Living Donor Liver Transplantation For Hepatocellular Carcinoma
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Living Donor Liver Transplantation For Hepatocellular Carcinoma
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Author : Chih-Che Lin
language : en
Publisher:
Release Date : 2017
Living Donor Liver Transplantation For Hepatocellular Carcinoma written by Chih-Che Lin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with Medicine categories.
Hepatocellular carcinoma (HCC) is a major worldwide health problem, which is expected to increase steadily due to different underlying liver diseases. Surgical treatment modalities including liver transplantation (LT) or liver resection (LR) are the mainstay options for early cases of HCC. Liver transplantation for well-selected cases provides excellent survival outcomes comparable to nonmalignant indications of LT. Living donor liver transplantation (LDLT) is an alternative option or even the sole one in the current era of organ shortage problem and in some Asian countries where deceased organ donation is markedly reduced due to various reasons. The adoption of LDLT for HCC treatment elicited many dynamic changes and debates to the dilemma of LT as a whole. In this chapter, we focus on different perspectives of LDLT for HCC, including selection criteria evolution, controversial topics, ethical considerations, operative highlights, and other points.
Living Donor Liver Transplantation
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Author : Sheung Tat Fan
language : en
Publisher: World Scientific
Release Date : 2011
Living Donor Liver Transplantation written by Sheung Tat Fan and has been published by World Scientific this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Medical categories.
The book describes in detail the technical aspects of Living Donor Liver Transplantation (LDLT), the routine practice of the world renowned Liver Transplant Team at Hong Kong's Queen Mary Hospital, and our views on various issues of the operation. The thorough review on the history and technical procedures of LDLT and discussion on various aspects of the operation and its future perspectives will serve as a unique reference for surgeons, researchers, nurses, medical students, patients and laypersons seeking information on LDLT. This latest edition offers updated operative results from our center and the latest modifications of the technique. With contributions from a leading microvascular surgeon, a critical care clinician, a psychiatrist, and two anesthetists from the same liver transplant team, the LDLT experience at Queen Mary Hospital is depicted in an even greater extent.
Liver Transplantation
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Author : Abhinav Humar
language : en
Publisher: World Scientific Publishing
Release Date : 2018-05-14
Liver Transplantation written by Abhinav Humar and has been published by World Scientific Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-05-14 with Medical categories.
The field of liver transplantation has undergone tremendous change and continues to evolve at a fast pace. This book covers topics beyond standard care and discusses issues that are new and rapidly evolving in the field. These include innovative surgical methods to maximize the donor pool, non-surgical methods to expand the existing pool of additional donors, the changing face of liver rejection, and management of infections in the presence of new antivirals. This book is an interesting read for surgeons, hepatologists, and healthcare workers looking after patients who need or have had a liver transplant.
Liver Transplantation An Issue Of Clinics In Liver Disease E Book
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Author : David Goldberg
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-11-24
Liver Transplantation An Issue Of Clinics In Liver Disease E Book written by David Goldberg and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-11-24 with Medical categories.
With collaboration from Consulting Editor, Dr. Norman Gitlin Dr. Goldberg has assembled a state-of-the-art issue devoted to management of liver transplant patients. Expert authors have contributed current clinical reviews that covers the breadth of the pre- and post-surgical journey. Articles are specifically devoted to the following topics: Obesity management of liver transplant waitlist candidates and recipients; Expanding the limits of liver transplantation for hepatocellular carcinoma: Is there a limit; Frailty and sarcopenia in patients pre- and post-liver transplant; Achieving tolerance in liver transplantation: Where are we now and what does the future hold; Expanding role of donation after cardiac death donors; Optimizing selection of patients for simultaneous liver-kidney transplant; Keeping the patient with end-stage liver disease alive while awaiting transplant: Management of complications of portal hypertension; Expanding donor selection and recipient indications for living donor liver transplantation; The changing liver transplant recipient: From hepatitis C to NASH and alcohol; Cardiovascular risk stratification in liver transplant candidates; The role of machine perfusion in liver transplantation: Warm, Cold, or does it not matter; Paradigm shift in utilization of livers from hepatitis C-viremic donors into HCV-negative patients; Transplantation of elderly patients: Is there an upper age cutoff; Transplantation for acute alcoholic hepatitis: Controversies and early successes. Hepatologists will come away with the information they need to improve outcomes in liver transplant patients.
