Titlebook: Optimizing Outcomes for Liver and Pancreas Surgery; Flavio G. Rocha,Perry Shen Book 2018 Springer International Publishing AG 2018 hepatec

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Post-hepatectomy Liver Failure,tening condition that can lead to a cascade of events including coagulopathy, ascites, HE, respiratory, cardiac, and renal complications. An accurate assessment of the anatomy and the FLR reserve, as well as impeccable intraoperative technique and detailed postoperative care, are all critical in avoiding and managing PHLF.

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ch to liver and pancreas surgery.Written by an internationalThis book is designed to present a practical and evidence-based approach to liver and pancreas surgery that will provide both experienced and novice surgeons as well as surgical trainees a resource for optimizing their outcomes.  The entire

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Perioperative Pain Management for Hepatopancreaticobiliary Surgery, techniques (epidural and TAP blocks) are an important component of pain management strategies. This current chapter will review the most current evidence-based techniques and medication regimens for providing superior postoperative pain control while avoiding adverse effects of analgesic therapies.

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Determination and Optimization of Liver Function and Volume for Extended Hepatectomy,ssential before proceeding with any major live resection. Volume optimization strategies must be considered in all patients at high risk for PHLF. This chapter discusses the indications and details of the commonly used strategies of hepatic volume optimization. A proposed treatment algorithm is also included.

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Techniques to Minimize Blood Loss During Hepatectomy,ing to reduce operative blood loss during partial hepatectomy; however, the best techniques to reduce blood loss have been difficult to determine and great controversy persists. This chapter will focus on the current techniques to reduce blood loss during hepatectomy and provide recommendations.

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Early Recovery After Surgery Pathways for Hepatic Surgery,ient education and engagement. The four pillars of care that rest on this foundation and support the program are early feeding, early ambulation, goal-directed fluid therapy, and opiate-sparing analgesia.