Assessment of the Patient Before Liver Resection
Grade 0 Unrestricted activity; able to perform all pre-diagnosis activities Grade 1 Strenuous physical activity is limited, but able to move around freely and engage in less intense physical activity…
Liver Anatomy and the History of Hepatectomy
© Springer Science+Business Media Dordrecht 2016Lunan Yan (ed.)Operative Techniques in Liver Resection10.1007/978-94-017-7411-6_1 1. Liver Anatomy and the History of Hepatectomy Lunan Yan1 and Yan Zhong1 (1) Department of Liver Surgery, Center of Liver Transplantation, West China…
Anatomy in Liver Resection
© Springer Science+Business Media Dordrecht 2016Lunan Yan (ed.)Operative Techniques in Liver Resection10.1007/978-94-017-7411-6_2 2. Anatomy in Liver Resection Stephanie H. Y. Lau1 , Eric C. H. Lai2 and Wan Yee Lau3 (1) Department of Surgery, Queen Elizabeth Hospital, Kowloon, Hong Kong, SAR, China (2)…
Treatment of Liver Injuries: An Overview
Fig. 2.1 Patients presenting with a large truncal defect in the right upper quadrant/right lower chest from a close-range shotgun blast or rifle wound (a) should be explored by an…
Massive Hepatic Hemorrhage: Initial Steps in Hemostasis
Fig. 5.1 Patient that sustained a close range shotgun blast with an AAST-OIS grade V hepatic injury and significant loss of the abdominal wall. Patient was rapidly transported to the…
Acquisition of Surgical Skills in Animal and Simulation Laboratories
Fig. 16.1 This figure shows a complex, stellate hepatic fracture within the interlobar plane between the gallbladder bed and inferior vena cava in a high-fidelity surgical simulator. Hepatic venous bleeding…
Juxtahepatic Venous Injuries: Emergency Measures, Definitive Control, and Atriocaval Shunts
Fig. 10.1 CT scan of a 17-year-old boy with near traumatic liver resection. In this case, you may need to complete the liver resection on the initial operation Fig. 10.2…
Damage Control Laparotomy
Grade Injury description I Hematoma Subcapsular, <10 % surface area Laceration Capsular tear, <1 cm parenchymal depth II Hematoma Subcapsular, 10–50 % surface area; intraparenchymal, <10 cm diameter Laceration 1–3…
Extrahepatic Biliary System
Reoperation mandatory External drainage End-tube hepatodochostomy or choledochostomy Reoperation not always necessary T-tube or stent with limb beneath injury From Feliciano [9], Copyright Elsevier 1994 In patients with multiple intra-abdominal…
Resuscitation Maneuvers for “Extremis”
Fig. 3.1 The Mattox maneuver of left-sided visceral rotation to expose the proximal abdominal aorta Alternatively, the aorta may be approached through the lesser sac. The lesser omentum is widely…