Liver Transplantation And Transplantation Oncology An Issue Of Surgical Clinics E Book
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Author : Shimul Shah
language : en
Publisher: Elsevier Health Sciences
Release Date : 2023-11-15
Liver Transplantation And Transplantation Oncology An Issue Of Surgical Clinics E Book written by Shimul Shah and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-11-15 with Medical categories.
In this issue of Surgical Clinics, guest editor Dr. Shimul Shah brings his considerable expertise to the topic of Liver Transplantation and Transplantation Oncology. Top experts in the field review the current status of liver transplantation in North America, outcomes involving living versus deceased donors, transplants for different liver diseases, machine perfusion, and immunotherapy. Contains 16 relevant, practice-oriented topics including outcomes of living donor liver transplantation compared to deceased donor liver transplantation; living donor liver transplantation: left lobe or right lobe; current status of liver transplantation in North America; current use of immunosuppression in liver transplantation; expanding the boundaries for liver transplantation for hepatocellular carcinoma; and more. Provides in-depth clinical reviews on liver transplantation and transplantation oncology, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Liver Transplantation Challenges And Opportunities
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Author : Georgios Tsoulfas
language : en
Publisher: BoD – Books on Demand
Release Date : 2024-06-12
Liver Transplantation Challenges And Opportunities written by Georgios Tsoulfas and has been published by BoD – Books on Demand this book supported file pdf, txt, epub, kindle and other format this book has been release on 2024-06-12 with Medical categories.
This book presents the different challenges and opportunities in liver transplantation today, especially given the multifaceted and multidisciplinary nature of liver transplantation. These include the advent of minimally invasive and robotic surgery, the role of liver transplantation in patients with different types of primary or metastatic liver cancer with the concept of transplant oncology, applications of today’s technology in liver transplantation, the challenges in organ donation and the different types of donors, the differences around the globe in approaching donation and the practice of liver transplantation, the challenges involved in setting priorities for the limited organ supply, the progress in novel immunosuppression medications and regimens, the use of machine perfusion in liver transplantation, and the critical issue of education, both for the public but also for medical professionals, to name a few. All of these issues and many more serve to stress the facts that liver transplantation (1) is multifaceted as an amalgamation of several different medical, legal, social, and other disciplines and (2), more importantly, is continuously evolving. It is these two key features that make liver transplantation one of the most intriguing fields in modern medicine, as well as many believe it is a mirror of society.
Liver Transplantation Ecab
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Author :
language : en
Publisher: Elsevier Health Sciences
Release Date : 2013-01-10
Liver Transplantation Ecab written by and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-01-10 with Medical categories.
