Progress in Surgery of the Liver, Pancreas and Biliary System

436 Pages·1987·17.08 MB·English

by  K. W. Warren (auth.), S. Bengmark (eds.)

PROGRESS IN SURGERY OF THE LIVER, PANCREAS
AND BILIARY SYSTEM
DEVELOPMENTS IN SURGERY
J.M. Greep, H.A.J. Lemmens, D.E. Roos, H.C. Urschel, eds., Pain in Shoulder
and Arm: An Integrated View
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PROGRESS IN SURGERY OF
THE LIVER, PANCREAS
AND BILIARY SYSTEM
edited by
s. BENGMARK
Department of Surgery. University of Lund, Lund, Sweden
1988 MARTINUS NIJHOFF PUBLISHERS
a member of the KLUWER ACADEMIC PUBLISHERS GROUP
DORDRECHT / BOSTON / LANCASTER
Distributors
for the United States and Canada: Kluwer Academic Publishers, P.O. Box 358,
Accord Station, Hingham, MA 02018-0358, USA
for the UK and Ireland: Kluwer Academic Publishers, MTP Press Limited,
Falcon House, Queen Square, Lancaster LAI lRN, UK
for all other countries: Kluwer Academic Publishers Group, Distribution Center,
P.O. Box 322, 3300 AH Dordrecht, The Netherlands
Library of Congress Cataloging in Publication Data
Progress in surgery of the liver, pancreas, and biliary
system.
(Developments in surgery ; 9)
1. Liver--Surgery. 2. Pancreas--Surgery. 3. Biliary
tract--Surgery. I. Bengmark, Stig. II. Series. [DNLM:
1. Biliary Tract--surgery. 2. Liver--surgery.
3. Pancreas--surgery. W1 DE998S v.9 / WI 700 P9646]
RD546.P725 1987 617'.556 87-18558
ISBN-13: 978-94-010-8004-0 e-ISBN-13: 978-94-009-3349-1
001: 10.1007/978-94-009-3349-1
Copyright
© 1988 by Martinus Nijhoff Publishers, Dordrecht.
Softcover reprint of the hardcover 1s t edition 1988
All rights reserved. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form or by any means, mechanical,
photocopying, recording, or otherwise, without the prior written permission of
the publishers,
Martinus Nijhoff Publishers, P.O. Box 163, 3300 AD Dordrecht,
The Netherlands.
Table of contents
Preface VII
L. BLUMGART
List of contributors IX
Introduction XVII
s. BENGMARK
l. Fifty years of surgery of the liver, pancreas and biliary tract 1
K.W. WARREN
2. Radiology in hepato-pancreatico-biliary disease 45
A. LUNDERQUIST
3. Endoscopic approach to management of hepatico-pancreatico-
biliary disorders 57
J.H. SIEGEL
4. Bleeding problems in hepato-biliary patients 95
S.1. SCHWARTZ
5. Septic problems in hepato-pancreatico-biliary surgery 103
M.C.A. PUNTIS AND R.L. SIMMONS
6. Abdominal drains in surgery of the liver, pancreas and biliary
system 119
O.T. TERPSTRA, M.C.A. PUNTIS, E.1. GALPERIN AND T. HOLMIN
7. Trauma to the liver, pancreas and porta hepatis: aggressive and
conservative management 129
J.M. LITTLE
8. Does ultrasound dissector improve the quality of hepato-pan-
creatico-biliary surgery? 143
W.1.B. HODGSON, M. KEMENY, 1. SCHEELE AND K.G. TRANBERG
9. Hepatic arterial infusion chemotherapy: rationale, results and
debits 163
C.J.H. VAN DER VELDE, L.M. DE BRAUW, P.H. SUGARBAKER AND
K.G. TRANBERG
10. Primary cancer of the liver: considerations about resection 179
M.A. ADSON
VI
II. Liver resection for colorectal metastases: who, when and to what
extent? 189
M.L KORETZ, K.S. HUGHES AND P.H. SUGARBAKER
12. Surgical management in high bile duct tumours 213
s. BENGMARK AND K.G. TRANBERG
13. Continuing problems in management of benign bile duct stricture 229
A. ANDREN-SANDBERG AND S. BENGMARK
14. Pancreatic pseudocysts 241
M.N. VAN DER HEYDE
15. Surgical treatment of chronic pancreatitis 253
E. MORENO GONZALEZ
16. Surgical management of pancreatic cancer 283
H.OBERTOP
17. Identification and treatment of common bile duct stones before
cholecystectomy 303
B.LANGER
18. Does preoperative trans-hepatic biliary decompression improve
