Blumgart's Surgery of the Liver, Biliary Tract and Pancreas

2-Volume Set, Expert Consult - Online and Print

Comprehensive and complete, Blumgart’s Surgery of the Liver, Pancreas and Biliary Tract - edited by Dr. William R. Jarnagin and a team of experts- delivers the comprehensive, cutting-edge guidance you need to achieve optimal outcomes in surgery of the liver, biliary tract, and pancreas. Edited by a panel of experts and featuring contributions by many leading authorities, this 2-volume reference brings you the latest information on pathology, diagnostics, surgery, and non-operative intervention all in one source. At you can not only access the complete contents online, but also an abundance of detailed illustrations and step-by-step procedural video clips from the Memorial Sloan Kettering video library that show you how to perform key procedures step by step.


Specialist surgeons, Fellows, GI, Oncology

Hardbound, 1976 Pages

Published: March 2012

Imprint: Saunders

ISBN: 978-1-4377-1454-8


    INTRODUCTION: Hepatobiliary and Pancreatic Surgery: Historical Perspective

    PART 1 Liver, Biliary, and Pancreatic Anatomy and Physiology
    1A Embryologic Development of the Liver, Biliary Tract, and Pancreas
    1B Surgical and Radiologic Anatomy of the Liver, Biliary Tract, and Pancreas
    2 Assessment of Hepatic Function: Implications for the Surgical Patient =
    3 Pancreatic Physiology and Functional Assessment
    4 Liver Blood Flow: Physiology, Measurement, and Clinical Relevance
    5 Liver Regeneration: Mechanisms and Clinical Relevance
    6 Liver Fibrogenesis: Mechanisms and Clinical Relevance
    7 Bile Secretion and Pathophysiology of Biliary Tract Obstruction
    8A Pancreatic Cancer and Premalignant Tumors: Molecular Aspects
    8B Molecular Pathogenesis of Biliary Tract Cancer
    8C Molecular Biology of Liver Cardiogenesis and Hepatitis
    9 Liver Immunology
    10 Cytokines in Liver, Biliary, and Pancreatic Disease
    11 Infections in Liver, Biliary, and Pancreatic Surgery

    PART 2 Diagnostic Techniques
    12 Clinical Investigation of Hepatopancreaticobiliary Disease
    13 Ultrasound of the Liver, Biliary Tract, and Pancreas
    14 Endoscopic Ultrasound of the Biliary Tract and Pancreas
    15 Nuclear Medicine Techniques in Hepatobiliary and Pancreatic Disease
    16 Computed Tomography of the Liver, Biliary Tract, and Pancreas
    17 Magnetic Resonance Imaging of the Liver, Biliary Tract, and Pancreas
    18 Direct Cholangiography: Approaches, Techniques, and Current Role
    19 Diagnostic Angiography in Hepatobiliary and Pancreatic Disease: Indications
    20 Percutaneous Biopsy
    21 Intraoperative Diagnostic Techniques

    PART 3 Anesthetic Management, Preoperative and Postoperative Care
    22 Intraoperative and Immediate Postoperative Management
    23 Perioperative Critical Care in Hepatopancreatobiliary Patients
    24 Preoperative and Postoperative Nutrition in Hepatobiliary Surgery
    25 Postoperative Complications Requiring Intervention, Diagnosis, and Management
    26 Quality of Life and hepatopancreatobiliary Tumors

    PART 4 Techniques of Biliary Tract Intervention: Radiologic, Endoscopic, and Surgical
    27 Interventional Endoscopy: Technical Aspects
    28 Radiologic Hepatobiliary Interventions
    29 Bile Duct Exploration and Biliary-Enteric Anastomosis

    PART 5 Biliary Tract Disease
    SECTION I INFLAMMATORY, INFECTIVE,AND CONGENITAL Subsection A Gallstones and Gallbladder
    30 Natural History of Gallstones and Asymptomatic Gallstones
    31 Cholecystitis
    32 Percutaneous Approaches to the Treatment of Gallbladder Disease
    33 Technique of Cholecystectomy
    34 Laparoscopic Cholecystectomy and Choledocholithotomy
    35 Stones in the Bile Duct: Clinical Features and Open Surgical Approaches and Techniques
    36 Stones in the Bile Duct: Endoscopic and Percutaneous Approaches
    37 Cholecystolithiasis and Stones in the Common Bile Duct: Which Approach and When?
    38 Postcholecystectomy Problems
    39 Intrahepatic Stones

