Role of temporary portosystemic surgical shunt during liver resection to prevent a post-resection small for size-like syndrome PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Role of temporary portosystemic surgical shunt during liver resection to prevent a post-resection small for size-like syndrome PDF full book. Access full book title Role of temporary portosystemic surgical shunt during liver resection to prevent a post-resection small for size-like syndrome by Jacopo Lanari. Download full books in PDF and EPUB format.
Author: Jacopo Lanari
Publisher: OAE Publishing Inc.
ISBN:
Category : Medical
Languages : en
Pages : 14
Get Book
Book Description
Liver resection stands as the gold-standard therapeutic approach for selected cases of hepatocellular carcinoma (HCC). The extent of resectable parenchyma hinges upon the underlying liver function and its regenerative potential. Consequently, cirrhosis may impede access to potentially curative interventions for HCC arising within this context. Cirrhotic patients undergoing liver resection face heightened susceptibility to post-hepatectomy liver failure (PHLF). The clinical profile of PHLF bears a resemblance to a well-documented syndrome within the liver transplant (LT) domain: Small-for-size syndrome (SFSS), a form of graft failure observed in the postoperative phase following LT with undersized or partial organs. Management of SFSS targets mitigating the overflow syndrome, achievable through diverse portal diversion techniques. Portal vein flow diversion encompasses procedures redirecting a variable proportion of portal vein flow towards systemic circulation. Consequently, derivative procedures aim to directly alleviate portal hypertension. Side-to-side portocaval shunts emerge as the most straightforward and efficacious means of decompressing the portal system. Furthermore, they afford flow calibration to diminish the incidence and severity of steal syndrome and hepatic encephalopathy, without compromising efficacy or hepatic function. Translating insights gleaned from LT complexities involving SFSS to liver resection, strategies involving portal flow diversion warrant consideration in efforts to forestall PHLF. This approach aims to extend the frontiers of liver surgery, broadening access to hepatectomy with curative intent, either as a standalone intervention or as part of a comprehensive treatment regimen where LT serves as a secondary option.
Author: Jacopo Lanari
Publisher: OAE Publishing Inc.
ISBN:
Category : Medical
Languages : en
Pages : 14
Get Book
Book Description
Liver resection stands as the gold-standard therapeutic approach for selected cases of hepatocellular carcinoma (HCC). The extent of resectable parenchyma hinges upon the underlying liver function and its regenerative potential. Consequently, cirrhosis may impede access to potentially curative interventions for HCC arising within this context. Cirrhotic patients undergoing liver resection face heightened susceptibility to post-hepatectomy liver failure (PHLF). The clinical profile of PHLF bears a resemblance to a well-documented syndrome within the liver transplant (LT) domain: Small-for-size syndrome (SFSS), a form of graft failure observed in the postoperative phase following LT with undersized or partial organs. Management of SFSS targets mitigating the overflow syndrome, achievable through diverse portal diversion techniques. Portal vein flow diversion encompasses procedures redirecting a variable proportion of portal vein flow towards systemic circulation. Consequently, derivative procedures aim to directly alleviate portal hypertension. Side-to-side portocaval shunts emerge as the most straightforward and efficacious means of decompressing the portal system. Furthermore, they afford flow calibration to diminish the incidence and severity of steal syndrome and hepatic encephalopathy, without compromising efficacy or hepatic function. Translating insights gleaned from LT complexities involving SFSS to liver resection, strategies involving portal flow diversion warrant consideration in efforts to forestall PHLF. This approach aims to extend the frontiers of liver surgery, broadening access to hepatectomy with curative intent, either as a standalone intervention or as part of a comprehensive treatment regimen where LT serves as a secondary option.
Author: Dilip K Chakravarty
Publisher: Boydell & Brewer Ltd
ISBN: 9788184487701
Category : Medical
Languages : en
Pages : 500
Get Book
Book Description
A major new reference work on Liver Transplantation written by the transplantation team of one of Asia's leading transplant centres with a foreword by Prof. Sir Roy Calne the liver transplantation pioneer and expert in immunosuppressant techniques. The book begins with an overview of transplantation team composition, international donor selection guidelines and donor management and goes on to discuss technique and management of DDLT, LDLT, Pediatric, Split, Domino and ABO-incompatible liver transplantation. Post-transplant management, immuno-suppression, follow-up, short and long-term complications and their outcomes, as well as recent advances in liver transplantation such as stem cell, hepatocyte and xenotransplantation, are also discussed.
