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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1310_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Foreword
- •Preface
- •Contents
- •Contributors
- •Abbreviations
- •Chen’s Double-Hanging Maneuver
- •Case Presentation
- •Our Management
- •Diagnosis and Assessment
- •Liver
- •1 Resection of Large Hepatocellular Carcinoma: Hanging Technique
- •Introduction
- •Belghiti-Hanging Maneuver
- •Management
- •Outcome
- •References
- •2 Debulking of Extensive Neuroendocrine Liver Metastases
- •Introduction
- •Case 1: Mid-Gut Neuroendocrine Tumor Metastatic to the Liver
- •Case 2: Pancreas NET Metastatic to Liver
- •Overall Management of Patients with Extensive Neuroendocrine Hepatic Metasasis
- •Conclusion
- •Treatment of Neuroendocrine Liver Metastases
- •3 Resection of Centrally Located Cystadenoma/Cystadenocarcinoma
- •Introduction
- •Case 1
- •History
- •Procedure
- •Outcome
- •Case 2
- •History
- •Procedure
- •Outcome
- •Discussion
- •Anatomical Considerations
- •Enucleation Technique
- •Determining the Approach
- •References
- •4 Management of Patients with Bilateral Multi-focal Colorectal Liver Metastasis: Two-Stage Approach
- •Introduction
- •Case Presentation
- •Preoperative Assessment
- •Surgical Management
- •Outcome of Two-Stage Hepatectomy and Its Current Role
- •References
- •5 Management of Patients with Bilateral Multifocal Colorectal Liver Metastases: ALPPS
- •Case Presentation
- •My Management
- •Diagnosis and Assessment
- •Management
- •Outcome
- •Conclusion
- •References
- •6 Management of Low Rectal Cancer with Synchronous Liver Metastases
- •Introduction
- •Case Presentation 1
- •Multidisciplinary Management
- •Case Summary
- •Case Presentation 2
- •Multidisciplinary Management
- •Case Summary
- •Case Presentation 3
- •Multidisciplinary Management
- •Case Summary
- •Discussion: Symptomatic Primary Tumors
- •Neoadjuvant Therapy
- •Surgical Resection
- •Conclusion
- •References
- •7 Laparoscopic Hemihepatectomy for Hepatocellular Carcinoma
- •Case Presentation
- •Diagnosis and Assessment
- •Management
- •Outcome
- •References
- •8 Minimally Invasive Resection of Colorectal Liver Metastases
- •Case Presentation
- •Epidemiology
- •Preoperative Planning
- •Management
- •Minimally Invasive Hepatic Resection
- •Outcomes
- •Conclusion
- •References
- •9 Totally Laparoscopic Right Hepatectomy Combined with En-Bloc Partial Resection of the Inferior Vena Cava
- •Introduction
- •Case Description
- •Patient Positioning
- •Trocar Placement
- •Surgery
- •Histological Analysis and Postoperative Course
- •Conclusion
- •References
- •10 Liver Cancer Necessitating Ex Vivo Resection and Reconstruction
- •Introduction
- •Ex Vivo Resection
- •Ultrasound
- •Technical Alternatives
- •Control of Hemorrhage
- •Parenchymal Dissection
- •Transection Without Mobilization of the Right Lobe or the Anterior Approach Technique
- •Control of Hepatic Outflow
- •Haemostasis, Drain and Specimen Extraction
- •Postoperative Complication
- •Case 1
- •Case 2
- •Conclusion
- •References
- •First Case Presentation
- •Right Renal Cell Carcinoma with Tumor Thrombus Extending into the Retrohepatic Inferior Vena Cava
- •Clinical Presentation
- •Diagnosis and Assessment
- •Staging of Intracaval Extension
- •Surgical Strategy
- •Technical Aspects
- •Surgical Incisions
- •Surgery of the IVC and Hepatic Veins
- •Vascular Control of the IVC
- •Adjunct Procedures: The Venovenous Bypass and Hypothermic Perfusion Techniques [12–14]
- •IVC Resection and Reconstruction
- •Short-Term Outcome
