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Renzo Dionigi
Department of Surgical Sciences, Azienda Ospedaliera
Polo Universitario, Via Guicciardini
Varese, Italy.

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ISBN: 978-1-58706-317-6
Pub date: 2009-05-01
394 pages
171 figures
24 tables

About this book

For many years liver surgery has been considered major surgery, which has been often associated with a high complication rate. Although evidence suggests that better results are achieved in specialized centers with a high volume of procedures, nevertheless liver resections are now carried out in most of the general surgery divisions. Beside the fact that I still believe that liver surgery should be a field of trained specialists, in editing this book I have attempted to cover for the general surgeon all the main topics of liver surgery and to review the very latest innovative developments. Eminent surgeons from different countries agreed to contribute their own views, opinions and results in the management of primary and secondary liver tumours. The book covers most of the topics which are essential elements in modern liver surgery: applied anatomy of the liver with its radiological demonstration, prognostic indicators and staging systems, portal vein embolization, vascular occlusion, intraoperative ultrasonic guided surgery, different transection techniques. I thought necessary to give space to the radiologists in an effort to outline the extraordinary advances of interventional radiology, which have taken place in recent years. Particular consideration has been given to the aspect of avoiding and managing complications. There are also new specific contributions such as partial hepatectomy after transplantation, genetics of hepatocellular carcinoma, hepatocyte transplantation, and computer-assisted operations. Since the first report of a laparoscopic liver resection, hepatic resection using minimally invasive surgery has become increasingly more common; therefore emphasis has been given to this alternative approach. Recently introduced innovative contributions in liver transplantation are also described.

Table of contents

Preface

1. Liver Surgery: A Historical Account
Renzo Dionigi, Giulio Carcano, Gianlorenzo Dionigi 
and Francesca Rovera

2. Genetics of Hepatocellular Carcinoma
Andreas Teufel and Peter R. Galle

3. Staging Algorithms for Patients with HCC and Prognostic Indicators
Christos S. Georgiades

4. Staging Systems to Predict Survival in Hepatocellular Carcinoma
Sonia Pascual and Miguel Pérez‑Mateo

5. Virtual Liver Surgery: Computer‑assisted operation
planning in 3D liver model
Hauke Lang, Milo Hindennach, Arnold Radtke and Heinz Otto Peitgen

6. Transection Techniques in Liver Surgery
Luigi Boni, Gianlorenzo Dionigi, Mario Diurni and Renzo Dionigi

7. Vascular Isolation Techniques in Liver Resection
Jacques Belghiti, Safi Dokmak and Catherine Paugam‑Burtz

8. Preoperative Portal Vein Embolization for Hepatocellular Carcinoma
Taku Aoki, Hiroshi Imamura, Takuya Hashimoto, Norihiro Kokudo and Masatoshi Makuuchi

9. Vascular Embolotherapy in Hepatocellular Carcinoma
Saad M. Ibrahim, Gianpaolo Carrafiello, Robert J. Lewandowski, Robert K. Ryu, Kent T. Sato, Reed A. Omary and Riad Salem

10. Sequential Arterial and Portal Vein Embolization before Right 
Hepatectomy in Patients with Cirrhosis and Hepatocellular Carcinoma
Jacques Belghiti, Béatrice Aussilhou and Valérie Vilgrain

11. Intraoperative Ultrasonic Examination in Liver Surgery
Junichi Arita, Norihiro Kokudo, Keiji Sano and Masatoshi Makuuchi

12. Perioperative Blood Transfusion in Hepatocellular Carcinomas
Gianlorenzo Dionigi, Salvatore Cuffari, Giovanni Cantone,
Alessandro Bacuzzi and Renzo Dionigi

13. Inferior Vena Cava Resection for Infiltrating Hepatic Malignancy
Gabriele Piffaretti, Gianlorenzo Dionigi, Matteo Tozzi, 
Patrizio Castelli and Renzo Dionigi

14. Aggressive Surgery for Hepatocellular Carcinoma with Vascular 
and/or Biliary Involvement
Tsuyoshi Sano and Yuji Nimura

15. Surgical Strategies and Technique for Hilar Cholangiocarcinoma
Tsuyoshi Sano and Yuji Nimura

16. Resection of Noncolorectal Cancer Liver Metastases
Cristina R. Ferrone and Kenneth K. Tanabe

17. Current Role of Laparoscopic Surgery for Liver Malignancies
Andrew A. Gumbs and Brice Gayet

18. Loco-regional Ablative Therapies for Colorectal Metastases
Riccardo Lencioni, Laura Crocetti and Dania Cioni

19. Sepsis after Liver Resection: Predisposition, Clinical Relevance
and Synergism with Liver Dysfunction
Gennaro Nuzzo, Ivo Giovannini, Felice Giuliante, Francesco Ardito and Carlo Chiarla

20. Percutaneous Treatment of Surgical Bile Duct Injury
Gianpaolo Carrafiello, Domenico Laganà, Monica Mangini, Federico Fontana, Massimiliano Dizonno, Andrea Ianniello, Elisa Cotta, 
Riad Salem and Carlo Fugazzola

21. Response Evaluation Criteria in Hepatocellular Carcinoma (Moving beyond the RECIST)
Carlo Fugazzola, Gianpaolo Carrafiello, Chiara Recaldini, 
Elena Bertolotti, Tamara Cafaro, Maria Gloria Angeretti, 
Paolo Nicotera and Domenico Lumia

22. One Liver for Two: Split and Living Donor Liver Transplantation for Adult and Pediatric Patients
Bruno Gridelli, Salvatore Gruttadauria, Angelo Luca, Marco Spada, 
Riccardo Volpes, Wallis Marsh and Amadeo Marcos

23. Radiological Intervention for Treatment of Complications after Liver Transplantation
Giovanni Gandini, Maria Carla Cassinis, Dorico Righi, 
Andrea Doriguzzi-Breatta, Maria Cristina Martina
 and Maria Antonella Ruffino

24. Hepatocyte Transplantation: a new Approach to Treat 
Liver Disorders
Javed Akhter, Loreena A. Johnson and David L Morris

25. Liver Transplantation in Hiv‑Infected Individuals
Paolo Antonio Grossi

Appendix. Partial Hepatectomy after Liver Transplantation: 
Inclusion Criteria, Timing of Surgery and Outcome
Franco Filipponi and Franco Mosca