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Full Description
Owing to both improved preoperative assessment and the use of established surgical techniques, liver resection can today be performed with low morbidity and minimal mortality. But no matter which technique is applied in liver resection, the most difficult event to manage is postresectional liver failure. All peri-operative efforts should therefore be directed to the prevention of this potentially lethal complication. This publication presents some of the current techniques of liver resection and the management of the most common complications associated with the procedures. The first part deals with the question of how much remnant liver is enough for a safe resection and describes appropriate techniques for optimal preservation. Then, several procedures for transection of the liver parenchyma and for clamping of the afferent vessels at the hepatic pedicle are presented, mainly aiming at limiting blood loss during resection. Bile leakage and its prevention after liver resection are considered last, followed by a discussion of indications for laparoscopic liver resection.
Contents
Editorial; Techniques of Liver Resection: van Gulik, T.M.; Bechstein, W.O.; How Much Remnant Is Enough in Liver Resection? Guglielmi, A.; Ruzzenente, A.; Conci, S.; Valdegamberi, A.; Iacono, C.; Extrahepatic versus Intrahepatic Hilar Control for Right Hepatectomy: An Updated Experience: Habib, M.; Cresswell, A.B.; Chandrakumaran, K.; Welsh, F.K.S.; John, T.G.; Rees, M.; Portal Vein Embolization before Extended Hepatectomy for Biliary Cancer: Current Technique and Review of 494 Consecutive Embolizations: Ebata, T.; Yokoyama, Y.; Igami, T.; Sugawara, G.; Takahashi, Y.; Nagino, M.; How to Transect the Liver? A History Lasting More than a Century: Scalzone, R.; Lopez-Ben, S.; Figueras, J.; Vascular Occlusion or Not during Liver Resection: The Continuing Story: Hoekstra, L.T.; van Trigt, J.D.; Reiniers, M.J.; Busch, O.R.; Gouma, D.J.; van Gulik, T.M.; Use of Bipolar Radiofrequency in Parenchymal Transection of the Liver, Pancreas and Kidney: Pai, M.; Spalding, D.; Jiao, L.; Habib, N.; Posthepatectomy Bile Leakage: How to Manage: Hoekstra, L.T.; van Gulik, T.M.; Gouma, D.J.; Busch, O.R.; Role of Fibrin Sealants in Liver Surgery: de Boer, M.T.; Boonstra, E.A.; Lisman, T.; Porte, R.J.; Laparoscopic Liver Resection: Is There a Learning Curve? Robinson, S.M.; Hui, K.Y.; Amer, A.; Manas, D.M.; White, S.A.; Laparoscopic Liver Resection in the Netherlands: How Far Are We?; Stoot, J.H.M.B; Wong-Lun-Hing, E.M.; Limantoro, I.; Visschers, R.; Busch, O.R.; Van Hillegersberg, R.; De Jong, K.M.; Rijken, A.M.; Kazemier, G.; Olde Damink, S.W.M.; Lodewick, T.M.; Bemelmans, M.H.A.; van Dam, R.M.; Dejong, C.H.C.; Posthepatectomy Liver Failure: Schreckenbach, T.; Liese, J.; Bechstein, W.O.; Moench, C.