- •Long-Term Outcome
- •Second Case Presentation
- •Liver Metastases from Renal Cell Carcinoma Following Right Nephrectomy and Inferior Vena Cava Tumor Resection
- •Surgical Strategy
- •Technical Aspects
- •Anesthetic Management
- •TVE, Venovenous Bypass, and In Situ Hypothermic Perfusion of the Liver
- •Discussion
- •Short-Term Outcome
- •Long-Term Outcome
- •References
- •Gallbladder/Bile Duct
- •12 Hilar Cholangiocarcinoma with Portal Vein Involvement
- •Case Presentation
- •Diagnosis and Assessment
- •Management and Outcomes
- •References
- •13 Hilar Cholangiocarcinoma with Hepatic Artery Involvement
- •Case Presentation
- •Surgery and Outcomes
- •Conclusion
- •References
- •14 Gallbladder Cancer with Common Bile Duct Invasion
- •Case Presentation
- •Radiographic Assessment of Locally Advanced Gallbladder Carcinoma
- •General Principles of Surgical Management
- •Management of Gallbladder Cancer with CBD Invasion
- •Operative Principles
- •Conclusion
- •Acknowledgements
- •References
- •15 Management of the Gangrenous Gallbladder
- •Case Presentation
- •Our Approach
- •Initial Presentation
- •Diagnostic Imaging
- •Tokyo Guidelines
- •Management
- •Surgical Considerations
- •Conclusion
- •References
- •16 Surgical Resection of a Type IVa Choledochal Cyst
- •Case Presentation
- •Diagnosis and Assessment
- •Incidence and Aetiology
- •Clinical Course
- •Operative Management
- •Outcome
- •References
- •17 Bile Duct Injury at the Hepatic Confluence
- •Clinical Case
- •Portoenterostomy
- •Double Barrell Anastomosis
- •Construction of a Neoconfluence
- •Partial Hepatectomy
- •Liver Transplantation
- •Conclusion
- •References
- •18 Posterior Right Disconnected Bile Duct
- •Case Presentation
- •Preoperative Assessment
- •Malignant Causes
- •Diagnostic Tools
- •Endoscopic Procedures
- •Multidisciplinary Evaluation and Operative Treatment
- •References
- •19 Management of Contralateral Bile Duct Injury Following Liver Resection
- •Case 1
- •Case 2
- •Discussion
- •Initial Presentation and Workup
- •Initial Management
- •Operative Management
- •Prevention of Contralateral Bile Duct Injury
- •Conclusion
- •References
- •20 Transplantation for Hilar Cholangiocarcinoma
- •Introduction
- •CASE 1
- •Discussion
- •CASE 2
- •Discussion
- •Conclusion
- •References
- •Pancreas
- •Case Presentation
- •Diagnosis and Workup
- •Management
- •Pre-operative Planning
- •Intra-operative Approach
- •Post-operative Course
- •Conclusion
- •References
- •Introduction
- •Anatomical Considerations
- •Preoperative Considerations
- •Surgical Considerations
- •Conclusion
- •References
- •Introduction
- •Case Presentation
- •Workup
- •Diagnosis and Staging
- •Preoperative Management
- •Operative Management
- •Peri-operative Care
- •Postoperative Care and Considerations for Follow-Up
- •References
- •Case Presentation
- •Operative Technique for Laparoscopic Distal Pancreatectomy
- •Alternative Techniques
- •Preoperative Evaluation for Pancreatic Adenocarcinoma
- •Postoperative Care
- •Surveillance
- •Conclusion
- •References
- •25 Robotic Approaches to the Patient with Pancreatic Adenocarcinoma
- •Introduction
- •Case Presentation
- •Epidemiology
- •Diagnostic Workup and Staging
- •Management
- •Robotic Pancreaticoduodenectomy
- •Perioperative Outcomes Following Robotic PD
- •Adjuvant Therapy
- •Posttreatment Surveillance and Interval Staging
- •Conclusion
- •References
- •Introduction
- •Case Studies
- •Case #1
- •Case #2
- •Results
- •Discussion
- •References
- •Case Presentation
- •Presentation
- •Imaging
- •Operative Planning: Splenic Preservation?