    Subsection B Biliary Stricture and Fistula
    40 Biliary Atresia
    41 Primary Sclerosing Cholangitis
    42A Benign Biliary Strictures
    42B Biliary Fistulae

    Subsection C Biliary Infection and Infestation
    43 Cholangitis
    44 Recurrent Pyogenic Cholangitis
    45 Biliary Parasitic Disease

    Subsection D Cystic Disease of the Biliary Tree
    46 Bile Duct Cysts in Adults

    Subsection A General
    47 Tumors of the Biliary Tree: Pathologic Features

    Subsection B Benign Tumors
    48 Benign Tumors and Pseudotumors of the Biliary Tract

    Subsection C Malignant Tumors
    49 Cancer of the Gallbladder
    50A Cancer of the Bile Ducts: Intrahepatic Cholangiocarcinoma
    50B Cancer of the Bile Ducts: Extrahepatic Biliary Tumors
    50C Cancer of the Bile Ducts: Perihilar Cholangiocarcinoma with Emphasis on Presurgical Management
    50D Cancer of the Bile Ducts: Interventional
    Techniques in Hilar and Intrahepatic Biliary Structures

    PART 6 Pancreatic Disease
    Subsection A Congenital Disorders
    51 Congenital Disorders of the Pancreas: Surgical Considerations

    Subsection B Pancreatitis
    52 Definition and Classification of Pancreatitits
    53 Etiology, Pathogenesis, and Diagnostic Assessment of Acute Pancreatitis
    54 Management of Acute Pancreatitis and Complications
    55A Chronic Pancreatitis: Etiology, Pathogenesis, and Diagnosis
    55B Management of Chronic Pancreatitis: Conservative, Endoscopic, and Surgical

    Subsection A General
    56 Pancreatic and Periampullary Tumors: Classification and Pathologic Features

    Subsection B Benign and Premalignant Tumors
    57 Cystic Neoplasms of the Pancreas: Epidemiology, Clinical Features, Assessment,and Management

    Subsection C Malignant Tumors
    58A Epidemiology of Pancreatic Cancer
    58B Pancreatic Cancer: Clinical Aspects, Assessment, and Management
    59 Pancreatic Cancer: Duodenal Adenocarcinomas
    60 The Pancreas as a Site of Metastatic Cancer

    Subsection D Endocrine Tumors
    61 Endocrine Tumors of the Pancreas: Clinical Picture, Diagnosis, and Therapy
    62A Resectional Techniques: Pancreaticoduodenectomy, Distal Pancreatectomy, Segmental Pancreatectomy,Total Pancreatectomy, and Transduodenal Resection of the Papilla of Vater
    62B Surgery of the Pancreas: Minimally Invasive Approaches
    63A Chemotherapy and Radiotherapy for Pancreatic and Periampullary Cancer: Adjuvant, Neoadjuvant, and Palliative
    63B Palliation of Pancreatic and Periampullary Tumors

    PART 7 Hepatic Disease
    64 Chronic Hepatitis: Epidemiology, Clinical Features, and Management
    65 Hepatic Steatosis, Steatohepatitis, and Chemotherapy-Related Liver Injury

    Subsection B Liver Infection and Infestation
    66 Pyogenic Liver Abscess
    67 Amebiasis and Other Parasitic Infections
    68 Hydatid Disease of the Liver

    Subsection C Nonparasitic Liver Cysts
    69A Simple Cysts and Polycystic Liver Disease: Clinical and Radiographic Features
    69B Simple Cysts and Polycystic Liver Disease: Surgical and Nonsurgical Management

