Titlebook: Liver Transplantation and Hepatobiliary Surgery; Interplay of Technic Umberto Cillo,Luciano Carlis Book 2020 Springer Nature Switzerland AG

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Preoperative Assessment of Comorbidities in Liver Transplantation and Hepatobiliary Surgery,iliary cancer and/or end-stage liver disease. Inappropriate surgical approaches or lack of evaluation of patients with challenging medical problems can compromise the patient care of those who have several comorbidities and are at higher risk of developing postoperative complications, with loss of f

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Liver Resection and Total Vascular Exclusion, extended hepatectomies. Total vascular exclusion (TVE) successfully applied in hepatic dissection during liver transplantation is now an accepted and commonly used technique in conventional liver surgery. A better understanding of the concepts related to liver transplantation such as ischemia-reper

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Cooling Techniques and Ex Situ Liver Surgery, successfully used in liver transplantation setting since the early 1960s to prolong the viability of harvested liver grafts. Static cold storage is able to reduce cellular metabolism by 10- to 12-fold and to slow down energy demand. Hypothermic perfusion is used also during complex liver resection

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Machine Perfusion in Liver Transplantation,n and promotes the possibility of graft reconditioning and viability testing. MP can be performed at different temperatures, ranging from hypothermia to normothermia. Hypothermic oxygenated perfusion (HOPE) promotes the resynthesis of adenine triphosphate and improves mitochondrial activity, thereby

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Liver Vascular Reconstructions,m outcome. Nevertheless, improvements in the preoperative study and in the perioperative management, morbidity rate remains high. Strategies as ex vivo resection, in situ cold perfusion and venovenous bypass allow treatment of tumors involving the inferior vena cava and hepatic veins. If portal vein

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Biliary Reconstruction Techniques: From Biliary Tumors to Transplantation,uring liver transplantation represents a basic skill for HPB and transplant surgeons. Such reconstruction may involve duct-to-duct anastomosis (or choledochocholedochostomy) or bilioenteric anastomosis, depending on the underlying disease, anatomy and indications. This chapter will describe the tech

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The Interplay Between Living Donor Liver Transplantation and Liver Surgery,ong with a better understanding of the liver anatomy and live donor liver volumetry have been applied to resective hepatic surgery, improving outcomes after major liver resection. Likewise, advances in resective hepatic surgery has led to both the split-liver technique and LDLT. The overall result h

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