Current Diagnosis Treatment in Gastroenterology by Scott Friedman, Kenneth McQuaid, James Grendell

By Scott Friedman, Kenneth McQuaid, James Grendell

A finished, clinically concentrated reference masking all of the very important gastrointestinal, hepatic, biliary, and pancreatic illnesses. Now with thirteen thoroughly revised chapters, the second one variation positive factors up to date, cost effective diagnostic methods and healing recommendations.

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2008) Retrograde resection of caudate lobe of liver. J Am Coll Surg 206: 1232-1238 Bismuth H, Houssin D, Castaing D (1982) Major and minor segmentectomies “réglées” in liver surgery. World J Surg 6: 10-24 2 Surgical Instrument and Dissection Technique In liver resection, prolonged operating time and massive intraoperative hemorrhage, which are related to the level of training, skill, and surgical instruments, are associated with higher mortality and morbidity. But there seems to be a conflict between operating time and precise surgical anatomy.

Recently, the surgical approach to caudate lobectomy has been gradually standardized. Approaches are mostly dependent on the size and location of the lesion as well as the severity of cirrhosis. , 2002), four approaches have been used for the various types of caudate lobectomy: (1) the left-sided approach, suitable for small tumors situated in the Spiegel lobe or when the caudate lobe is to be resected together with the left liver; (2) the right-sided approach, suitable for a tumor located in the caudate process or when the caudate lobe is to be resected together with the right liver; (3) the bilateral approach, a combination of the left-sided and right-sided approaches, in which the caudate lobe may be approached mainly from the right or left side, although dissection from both sides is necessary in most cases; (4) the anterior transhepatic approach, suitable only for cases when the tumor is closely in contact with the major HVs, or when the tumor is huge and especially when it is also in close contact with the IVC, thus preventing the liver from being turned from one side to the other.

4. 5. 6. 19 Skeletonization of hepatic duodenal ligment References Di Carlo I (2007) PenJ’s Multifunctional Operational Dissector (PMOD). In: Chirurgia Epatica: Elementi di patologia, tecnica chirurgica e trapianto. Edizioni Minerva Medica: 34-35 Peng SY, Li JT (2008) “Curettage and aspiration dissection technique” using PMOD for liver resection. HPB 10: 285-288 3 Surgical Procedures Surgical position, incision, and the technique of mobilization of the liver, taping vessels, detachment from the surrounding structures are introduced here.

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