Blumgart's Surgery of the Liver, Biliary Tract and Pancreas - 5th Edition - ISBN: 9781437714548, 9781455740901

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

5th Edition

2-Volume Set, Expert Consult - Online and Print

Editor: William Jarnagin
Hardcover ISBN: 9781437714548
eBook ISBN: 9781455740901
eBook ISBN: 9780323247153
eBook ISBN: 9781455746064
Imprint: Saunders
Published Date: 9th March 2012
Page Count: 1976

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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.

Key Features

  • Glean all essential, up-to-date, need-to-know information in one comprehensive reference that provides extensive coverage of pathology, diagnostics, surgery, and non-operative intervention as well as hepatobiliary and pancreatic surgery.
  • Deepen your understanding of surgical anatomy to help with diagnosis, surgical operation, interventional radiology, and endoscopy.

Table of Contents

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
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


No. of pages:
© Saunders 2012
9th March 2012
Hardcover ISBN:
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eBook ISBN:
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About the Editor

William Jarnagin

Affiliations and Expertise

Chief, Hepatopancreatobiliary Service, Benno C. Schmidt Chair in Surgical Oncology, Memorial Sloan Kettering’s Cancer Center, New York, New York