Balancing basic science with information on everyday clinical practice, Blumgart's Surgery of the Liver, Biliary Tract and Pancreas, 7th Edition, provides you with expert guidance and advances in the field so you can offer patients the most optimal diagnostic and surgical care. In two convenient volumes, Dr. William Jarnagin and his team of internationally recognized surgeons cover exactly what you need to know, including advances in diagnostic and surgical techniques, minimally invasive surgeries, new interventional diagnostic techniques, and all relevant diseases. This comprehensive, practical reference is designed to help you choose and perform the most appropriate procedures that will minimize inpatient hospital time, curtail costs, and reduce overall recovery time for your patients.
Key Features
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Presents cutting-edge guidance on pathology, diagnostics, surgery and non-operative intervention of the liver, biliary tract, and pancreas in one highly regarded, authoritative reference.
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Covers all surgical approaches, both open and minimally invasive.
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Considers all worldwide opinions and approaches to management, and includes key data on surgical outcomes to better inform clinical decision-making.
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Contains 161 chapters with updated references and additional figures—more than 1,500 illustrations in all. The imaging section has been reorganized to reflect a disease-based approach.
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Includes new and expanded sections on advances in molecular characterization of benign and malignant HPB diseases, perioperative management, interventional techniques, minimally invasive surgery and robotics, and therapeutic advances for malignant disease.
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Features a section dedicated entirely to operative technique, plus a new historical chapter authored by Professor Jacques Belghitti: “Hepatobiliary and Pancreatic Surgery: Historical Perspective.
Author Information
Edited by William R. Jarnagin, MD, Chief, Hepatopancreatobiliary Service, Benno C. Schmidt Chair in Surgical Oncology, Memorial Sloan Kettering’s Cancer Center, New York, New York
VOLUME 1
Introduction: Hepatobiliary and Pancreatic Surgery: Historical Perspective
PART 1 Liver, Biliary, and Pancreatic Anatomy and Physiology
1 Embryologic Development of the Liver, Biliary Tract, and Pancreas
2 Surgical and Radiologic Anatomy of the Liver, Biliary Tract, and Pancreas
3 Pancreatic Physiology and Functional Assessment
4 Assessment of Hepatic Function: Implications for Perioperative Outcome and Recovery
5 Liver Blood Flow: Physiology, Measurement, and Clinical Relevance
6 Liver Regeneration: Mechanisms and Clinical Relevance
7 Liver Fibrogenesis: Mechanisms and Clinical Relevance
8 Bile Secretion and Pathophysiology of Biliary Tract Obstruction
9A Molecular and cell Biology of Hepatopancreatobiliary Disease: Introduction and Basic Principles
9B Molecular and Cell Biology of Liver Carcinogenesis and Hepatitis
9C Advances in the Molecular Characterization of Liver Tumors
9D Advances in the Molecular Characterization of Pancreatic Cancer and Pre-malignant Lesions
9E Advances in the Molecular Characterization of Biliary Tract and Gallbladder Cancer
10 Fundamentals of Liver and Pancreas Immunology
11 Infections in Hepatic, Biliary, and Pancreatic Surgery
PART 2 Diagnostic Techniques
12 Clinical Investigation of Hepatopancreatobiliary and Pancreatic Disease
13 Cross-Sectional Imaging of Liver, Biliary, and Pancreatic Disease: Introduction and Basic Principles
14 Imaging Features of Benign and Malignant Liver Tumors and Cysts
15 Imaging Features of Metastatic Liver Cancer
16 Imaging Features of Gallbladder and Biliary Tract Disease
17 Imaging Features of Benign and Malignant Pancreatic Disease
18 The Role of Nuclear Medicine in Diagnosis and Management of Hepatopancreatobiliary Diseases
19 Emerging Techniques in Diagnostic Imaging
20 Direct Cholangiography: Approaches, Techniques, and Current Role
21 Diagnostic Angiography in Hepatobiliary and Pancreatic Disease: Indications
22 Endoscopic Ultrasound of the Biliary Tract and Pancreas
23 Image-Guided Liver Biopsy
24 Intraoperative Diagnostic Techniques
PART 3 Anesthetic Management, Pre- and Postoperative Care
25 Liver and Pancreatic Surgery: Intraoperative Management
26 Nutrition and Perioperative Critical Care in the Hepatopancreatobiliary Surgery Patient
27 Enhanced Recovery Programs in Hepatobiliary Surgery
28 Postoperative Complications Requiring Intervention: Diagnosis and Management
29 The Impact of Hepatobiliary Interventions on Health and Quality of Life and Health
PART 4 Techniques of Biliary Tract Intervention: Radiologic, Endoscopic, and Surgical
30 Interventional Endoscopy for Biliary Tract Disease: Technical Aspects
31 Radiologic Hepatobiliary Interventions
32 Bile Duct Exploration and Biliary-Enteric Anastomosis
PART 5 Biliary Tract Disease
SECTION I Inflammatory, Infective, and Congenital
A Gallstones and Gallbladder
33 The Natural History of Symptomatic and Asymptomatic Gallstones
34 Cholecystitis
35 Percutaneous Treatment of Gallbladder Disease
36 Cholecystectomy Techniques and Postoperative Problems
37A Stones in the Bile Duct: Clinical Features and Open Surgical Approaches and Techniques