    Subsection D Hepatic Cirrhosis, Portal Hypertension, and Hepatic Failure
    70A Cirrhosis and Portal Hypertension: Pathologic Aspects
    70B Nonhepatic Surgery in the Cirrhotic Patient
    71 Portal Hypertension in Children
    72 Management of Liver Failure
    73 Support of the Failing Liver
    74 Management of Ascites in Cirrhosis and Portal Hypertension
    75A Medical Management of Bleeding Varices: Primary and Secondary Prophylaxis
    75B Esophageal Varices: Acute Management of Portal Hypertension
    75C Esophageal Varices: Operative Devascularization and Splenectomy
    76A Location of Portosystemic Shunting
    76B Technique of Portocaval Shunting
    76C Distal Splenorenal Shunt
    76D Mesocaval Shunt
    76E Transjugular Intrahepatic Portosystemic Shunting: Indications and Technique
    77 Budd-Chiari Syndrome and Venoocclusive Disease

    Subsection A General
    78 Tumors of the Liver: Pathologic Aspects

    Subsection B Benign and Premalignant Tumors
    79A Benign Liver Lesions
    79B Cystic Hepatobiliary Neoplasia

    Subsection C Malignant Tumors
    80 Hepatocellular Carcinoma
    81A Metastatic Malignant Liver Tumors: Colorectal Cancer
    81B Metastatic Malignant Liver Tumors: Neuroendocrine
    81C Noncolorectal Nonneuroendocrine Metastases
    82 Hepatic Tumors in Childhood

    Subsection D Treatment: Nonresectable
    83 Hepatic Artery Embolization and Chemoembolization for Liver Tumors
    84A Radioembolization for Liver Tumors
    84B External-Beam Radiotherapy for Liver Tumors
    85A Percutaneous Methods for Ablating Liver Tumors: Overview
    85B Cryoablation for Liver Tumors
    85C Radiofrequency Ablation for Liver Tumors
    85D Microwave Ablation and Emerging Technologies for Liver Tumors
    86 Regional Chemotherapy for Liver Tumors
    87 Systemic Chemotherapy for Hepatic Colorectal Cancer: Impact on Surgical Management
    88 Advances in Systemic Therapy for Hepatocellular Carcinoma
    89 Isolated Hepatic Perfusion for Extensive Liver Cancer

    Subsection E Treatment: Resection
    90A Hepatic Resection: General Considerations
    90B Hepatic Resection for Benign Disease and for Liver and Biliary Tumors
    90C Extended Hepatic Resections for Biliary Tumors: An Alternative Approach
    90D Hepatic Resection for Living Donor Transplantation
    90E Minimally Invasive Techniques in Hepatic Resection
    90F Liver Resection in Cirrhosis
    91A Vascular Isolation
    91B Vascular Reconstruction Techniques
    92 Segment-Oriented Anatomic Liver Resections
    93A Preoperative Portal Vein Embolization: Rationale, Indications, and Results
    93B Preoperative Portal Vein Embolization: Technique
    94 Ex Vivo and in Situ Hypothermic Hepatic Resection
    95 Adjuncts to Hepatic Resection: Ultrasound and Emerging Guidance Systems

    PART 8 Liver and Pancreas Transplantation
    96 Liver and Pancreas Transplantation Immunobiology

    97A Liver Transplantation: Indications and General Considerations
    97B Liver Transplantation: Anesthesia, Perioperative Management, and Postoperative Care
    97C Liver Transplantation in Patients with Fulminant Hepatitis
    97D Liver Transplantation for Hepatocellular Carcinoma
    97E Liver Transplantation for Cholangiocarcinoma and Other Neoplastic Diseases

    98A Orthotopic Liver Transplantation
    98B Living Donor Liver Transplantation: Open and Laparoscopic
    98C Liver Transplantation in Children and Segmental Transplantation
    99 Techniques of Liver Replacement
    100 Early and Late Complications of Liver Transplantation
    101 Whole-Organ Pancreas and Pancreatic Islet Transplantation

    PART 9 Hepatobiliary Injury and Hemorrhage
    102 Injuries to the Liver and Biliary Tract
    103 Pancreatic and Duodenal Injuries
    104 Aneurysm and Arteriovenous Fistula of the Liver and Pancreatic Vasculature
    105 Hemobilia and Bilhemia


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