By Lunan Yan
This publication offers the newest wisdom in liver resection. It contains preoperative overview, hepatic vascular occlusion, reside parenchyma transection, a variety of liver resection innovations, liver transplantation, ex situ ex vivo resection, auto-transplantation, laparoscopic liver resection and end result of liver resection. It describes 21 resection suggestions within the comparable variety. each one bankruptcy is outfitted round a sequence of descriptive images and illustrations, that are defined intimately within the textual content. on the finish of every part there are key issues which are serious for surgeons appearing liver resections. The authors proportion their broad adventure of liver resections. This booklet might help practitioners practice secure and expeditious resections and decrease postoperative liver failure. Hepato-bilio pancreatic surgeons, hepatologists, radiologists, clinicians and researchers who're attracted to liver surgical procedure will locate this ebook a useful guide.
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Additional resources for Operative Techniques in Liver Resection
We believe that since living-donor liver transplantation is extremely valuable, the opportunity to perform surgery must not be lost; we therefore still use lamivudine and hepatitis B immune globulin for postoperative prophylaxis against hepatitis B infection. After laboratory testing, ECG and radiographic assessments should be performed. CT examination can evaluate the anatomy of the hepatic vein, the portal vein, and the hepatic artery anatomy and can be used to calculate the liver volume. However, for the assessment of biliary anatomy, we believe that preoperative MRCP is better.
52 HCC-MRI late arterial phase Fig. 53 HCC-MRI portal phase Fig. 50 HCC-T2WI Fig. 51 HCC-MRI early arterial phase Fig. 54 HCC-MRI delay phase 34 W. Chen and S. Shen Fig. 58 ICC-MRI early arterial phase Fig. 55 HCC-MRCP Fig. 59 ICC-MRI late arterial phase Fig. 56 ICC-T1WI Fig. 5 Fig. 57 ICC-T2WI Value of Sequential MRI before Hepatectomy: A Brief Summary Multiple sequence MRI in liver resection applications include (i) displaying lesion anatomy and spatial relationship of adjacent structures, (ii) determining the nature of disease, (iii) revealing whether there are single or multiple liver lesions, (iv) showing whether the lesions invade the blood 4 The Application of CT and MRI in Hepatectomy 35 Fig.
5. Shirabe K, Shimada M, Gion T, et al. Postoperative liver failure after major hepatic resection for hepatocellular carcinoma in the modern era with special reference to remnant liver volume. J Am Coll Surg. 1999;188:304–9. 6. Schindl MJ, Redhead DN, Fearon KC, et al. The value of residual liver volume as a predictor of hepatic dysfunction and infection after major liver resection. Gut. 2005;54:289–96. 7. Shoup M, Gonen M, D’Angelica M, et al. Volumetric analysis predicts hepatic dysfunction in patients undergoing major liver resection.