- •Operative Technique: Distal Pancreatectomy and Splenectomy
- •Postoperative Management
- •Conclusion
- •References
- •28 Multifocal Branch-Duct Intraductal Papillary Mucinous Neoplasm
- •Case Presentation
- •Overview of Multifocal Bd-IPMN
- •Clinical Management of Multifocal BD-IPMN
- •Total Pancreatectomy
- •Partial Pancreatectomy and Postoperative Surveillance
- •Case Continued
- •Surveillance Alone
- •Case Conclusion
- •Conclusion
- •References
- •Case Presentation
- •Diagnosis and Preoperative Management
- •Surgical Management
- •Postoperative Care
- •References
- •30 Chronic Pancreatitis: Puestow and Frey Procedures
- •Introduction
- •Etiology
- •Pathophysiology
- •Marseille, Cambridge, and Rosemont Classification Systems
- •Case Presentation: Surgical Treatment of Chronic Pancreatitis
- •Differential Diagnosis
- •Workup
- •Preoperative Evaluation for CP and a Dilated MPD
- •Operative Techniques
- •Puestow
- •Frey Modification of Beger’s Procedure
- •Outcomes and Pitfalls
- •Conclusion
- •References
- •31 Chronic Pancreatitis: Frey Procedure
- •Case Presentation
- •Diagnosis and Assessment
- •Management
- •Intraoperative Technique
- •Positioning and Preparation
- •Exposure of the Pancreas
- •Longitudinal Pancreatic Ductotomy
- •Pancreatic Head Resection
- •Roux-en-Y Pancreaticojejunostomy
- •Postoperative Management
- •Global Pearls
- •References
- •32 Total Pancreatectomy with Islet Autotransplantation
- •Case Scenarios
- •Case 1: Diffuse Small Duct Disease
- •Case 2: Hereditary Pancreatitis
- •Case 3: Salvage Pancreatectomy
- •Case 4: Recurrent Acute Pancreatitis
- •Preoperative Evaluation
- •History
- •Genetic Testing
- •Recurrent Acute Pancreatitis
- •Imaging
- •Diabetes
- •Nutritional Assessment
- •Physiologic Assessment
- •Behavioral Medicine Evaluation
- •Preoperative Counseling
- •Surgical Technique
- •Islet Cell Preparation
- •Islet Transplantation
- •Postoperative Care
- •Potential Complications
- •Long-Term Outcomes
- •References
- •33 Necrotizing Pancreatitis: Best Approaches
- •Introduction
- •Case Presentation
- •Pathophysiology and Determination of Severity
- •Medical Therapy
- •Nutrition
- •Prophylactic Antibiotics
- •Management of Pancreatic Necrosis
- •Endoscopic Necrosectomy
- •Laparoscopic Transgastric Necrosectomy
- •Video-Assisted Retroperitoneal Debridement (VARD)
- •Open Pancreatic Debridement
- •Complications
- •Conclusion
- •References
- •34 Pancreatic Pseudocyst: Operative Versus Endoscopic Approach
- •Introduction
- •Case 1
- •Case 2
- •Case 3
- •Discussion
- •Conclusion
- •References
- •Index
Index 461
potential complications, 424
preoperative evaluation, 415–419
behavioral medicine evaluation, 418
counseling, 418–419
diabetes, 417–418
genetic testing, 416
history, 415
nutritional assessment, 418
physiologic assessment, 418
radiographic imaging, 415–416
recurrent acute pancreatitis, 415
surgical technique, 419–422
islet cell preparation, 420–422
islet transplantation, 422
Total parenteral nutrition (TPN), 431
Total vascular exclusion (TVE), 125, 146,
154–157
Totally laparoscopic right hepatectomy
combined with en-bloc
case description, 110
caval involvement, 113
contrast–enhanced CT, 111f
histological analysis and postoperative
course, 114
patient positioning, 110, 112f
surgery, 113
technical alternatives, 115
control of hemorrhage, 116
control of hepatic outflow, 117–118
haemostasis, drain and specimen
extraction, 118
parenchymal dissection, 117
postoperative complication, 118
transection without mobilization of right
lobe, 117
trocar placement, 110–113
ultrasound, 115
Transabdominal ultrasonography, 392
Transaminases, 204
Transection without mobilization of the right
lobe, 117
Triple-phase contrast-enhanced CT, 217
Trocar placement, 90
Tru-Cut needle, 278
T-Tube placement, 235–236
Tumor mass and pathology, 15f
Tumor necrosis factor alpha (TNFa), 429
Tumor node metastasis (TNM) staging system,
Tumor–vessel relationships, 377, 378
Two-stage hepatectomy, 39, 45, 58, 67, 51t
Type IIIb hepatic carcinoma, 167
Type IVa choledochal cyst, surgical resection
U
UICC (International Union Against Cancer),
Ulcerative colitis, 444
Ultrasound, 115
V
Vascular occlusion, 182, 183, 206
Vascular R1, 44
Venous involvement, 286, 348
Venous resection (VR), 279, 280, 282
Venovenous bypass, 154–157
Video-assisted retroperitoneal debridement
Volumetry, 185
W
Walled-off pancreatic necrosis (WOPN), 442
Warshaw technique, 356
Whipple pancreaticoduodenectomy, 344
Y
Yttrium-90 radio-embolizations, 23
259
of, 215
alternative approaches and controversies,
220
case presentation, 215–216
clinical course, 219–220
diagnosis and assessment, 217–218
drainage procedures, 220
incidence and aetiology, 219
operative management, 221–222
outcome, 222
post-operative cholangitis, 222
92t
, 156f
and hypothermic perfusion techniques,
148–150
(VARD), 435–437, 429, 433, 429f,
437f
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