIII)
130(2)
Left hepatectomy
132(1)
Extended left hepatectomy
132(1)
Extended right hepatectomy (Segments IV-VIII)
133(1)
Non-traditional options
133(1)
Staged procedures
134(1)
Portal vein embolization
135(2)
Ablation
137(2)
Local excision
139(1)
Synchronous colon and liver resection
140(1)
Laparoscopic liver surgery
140(1)
Follow-up
141(1)
Re-do surgery
141(1)
Liver tumours
142(22)
Investigation of a hepatic mass
142(2)
Benign tumours
144(1)
Biopsy of liver lesions
144(1)
Hepatic cystadenomas and cystadenocarcinomas
144(4)
Malignant tumours
148(1)
Primary hepatocellular carcinoma
148(3)
Ablation
151(1)
Surgery
151(1)
Metastatic colorectal carcinoma
152(3)
Positron emission tomography (PET) scanning
155(2)
Carcinoid tumours
157(3)
Management of neuroendocrine metastases
160(1)
Management of metastatic gastrointestinal stromal cell (GIST) tumours
160(4)
Non-colorectal, non-neuroendocrine metastases
164(1)
Benign conditions
164(45)
Portal hypertension
164(3)
Ascites
167(2)
Peritoneo-venous shunting
169(1)
Preoperative management
169(1)
Operative procedure
169(5)
Postoperative care
174(1)
Oesophageal varices
175(1)
Acute bleeding
175(1)
Sclerotherapy
175(4)
Gastric varices
179(2)
Balloon tamponade
181(4)
Devascularization procedures
185(2)
Portosystemic shunts
187(1)
Portocaval H-graft technique
188(3)
Transjugular intrahepatic portosystemic shunt (TIPS)
191(1)
Splenic vein thrombosis
192(1)
Budd-Chiari syndrome
193(1)
Liver abscess
194(1)
Aetiology
194(1)
Responsible organisms
195(1)
Treatment
195(2)
Recurrent or refractory abscesses
197(1)
Simple liver cysts
197(1)
Treatment
198(2)
Hydatid disease
200(1)
Diagnosis
201(1)
Treatment
201(3)
Polycystic liver disease
204(1)
Treatment
204(2)
Fenestration resections
206(3)
Section 4 Gallbladder
209(44)
Gallstones
209(33)
Cholecystectomy for uncomplicated gallstones
211(1)
Laparoscopic cholecystectomy
211(6)
Open cholecystectomy
217(5)
Possible bile duct stones
222(1)
Known bile duct stones
223(2)
Laparoscopic bile duct exploration
225(4)
Open bile duct exploration
229(6)
Combined laparoscopic cholecystectomy and ERCP
235(1)
Mirizzi's syndrome
236(1)
Postcholecystectomy problems
237(1)
Immediate problems
238(1)
Pain
238(1)
Bile leaks from drains
238(2)
Evidence of bleeding
240(1)
Delayed postoperative problems
240(1)
Jaundice
240(1)
Abdominal sepsis
241(1)
Late presentations and postcholecystectomy syndrome
241(1)
Strictures
241(1)
Pain
242(1)
Postcholecystectomy syndrome
242(1)
Acalculous disease of the gallbladder
242(1)
Gallbladder tumours
243(10)
Gallbladder polyps
243(1)
Gallbladder cancer
244(3)
Surgical options
247(1)
The surgical procedure
248(5)
Section 5 Biliary tract
253(30)
Benign conditions
253(7)
Sclerosing cholangitis
253(2)
Primary duct stones
255(1)
Inflammatory strictures
255(2)
Polyps
257(1)
Choledochal cysts
257(1)
Caroli's disease
258(1)
Postsurgical intrahepatic stones
259(1)
Dilated bile duct
260(3)
Idiopathic
260(1)
Ampullary stenosis
260(1)
Pancreatitis
260(3)
Biliary dyskinesia
263(1)
Long-term management of benign strictures
263(1)
Trauma
264(6)
Iatrogenic
264(1)
Gallbladder surgery
264(1)
Late presentation
265(1)
Avoidance of injury
266(1)
Endoscopic trauma
266(1)
Endoscopic sphincterotomy
266(1)
Balloon dilatation
266(2)
Impacted baskets
268(2)
Penetrating or blunt injury
270(1)
Cholangitis
270(3)
Following ERCP
270(1)
Bile duct stones
271(1)
Postsurgical cholangitis
271(1)
Postsurgical stricture
271(1)
Bilioenteric anastomoses
271(1)
Access limbs
271(2)
Bile duct tumours
273(10)
Cholangiocarcinoma
273(2)
Management
275(1)
Surgical treatment
275(1)
Resection for cholangiocarcinoma
276(4)
Surgical bypass
280(1)
Segment III bypass
280(1)
Segment V bypass
280(3)
Bibliography 283(26)
Index 309
Professor Guy Maddern is the R.P. Jepson Professor of Surgery of the University of Adelaide, Australia. He trained as a hepatobiliary and pancreatic surgeon under Les Blumgart in Berne and Bernard Launois in Rennes before returning to Adelaide. He has over 300 publications, many on the subject of hepatobiliary surgery, and has been the Surgical Director of the Australian Safety and Efficacy Register of New Interventional Procedures for the past decade. He is an active hepatobiliary and pancreatic surgeon.

Mr Ashley Dennison is a consultant hepatobiliary and pancreatic surgeon at Leicester General Hospital. He trained as a hepatobiliary and pancreatic surgeon in Europe with Professor Les Blumgart in Berne, Professor Henri Bismuth in Paris and Professor Rudolph Pichlmayr in Hannover. He has over 250 publications the majority of which are related to hepatobiliary surgery and oncology and islet transplantation. He is an active hepatobiliary and pancreatic surgeon in a busy tertiary referral centre and runs an islet autotransplant program which is the largest in Europe.