High Malignant Biliary Tract Obstruction Eduardo De Santibañes Victoria Ardiles Hilar cholangiocarcinoma (CCA) is an uncommon gastrointestinal malignancy that has a bleak prognosis. Although similar tumors had been described 1957…
Current Application of Endoscopic Sphincterotomy, Lateral Choledochoduodenostomy, and Transduodenal Sphincteroplasty E. Christopher Ellison Jeffrey W. Hazey W. Scott Melvin Stephen G. Moon Introduction Endoscopic sphincterotomy, transduodenal sphincteroplasty, and lateral choledochoduodenostomy…
Treatment of Primary Sclerosing Cholangitis David B. Adams Katherine A. Morgan Primary sclerosing cholangitis (PSC) is a chronic cholestatic liver disease of uncertain etiology, characterized by inflammation and fibrosis of…
Notes—Cholecystectomy Santiago Horgan Garth R. Jacobsen Anatomy This chapter will assume that the surgeon undertaking an endoscopically assisted cholecystectomy has a mastery over biliary anatomy. This is an essential prerequisite,…
Reconstruction of the Bile Duct: Anatomic Principles and Surgical Techniques Steven M. Strasberg The purpose of bile duct reconstruction is restoration of functional biliary–enteric continuity. The main indications are bile…
Laparoscopic Cholecystectomy, Intraoperative Cholangiography, and Common Bile Duct Exploration John G. Hunter Thai H. Pham History In 1882, Carl Langenbuch performed the first open cholecystectomy for gallstone disease. In 1985,…
Sils Cholecystectomy Michael Tarnoff Sajani Shah Introduction The first laparoscopic cholecystectomy was performed in 1987 by Phillipe Mouret in Lyon, France. Since that time, laparoscopic cholecystectomy has become the most…
Treatment of Major Hepatic Trauma Donald D. Trunkey Prior to 1965, the morality from liver injuries that were diagnosed and operated on was very high (Table 1). When the operation…
Cholecystostomy, Cholecystectomy, and Intraoperative Evaluation of the Biliary Tree O. James Garden Introduction Despite laparoscopic cholecystectomy having become firmly established in the surgical treatment of gallstone disease in the last…
Major Hepatic Resection for Primary and Metastatic Tumors Sheung Tat Fan Introduction Major hepatectomy is defined as resection of three or more liver segments (Couinaud classification) (Fig. 1). It usually…
