Difficult Decisions in Hepatobiliary and Pancreatic Surgery

This book is part of a series covering surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations.

The book is written by recognized experts in the field, lending credibility to the stated conclusions Use of a PICO table (Population, Intervention, Comparator and Outcome) and recommendation boxes will allow the reader to easily identify useful clinical guidelines The book has focused topics which are concisely analysed by the authors

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This book presents all the current evidence in assessing and making decisions for patients. The multi-disciplinary team of authors pool their knowledge to bring the most up-to-date information regarding the underlying diseases, diagnostics and non operative therapies found in hepatobiliary and pancreatic surgery. The chapters reflect the constant efforts made by the authors to evaluate the current evidence, make the correct decisions and provide the best clinical care for their patients.

Difficult Decisions in Hepatobiliary and Pancreatic Surgery: An Evidence-Based Approach reflects the challenging decisions faced by busy, thoughtful surgeons specializing in these fields of surgery. It is a timely resource for practicing surgeons, surgeons in training as well as educators that describes the recommended ideal approach, rather than customary care, in selected clinical situations.

Contenu

Chapter 1: Finding and appraising the evidence: EBM and GRADE

Chapter 2: Is Surgery Indicated for Asymptomatic Giant Hepatic Hemangioma?

Chapter 3: What is the Best Surgical Method of Addressing Hepatic Hemangiomas?

Chapter 4: Which Diagnostic Modality is Best to Assess Benign Hepatic Tumors?

Chapter 5: Cystic Diseases of the Liver

Chapter 6: When Should You Operate on Major Hepatic Trauma?

Chapter 7: Surgical Treatment of Hepatocellular Carcinoma: Resection versus Transplantation

Chapter 8: Hepatic Epithelioid Hemangioendothelioma

Chapter 9: What is the Best Way to Screen Cirrhotic Patients for Hepatocellular Carcinoma in the United States?

Chapter 10: When is Laparoscopic Liver Resection Preferred Over Open Resection?

Chapter 11: Clinical Management of Pyogenic Liver Abscesses

Chapter 12: Which is better local therapy for HCC, RFA or TACE?

Chapter 13: When should patients withliver metastases from colorectal cancer receive chemotherapy?

Chapter 14: What is the best way to assess hepatic reserve prior to liver resection in the cirrhotic patient?

Chapter 15: Treatment Protocols for Small Hepatocellular Carcinoma ( 3cm): RFA or Resection?

Chapter 16: Which is the Better Predictor of Hepatic Reserve Prior to Liver Resection: MELD or the Child-Pugh Score?

C hapter 17: Early (Chapter 44: Is total pancreatectomy with islet autotransplantation indicated in hereditary/genetic pancreatitis?

Chapter 45: Management of Blunt Pancreatic Trauma in Children

Chapter 46: Surgery or Surveillance for Asymptomatic Small Mucinous Pancreatic Head Cyst

Chapter 47: Management of Asymptomatic IPMN in the Elderly

Chapter 48: Minimally Invasive Surgery for Pancreatic Head Cancer

Chapter 49: Advanced Pancreatic Cancer Discovered at Operation: The Role of Palliative Bypass

Chapter 50: Neoadjuvant Therapy for Borderline Resectable Pancreatic Head Cancer

Chapter 51: Neoadjuvant Therapy for Resectable Pancreatic Adenocarcinoma

Chapter 52: Management of borderline resectable pancreatic cancer

Chapter 53: Peritoneal Drain Placement at Pancreatoduodenectomy

Chapter 54: Management of Villous Adenoma of the Ampulla of Vater

Chapter 55: Splenic Preservation at Distal Pancreatectomy

Chapter 56: Management of Small Nonfunctional Pancreatic Neuroendocrine Tumors

Chapter 57: Management of Pancreatic Gastrinoma

Chapter 58: Management of Pancreatic Cancer in the Elderly