Author: X. Rogiers
Publisher: Springer Science & Business Media
ISBN: 3642575234
Category : Medical
Languages : en
Pages : 182
Get Book
Book Description
Aimed at the trainee surgeon and experienced transplant surgeon, this compendium on split-liver grafting contains articles written by faculty members of the first International Course on Split-Liver Transplantation. It covers the main aspects of the field and is geared towards helping surgeons select the best surgical techniques as well as identifying the pitfalls. The text features detailed instructions on the various procedures as well as an overview of the area.
Author: Mohamed Rela
Publisher: Oxford University Press
ISBN: 0192862456
Category : Medical
Languages : en
Pages : 513
Get Book
Book Description
Gastrointestinal surgery is performed for a range of benign and malignant diseases in both elective and emergency settings. This volume covers the surgery and management of the liver, gall bladder, and bile duct, including anatomy and physiology, transplants, and the management of different diseases, traumas, and cancers.
Author: Deirdre A. Kelly
Publisher: John Wiley & Sons
ISBN: 9781444300543
Category : Medical
Languages : en
Pages : 640
Get Book
Book Description
“An excellent up-to-date comprehensive and practical text book dealing with all aspects of paediatric hepatobiliary disease. It will be useful to both generalists and specialists as it is clinically focused with a problem-solving approach and should be useful for day-to-day as well as more esoteric clinical problems. I found it useful in my general paediatric practice and my trainees have also found it useful. It is very practical with a diagnostic approach and lots of tables and clinical pathways to follow when confronted with day-to-day clinical problems. I have road-tested it in real life with good effect.” - Judging Panel, 2004 BMA Medical Book Competition Diseases of the Liver and Biliary System in Children, Third Edition provides a practical approach to the diagnosis and management of paediatric liver diseases, highlighting the importance of multidisciplinary team working and holistic management of the child and family. This fully revised edition has also been updated to cover recent advances in paediatric hepatology. It includes new chapters describing the effects of liver disease in pregnancy on mother and child through to adolescence. With increasing numbers of young people surviving into adult life this edition addresses the importance of managing adolescent transition effectively. Trainees, practising paediatric gastroenterologists and hepatologists will welcome the practical approach outlined in this text, while other healthcare professionals involved in the management of liver disease in children will find it an accessible and comprehensive reference.
Author: William R. Jarnagin
Publisher: Elsevier Health Sciences
ISBN: 1455746061
Category : Medical
Languages : en
Pages : 2302
Get Book
Book Description
Comprehensive and complete, Blumgart’s Surgery of the Liver, Pancreas and Biliary Tract – edited by Dr. William R. Jarnagin and a team of experts- delivers the comprehensive, cutting-edge guidance you need to achieve optimal outcomes in surgery of the liver, biliary tract, and pancreas. Edited by a panel of experts and featuring contributions by many leading authorities, this 2-volume reference brings you the latest information on pathology, diagnostics, surgery, and non-operative intervention all in one source. At www.expertconsult.com you can not only access the complete contents online, but also an abundance of detailed illustrations and step-by-step procedural video clips from the Memorial Sloan Kettering video library that show you how to perform key procedures step by step. Glean all essential, up-to-date, need-to-know information in one comprehensive reference that provides extensive coverage of pathology, diagnostics, surgery, and non-operative intervention as well as hepatobiliary and pancreatic surgery. Deepen your understanding of surgical anatomy to help with diagnosis, surgical operation, interventional radiology, and endoscopy. See how to perform key procedures by watching operative videos from the Memorial Sloan Kettering video library. Apply the most advanced diagnostic and management options for each disease, including interventional techniques. Stay current with the latest knowledge and advancements including minimally invasive techniques in hepatic resection; surgical considerations for congenital disorders of the pancreas; non-surgical therapies for pancreatic cancer; microwave ablation and other emerging technologies; the most recent developments in the rapidly changing area of transplantation; and the newest best practices in pre- and post-operative care and blood transfusion. Get in-depth coverage of the pancreas from the only fully comprehensive text on both hepatobiliary and pancreatic surgery. Learn from the very best. Rely on the trusted guidance of experts, with a fresh perspective from senior editor, Dr. William Jarnigan, who has earned a national and international reputation in the surgical management of diseases of the biliary tract. Access the full text online at www.expertconsult.com, along with image and video libraries, tables, figures, and more! Over 200 additional contributing experts. A single, comprehensive reference that covers pathology, diagnostics, surgery, and non-operative intervention all in one text!
