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Author: Giuseppe Borzellino Publisher: Springer Science & Business Media ISBN: 8847007631 Category : Medical Languages : en Pages : 506
Book Description
The first laparoscopic cholecystectomy, performed by Prof. Philippe Mouret in 1987 and described by himself in the first chapter of this book, was an event that revolutionized surgery in the past few decades. Although the majority of surgeons today are unfamiliar with the his- ry of early minimally invasive surgery developments, it is important to realize that the advent of laparoscopy led not only to new surgical te- niques, but also to a change in the doctrine of medical care, by streng- ening the concept of minimal invasiveness. This is particularly the case for biliary lithiasis, for which laparoscopy has provided major benefits in terms of both diagnosis and surgical tre- ment. However, our understanding of the etiology of this disease, as well as the availability of effective medical therapies, have remained subst- tially unchanged over time. The application of the innovative approach has not been, in routine practice, without problems: between 1990 and 2000, the rate of serious complications from laparoscopic cholecystectomy were four times higher than those observed with open surgery. Even initial attempts at lapa- scopic treatment of biliary common bile duct stones resulted in excessive complications and associated medico-legal problems. Nonetheless, today, most indications have been stated, techniques have been standardized, and a new aspect to the treatment of biliary lithiasis has appeared.
Author: Giuseppe Borzellino Publisher: Springer Science & Business Media ISBN: 8847007631 Category : Medical Languages : en Pages : 506
Book Description
The first laparoscopic cholecystectomy, performed by Prof. Philippe Mouret in 1987 and described by himself in the first chapter of this book, was an event that revolutionized surgery in the past few decades. Although the majority of surgeons today are unfamiliar with the his- ry of early minimally invasive surgery developments, it is important to realize that the advent of laparoscopy led not only to new surgical te- niques, but also to a change in the doctrine of medical care, by streng- ening the concept of minimal invasiveness. This is particularly the case for biliary lithiasis, for which laparoscopy has provided major benefits in terms of both diagnosis and surgical tre- ment. However, our understanding of the etiology of this disease, as well as the availability of effective medical therapies, have remained subst- tially unchanged over time. The application of the innovative approach has not been, in routine practice, without problems: between 1990 and 2000, the rate of serious complications from laparoscopic cholecystectomy were four times higher than those observed with open surgery. Even initial attempts at lapa- scopic treatment of biliary common bile duct stones resulted in excessive complications and associated medico-legal problems. Nonetheless, today, most indications have been stated, techniques have been standardized, and a new aspect to the treatment of biliary lithiasis has appeared.
Author: Frederick J. Suchy Publisher: Cambridge University Press ISBN: 1108911374 Category : Medical Languages : en Pages : 875
Book Description
Liver disease in children is increasing in prevalence, placing a huge burden on healthcare systems and often requiring long-term management. Offering an integrative approach to the science and clinical practice of pediatric hepatology, this is the definitive reference text for improved diagnosis and treatment strategies. In the new edition of this authoritative text, chapters have been thoroughly revised in line with major advances in the field, such as recognizing the increased frequency of fatty liver disease, and how genetic testing has the potential to establish earlier diagnoses for a variety of diseases. Disorders covered include cholestasis, metabolic disorders and hepatitis, with their presentation across the spectrum of infancy, childhood and adolescence discussed. The indications and surgical aspects of liver transplant are explained and post-transplant care is described in detail. This is a valuable resource for pediatricians, hepatologists, gastroenterologists and all clinicians involved in the care of children with liver diseases.
Author: Adrian Mancini Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Patients undergoing bariatric surgery are at high risk for both the prevalence of preoperative cholelithiasis as well as their postoperative development. The question of whether cholecystectomy should be performed during bariatric surgery remains controversial. The aim of this work is to study the results of the supra-selective approach for gallbladder management, involving concomitant cholecystectomy only in patients with gallstones-related symptoms. This is a retrospective review of a prospective database of all patients who underwent laparoscopic or robotic bariatric surgery between 2010 and 2018 in a single institution. Five hundred twenty patients were included with a median follow-up of 37.5 months. The procedure was Gastric Bypass in 328 patients (63.1%) and sleeve gastrectomy in 192 (36.9%). Seventy-one patients had a history of cholecystectomy (13.6%). Sixty-four patients had preoperative lithiasis (14.2%). Four patients underwent concomitant cholecystectomy. Fourteen (2.7%) patients required an intervention for symptomatic lithiasis: 12/445 (2.7%) patients required subsequent cholecystectomies without complication. Two patients (0.4%) required access to the biliary tree for the treatment of choledocolithiasis after RYGBP and were managed through percutaneous transhepatic approach with a success rate of 100% and no complication.The rate of symptomatic lithiasis after bariatric surgery is low. The need for a subsequent cholecystectomy in the setting of the supra-selective approach is rare, 2.7%.
Author: Arthur Zimmermann Publisher: Springer ISBN: 9783319269559 Category : Medical Languages : en Pages : 3517
Book Description
This book covers all liver tumors and lesions that clinically and radiologically mimic liver tumors. It provides readers with a comprehensive overview of this complex and rapidly evolving field. All aspects of surgical pathology are addressed, supplemented by detailed presentations of the lesions’ cell-biologic and molecular features. In addition, the methods employed for diagnosis and diagnostic algorithms are discussed. It appeals to pathologists and hepatologists and serves as an invaluable aid to diagnosis.The field of liver tumors and tumor-like lesions in adults and children has experienced tremendous advances in recent years. Specifically, the recognition of novel entities, deepened insights into known tumors, and refinement of classifications have necessitated continual updates and reappraisals. In addition, previous understanding of hepatic carcinogenesis and tumor progression has been transformed by the very rapid evolution of our understanding of cell biology, genomics, signaling pathways, cell interactions, and mechanisms of invasion and spread of hepatic tumor cells. These general pathology issues must be combined with surgical pathology if a comprehensive understanding of liver tumor pathology is to be achieved.
Author: Ronald Ross Watson Publisher: Academic Press ISBN: 0123977649 Category : Technology & Engineering Languages : en Pages : 801
Book Description
Bioactive Food as Dietary Interventions for Liver and Gastrointestinal Disease provides valuable insights for those seeking nutritional treatment options for those suffering from liver and/or related gastrointestinal disease including Crohn’s, allergies, and colitis among others. Information is presented on a variety of foods including herbs, fruits, soy and olive oil. This book serves as a valuable resource for researchers in nutrition, nephrology, and gastroenterology. Addresses the most positive results from dietary interventions using bioactive foods to impact diseases of the liver and gastrointestinal system, including reduction of inflammation, improved function, and nutritional efficiency Presents a wide range of liver and gastrointestinal diseases and provides important information for additional research Associated information can be used to understand other diseases, which share common etiological pathways
Author: Giuseppe Borzellino
Author: Giuseppe Borzellino
Author: Frederick J. Suchy
Author: Adrian Mancini
Author: Arthur Zimmermann
Author: Léandre Coyteux Prévost
Author: Joseph T. Ferrucci
Author: 
Author: Ronald Ross Watson
Author: 
Author: René Holzheimer