surgical results? 313
P.J. FABRI
19. Problems in surgery of cirrhotic patients 319
G. W. JOHNSTON
20. Selective and total shunts in portal hypertension - facts and
myths 333
I.S. BENJAMIN
2I. Use of BCAA enriched nutritional regimens in hepatic failure
and sepsis - facts or fancy 349
P.B. SOETERS AND LP. VENTE
22. Pancreas transplantation 363
G. TYDEN AND C.G. GROTH
23. Transplantation of hepatic segments 379
C.E. BROELSCH AND J .C. EMOND
24. Pancreatic islet transplantation 395
I.D.A. JOHNSTON
25. Hepatic dearterialization in hepatic tumours 407
B. JEPPSSON AND S. BENGMARK
26. Developments in HPB nursing 417
K. ULANDER
Preface
This book reflects a broad spectrum of current opinions and progress in the
surgical management of liver, pancreatic and biliary disease.
The enormous advances in diagnostic imaging techniques and in interven
tional, radiological and biliary approaches, the pathophysiological problems
and their management manifest often as complications in the post-operative
period, new techniques and the results of surgical approaches are all thorough
ly documented.
Historical background is commented upon by Dr. Kenneth Warren of
Boston in the first chapter. Subsequent chapters deal with a variety of subjects
but always emphasizing differences of opinion and approach and maintaining
the discussive environment so typical to the present-day approach to the topic.
Professor Bengmark's efforts to introduce a forum for wide discussion for
diseases of the liver, pancreas and biliary tract and many recent advances in
research and technology to aspects of the clinical management and outcome of
patients is well rewarded in this balanced publication. Advances in this field of
surgery have been and continue to be so rapid that such documentation is not
only necessary but very welcome.
L.H. Blumgart
Bern/Switzerland
1986
List of contributors
Preface LESLIE BLUMGART
Inselspital
CH 3010 Bern
Switzerland
Introduction STIG BENGMARK
Department of Surgery
University of Lund
S-221 85 Lund
Sweden
Chapter 1 KENNETH WARREN
NE Baptist Hospital
116 Parker Hill Avenue
Boston, MA 02120
USA
Chapter 2 ANDERS LUNDERQUIST
Department of Diagn Radial
Lund University
S-221 85 Lund
Sweden
Chapter 3 JEROME H. SIEGEL
230 East 69th Street
New York, NY 10021
USA
x
Chapter 4 SEYMOUR I. SCHWARTZ
University of Rochester Medical Center
601 Elmwood Avenue
Rochester, NY 14642
USA
Chapter 5 MALCOLM PUNTIS
University Department of Surgery
University of Wales
College of Medicine
Heath Park, Cardiff CF4 4XN
Great Britain
RICHARD L. SIMMONS
Department of Surgery Medical School
Phillips Wangensteen Building
516 Delaware Street SE
Minneapolis, Minnesota 55455
USA
Chapter 6 ONNO TERPSTRA
University Hospital Dijkzigt
Department of Surgery
3015 GD Rotterdam
The Netherlands
MALCOLM PUNTIS
See Chapter 5
EDUARD I. GALPERIN
1st Moscow Medical Institute
Hospital 7
Kolomensky Proezd 4
Moscow
USSR
TORSTEN HOLMIN
Department of Surgery
University of Lund
S-221 85 Lund
Sweden
XI
Chapter 7 MILES LITTLE
Department of Surgery
Westmead Centre
Westmead, NSW 2145
Australia
Chapter 8 JOHN B. HODGSON
New York Medical College
Manchester Medical Center
Munger Pavillion
Valhalla, NY 10595
USA
MARGARET KEMENY
Department of General and Oncology Surgery
City of Hope Hospital
1500 E Duarte Road
Duarte, CL 91010
USA
JOHANNES SCHEELE
University Hospital Erlangen
Maximiliansplatz 1
D-8520 Erlangen
West Germany
KARL-GO RAN TRANBERG
Department of Surgery
University of Lund
S-221 85 Lund
Sweden
Chapter 9 CORNELIS VAN DE VELDE
Department of Surgery
University Hospital
PO Box 9600
2300 RC Leiden
The Netherlands