© Springer International Publishing AG 2017Bijan Eghtesad and John Fung (eds.)Surgical Procedures on the Cirrhotic Patient10.1007/978-3-319-52396-5_9 9. Role of Minimally Invasive Surgery in Patients with Cirrhosis Naftali Presser1 and Jeffery L. Ponsky2, 3 (1) Department of General Surgery,…
© Springer International Publishing AG 2017Bijan Eghtesad and John Fung (eds.)Surgical Procedures on the Cirrhotic Patient10.1007/978-3-319-52396-5_8 8. Perioperative Critical Care of the Patient with Liver Disease Undergoing Nonhepatic Surgery David J. Kramer1, 2 (1) Aurora Critical Care…
Clinical/biochemical indicator 1 point 2 points 3 points Serum bilirubin (mg/dL) <2 2–3 >3 Serum albumin (g/dL) >3.5 2.8–3.5 <2.8 Prothrombin time (s > control) <4 4–6 >6 Encephalopathy (grade)…
Diagnosis Screening method Perioperative consequences Cirrhotic cardiomyopathy (CCM) Echocardiography assessment of LV diastolic function Congestive heart failurea Hepatopulmonary syndrome (HPS) Room air hypoxemia (PaO2 <70 mmHg) in the absence of…
Phase of hemostasis Promote hemostasis Impair hemostasis Primary hemostasis (platelet activation) Increased VWF Decreased ADAMTS-13 Thrombocytopenia Secondary hemostasis (thrombin generation) Decreased protein C and S Decreased antithrombin III Increased factor…
Fig. 5.1 Serous cystic neoplasm. Axial unenhanced (a) and contrast-enhanced (b) CT images show a lobulated cystic lesion (arrowheads) in the pancreatic head with multiple thin internal septation and central…
Fig. 3.1 Primary MCN of the pancreas. The outer contour is smooth, but the internal structure is complex with cysts of varying size separated by thin walls. There is a…
Pseudocyst SCN MCN IPMN SPPT Lymphoepithelial cyst Cytologic findings “Dirty” material, macrophages, and other inflammatory cells Negative, or cellular sheets of glycogen-containing, cuboidal cells Mucin-containing columnar cells; small papillary…
© Springer-Verlag Italia 2015George H. Sakorafas, Vassileios Smyrniotis and Michael G. Sarr (eds.)Pancreatic Cystic Neoplasms10.1007/978-88-470-5708-1_1 1. Introduction to Pancreatic Cystic Neoplasms George H. Sakorafas1 , Vassileios Smyrniotis2 and Michael G. Sarr3 (1) Department of Surgical Oncology, Saint Savvas Cancer Hospital, Arkadias 19-21,…
Cystic neoplasms Serous cystic neoplasms (SCNs) Mucinous cystic neoplasms (MCNs) Intraductal papillary mucinous neoplasms (IPMNs) Uncommon cystic neoplasms Solid pseudopapillary neoplasm Cystic neuroendocrine neoplasms (functional and nonfunctional) Acinar cell cystadenocarcinoma…