37B Stones in the Bile Duct: Minimally Invasive Surgical Approaches
37C Stones in the Bile Duct: Endoscopic and Percutaneous Approaches
38 Cholecystolithiasis and Stones in the Common Bile Duct: Which Approach and When?
39 Intrahepatic Stone Disease
B Biliary Stricture and Fistula
40 Extrahepatic Biliary Atresia
41 Primary Sclerosing Cholangitis
42 Benign Biliary Strictures and Biliary Fistulae
C Biliary Infection and Infestation
43 Cholangitis
44 Recurrent Pyogenic Cholangitis
45 Biliary Parasitic Disease
D Cystic Disease of the Biliary Tract
46 Bile Duct Cysts in Adults
SECTION II Neoplastic
A General
47 Tumors of the Bile Ducts: Pathologic Features
B Benign Tumors
48 Benign Tumors and Pseudotumors of the Biliary Tract
49 Tumors of the Gallbladder
50 Intrahepatic Cholangiocarcinoma
51A Extrahepatic Biliary Tumors
51B Perihilar Cholangiocarcinoma: Presurgical Management
52 Interventional Techniques in Hilar and Intrahepatic Biliary Strictures
PART 6 Pancreatic Disease
SECTION I Inflammatory, Infective, and Congenital
A Congenital Disorders
53 Congenital Disorders of the Pancreas: Surgical Considerations
B Pancreatitis
54 Definition and Classification of Pancreatitis
55 Etiology, Pathogenesis, and Diagnostic Assessment of Acute Pancreatitis
56 Management of Acute Pancreatitis and Pancreatitis-Related Complications
57 Etiology, Pathogenesis, and Diagnosis of Chronic Pancreatitis
58 Management of Chronic Pancreatitis: Conservative, Endoscopic, Surgical
SECTION II Neoplastic
A General
59 Tumors of the Pancreas and Ampulla
B Benign and Premalignant Tumors
60 Cystic Neoplasms of the Pancreas: Epidemiology, Clinical Features, Assessment, and Management
C Malignant Tumors
61 Pancreatic Cancer: Epidemiology
62 Pancreatic Cancer: Clinical Aspects, Assessment, and Management
63 Duodenal Adenocarcinoma
64 Pancreas as a Site of Metastatic Cancer
D Endocrine Tumors
65 Pancreatic Neuroendocrine Tumors: Classification, Clinical Picture, Diagnosis, and Therapy
66 Chemotherapy and Radiotherapy for Pancreatic Cancer: Adjuvant, Neoadjuvant, and Palliative
67 Palliative Treatment of Pancreatic and Periampullary Tumors
VOLUME 2
PART 7 Hepatic Disease
SECTION I Inflammatory, Infective, and Congenital
A Hepatitis
68 Chronic Hepatitis: Epidemiology, Clinical Features, and Management
69 Hepatic Steatosis, Steatohepatitis, and Chemotherapy-Related Liver Injury
B Liver Infection and Infestation
70 Pyogenic Liver Abscess
71 Amebiasis and Other Parasitic Infections
72 Hydatid Disease of the Liver
C Nonparasitic Liver Cysts
73 Simple Cysts and Polycystic Liver Disease: Clinical and Radiographic Features and Surgical and Nonsurgical Management
D Hepatic Cirrhosis, Portal Hypertension, and Hepatic Failure
74 Cirrhosis and Portal Hypertension: Pathologic Aspects
75 Nonhepatic Surgery in the Cirrhotic Patient
76 Portal Hypertension in Children
77 Management of Liver Failure
78 Support of the Failing Liver
79 Management of Ascites in Cirrhosis and Portal Hypertension
80 Medical Management of Bleeding Varices: Primary and Secondary Prophylaxis for Variceal Bleeding
81 Portal Hypertensive Bleeding: Acute Management
82 Portal Hypertensive Bleeding: Operative Devascularization
83 Portal Hypertensive Bleeding: the Role of Portosystemic Shunting
84 Techniques of Portasystemic Shunting: Selective and Nonselective Shunts
85 Transjugular Portosystemic Shunting (TIPS): Indications and Technique
86 Budd-Chiari Syndrome and Veno-Occlusive Disease
SECTION II Neoplastic
A General
87 Tumors of the Liver: Pathologic Aspects
B Benign and Premalignant Tumors
88A Benign Liver Lesions
88B Cystic Hepatobiliary Neoplasia
89 Hepatocellular Carcinoma
90 Hepatic Metastasis from Colorectal Cancer
91 Hepatic Metastasis from Neuroendocrine Cancers
92 Hepatic Metastasis from Noncolorectal Nonneuroendocrine Tumors
93 Hepatic Tumors in Childhood
D Treatment: Nonresectional
94A Hepatic Artery Embolization and Chemoembolization of Liver Tumors