Author: Cataldo Doria
Publisher:
ISBN: 9783319055435
Category : Liver
Languages : en
Pages :
Get Book
Book Description
Author: Quyen D Chu
Publisher: Beaux Books Publishing, LLC
ISBN: 0997772182
Category : Medical
Languages : en
Pages : 1352
Get Book
Book Description
This unique textbook provides a concise and practical approach to clinical dilemmas involving the liver, pancreas, and biliary tree. Six major sections encompass (1) Hepatic, (2) Biliary, (3) Pancreas, (4) Transplantation, (5) Trauma, and (6) Innovative Technology. Each topic is written by recognized experts from an "e;experiential"e; viewpoint combined with evidence-based medicine. The book contains over 170 chapters and over 350 contributors. It is relevant to Surgical Oncologists, Hepato-Pancreato-Biliary (HPB) Surgeons, Transplant Surgeons, Traumatologists, HPB Interventionalists, General Surgeons, and trainees and students. The title of each chapter is in a form of a clinical scenario and each chapter begins with a Case Scenario and ends with Salient Points. Special debates are included in each section. There are numerous compelling images, detailed illustrations, comprehensive tables, thorough algorithms, and other adjunctive tools that enhance learning. The authors emanate from different corners of the world. The book is a valuable resource for faculty, students, surgical trainees, fellows, and all health care providers in the HPB/Trauma/Transplant/Oncology fields.
Author: Spencer A. Johnston
Publisher: Elsevier Health Sciences
ISBN: 032332049X
Category : Medical
Languages : en
Pages : 2600
Get Book
Book Description
Focus on the "how" and "why" of medical/surgical conditions — the critical issues that lead to successful outcomes for your patients — with Veterinary Surgery: Small Animal, Second Edition. This two-volume full-color resource offers an authoritative, comprehensive review of disease processes, a thorough evaluation of basic clinical science information, and in-depth discussion of advanced surgeries. With an updated Expert Consult website you can access anytime and detailed coverage of surgical procedures, it is the definitive reference for surgical specialists, practicing veterinarians, and residents. Expert Consult website offers access to the entire text online, plus references linked to original abstracts on PubMed. Comprehensive coverage includes surgical biology, surgical methods and perioperative care, neurosurgery, and orthopedics in Volume One, and all soft tissue surgery organized by body system in Volume Two. Extensive references to published studies available on Expert Consult show the factual basis for the material. Strong blend of clinical and basic science information facilitates a clear understanding of clinical issues surrounding operative situations. Highly recognized contributing authors create chapters from their own experience and knowledge base, providing the most authoritative, current information available. Coverage of anatomy, physiology, and pathophysiology in chapters on specific organs includes information critical to operative procedures and patient management. In-depth chapters on anesthesia, surgical oncology, tumors of the spine, and musculoskeletal neoplasia provide valuable resources for practicing surgeons, especially in the area of cancer treatment. Preoperative considerations and surgical implications for surgical procedures help surgeons make decisions about treatment approaches. NEW and UPDATED! Expert Consult website with print text plus complete online access to the book’s contents, so you can use it anytime — anywhere. EXPANDED! Coverage of interventional radiology techniques in Volume Two (soft tissue volume) to provide cutting-edge information on contemporary imaging modalities that gain access to different structures of the patient’s body for diagnostic and therapeutic reasons. NEW and UPDATED! Expanded coverage of coaptation devices and small animal prosthetics clearly explains how they are used in a variety of clinical situations. EXPANDED! Principles of minimally invasive plate treatment added to Volume One (orthopedic volume) to show how these advancements maximize healing and protect the patient while meeting the surgeon’s goals in using fracture fixation.
Author: Vijay K. Maker
Publisher: Springer
ISBN: 1493918508
Category : Medical
Languages : en
Pages : 469
Get Book
Book Description
This text is organized by organ system and the illustrations highlight surgical pearls borne of experience and polished by the study of pertinent references. Hand-drawn and illustrated figures show exact anatomical relationships as we see them in-vivo. A question/answer format augments the images to allow the reader to actively reflect on the topic and to appraise his/her knowledge in that area. The discussion sections strive to explain not only what the correct answer is, but also why the distractors are wrong, in order to motivate discussion and self-reflection. Cognitive Pearls in General Surgery details the explicit thought processes and associations that underlie the understanding of the topics at hand, with the intent of enhancing the fun and enjoyment that only an informed and well-grounded practice of surgery can provide.