94B Radioembolization for Liver Tumors
95 External Beam Radiotherapy for Liver Tumors
96A Ablative Treatment of Liver Tumors: Overview
96B Radiofrequency Ablation of Liver Tumors
96C Microwave Ablation and Irreversible Electroporation of Liver Tumors
96D Cryotherapy and Ethanol Injection
97 Regional Chemotherapy for Liver Tumors
98 Systemic Chemotherapy for Colorectal Liver Metastasis: Impact on Surgical Management
99 Advances in Systemic Therapy for Hepatocellular Carcinoma
100 Isolated Hepatic Perfusion for Unresectable Hepatic Metastases
E Treatment: Resection
101A Hepatic Resection: General Considerations
101B Hepatic Resection for Benign and Malignant Liver and Biliary Tract Disease: Indications and Outcomes
102A Parenchymal Preservation in Hepatic Resectional Surgery: Rationale, Indications and Outcomes
102B Segment-Oriented Anatomic Liver Resections: Indications and Outcomes
102C Preoperative Portal Vein Embolization: Indications, Technique, and Results
102D Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy: Indications and Outcomes
103 Adjuncts to Hepatic Resection: From Ultrasound Guidance to New Oncologic and Technical Horizons
PART 8 Liver and Pancreas Transplantation
SECTION I General
104 Liver and Pancreas Transplantation Immunobiology
SECTION II Indications
105 Liver Transplantation: Indications and General Considerations
106 Liver Transplantation: Perioperative Anesthetic Considerations
107 Liver Transplantation in Patients with Fulminant Hepatitis
108A Liver Transplantation for Hepatocellular Carcinoma
108B Liver Transplantation for Nonhepatocellular Malignant Disease
109 Orthotopic Liver Transplantation: Standard Donation After Brain Death, Donation After Cardiac Death, and Live Donor – Indications and Outcomes
110 Liver Transplantation in Children: Indications and Outcomes
111 Early and Late Complications of Liver Transplantation
112 Whole Organ Pancreas and Pancreatic Islet Transplantation
PART 9 Hepatobiliary Injury and Hemorrhage
113 Injuries to the Liver and Biliary Tract
114 Pancreatic and Duodenal Injuries
115 Aneurysm and Arteriovenous Fistula of the Liver and Pancreatic Vasculature
116 Hemobilia and Bilhemia
PART 10 Techniques of Pancreatic and Hepatic Resection and Transplantation
117A Pancreaticoduodenectomy
117B Distal and Central Pancreatectomy
117C Total Pancreatectomy
117D Transduodenal Resection of the Papilla of Vater
118A Major Hepatectomy and Extended Hepatectomy
118B Segmental Resection
119A Hepatic Resection for Biliary Tract Cancer: Gallbladder Cancer
119B Hilar Cholangiocarcinoma: Standard and Extended Resections of Perihilar Cholangiocarcinoma
120 Hepatic Resection in Cirrhosis
121 Resection Technique for Live Donor Transplantation
122 Vascular Reconstruction Techniques in Hepato-Pancreato-Biliary (HPB) Surgery
123 Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS): Techniques
124 Ex Vivo and in Situ Hypothermic Hepatic Resection
125 Techniques of Liver Replacement
126 Techniques of Pancreas Transplantation
127A Minimally Invasive Techniques in HPB Surgery: Laparoscopic and Robotic: General Principles and Considerations
127B Minimally Invasive Distal and Central Pancreatectomy
127C Minimally Invasive Pancreaticoduodenectomy
127D Minimally Invasive Segmental Hepatic Resection
127E Laparoscopic Major and Complex Liver Resection
127F Robotic-Assisted Placement of Hepatic Arterial Infusion Pump
128 Minimally Invasive Surgery Techniques in Transplantation
"This seventh edition book represents a worthy update to this classic hepatobiliary surgery text. Since the previous version was published in 2017, the book has been updated to include numerous color photographs and illustrations. It covers all important conditions and procedures in benign and malignant diseases of the liver and biliary tree, as well as the pancreas." ©Doody’s Review Service, 2023, Peter Nau, MD, MS, FACS (University of Iowa Hospitals and Clinics) Doody's Score: 5 Stars!