Liver Transplantation (LT), until recently the ‘forbidden fruit’, is the newest, the sexiest, the most controversial and arguably, the most technically challenging subspecialty of Surgical Gastroenterology to have mushroomed in India. In a journey spanning 12 years, 28 centers and 1500 liver transplants, we imagined there would be a gripping story to tell. It was only appropriate then, that we chose to inaugurate the series with an overview of Liver Transplantation. In the last 2 decades, the field has seen rapid progress with 1- and 5-year patient survival improving from 80% and 50% to 90% and 80%, respectively, owing to technical refinement, and better immunosuppressants, intensive care, and patient monitoring. Despite being a relatively new entrant into the field, India can now boast of at least some islands of excellence that have caught up with the "best in the west". This means the evolution of LT in these centers has been fast-forwarded up a steep curve. We have come a long way from the point of every LT being considered an experimental procedure with much media and public hype to one where it is accepted as a successful and durable panacea for all liver failure. The popularity of teams running successful programs in India has swung from being ostracized when the chips were down, to being celebrated and envied when the going became good. The focus has shifted from immediate to long-term survival, from surgical heroism to building multidisciplinary teams, from anecdotal to hard data and from media reports to scientific publications. ‘Fly-by night’ operations are on the decline as realization of their futility dawns on new centers and transplant teams. They are now happier to take the longer route of developing trained in-house teams. After spending a good part of the last decade honing the technique of living donor liver transplantation, we are becoming more sensitive to the morbidity and mortality risks to the living liver donor. We want to minimize the liver volume removed from the donor, and want to develop techniques of minimal access. More importantly, we want to train our guns back on pushing donation after brain or cardiac death. We have begun to maintain databases, are getting into audit mode and want a National registry. We want standardized treatment guidelines and training curricula. We want to take part in multicenter trials and further meaningful clinical and laboratory research. As a community, the liver transplant doctors of India are on a warpath of progress. We want it all and we want it now! The first step to the march into the future is to size up the past and the present. That is what we have attempted to do in this volume.
Techniques Of Liver Surgery
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Author : Vinay Kumaran
language : en
Publisher: JP Medical Ltd
Release Date : 2016-04-10
Techniques Of Liver Surgery written by Vinay Kumaran and has been published by JP Medical Ltd this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-04-10 with Medical categories.
Techniques of Liver Surgery is a concise, step-by-step guide to a range of techniques used in liver surgery, from standard approaches to transplantation. The book is divided into twelve chapters, beginning with indications for liver resection, and techniques for transection of the liver. Subsequent chapters cover operations for benign lesions, carcinoma of the gall bladder and bile ducts, hepatocellular carcinoma, and colorectal liver metastases. Later chapters focus on liver transplants, covering procurement of the liver, recipient hepatectomy and implantation. The closing chapters cover liver transplant from a living donor. Each chapter assesses indications, contraindications, and preoperative planning, before providing a full step-by-step explanation of the procedure. The book also features a detailed description of the “W” technique, a safer technique for performing the hepatic artery anstomosis in living donor liver transplantation. Enhanced by 240 full colour images and illustrations, Techniques of Liver Surgery is an ideal resource for hepatobilliary and transplant surgeons. Key Points Concise, step-by-step guide to techniques in liver surgery Chapters on transaction, various lesions and cancers, and liver transplant from deceased and living donors 240 full colour images and illustrations
Current Issues In Liver And Small Bowel Transplantation
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Author : M. Kitajima
language : en
Publisher: Springer Science & Business Media
Release Date : 2013-11-11
Current Issues In Liver And Small Bowel Transplantation written by M. Kitajima and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-11-11 with Medical categories.
In Japan, cadaveric donor liver transplantation is not common even though cadaveric organ transplantation was legally established in 1998. In contrast, the number of living donor liver transplantations is increasing, with more than 1700 cases at 43 Japanese institutes by November 2001. Indications for and have become living donor liver transplantation are widening in Japan similar to those for cadaveric donor liver transplantation in the United States and Europe. At the same time, split liver transplantation from cadaveric donors shares some technical aspects with living donor liver transplantation. Remarkable progress has been reported recently, and thus it was an auspicious time to hold a symposium on "Current issues in liver/small bowel transplantation" in Japan. We were honored to hold a very fruitful symposium sponsored by the Keio University Medical Science Fund and to bring together top-rank transplant surgeons from Japan and other countries. It was a productive and rewarding time for all participants. We were able to share our experience through excellent presentations followed by active discussions and insightful com ments. At the symposium, we focused on current issues in liver transplanta tion such as widening indications for viral hepatitis and malignant tumors. We also discussed technical aspects and physiological problems in split/iiving donor liver transplant, novel strategies in immunosuppression, and the current status and future prospects in small bowel transplantation. This book contains the papers from all the distinguished guest speakers, focusing on the topics discussed at the symposium.
Liver Transplantation Update Of Concepts And Practice An Issue Of Clinics In Liver Disease
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Author : Kalyan Ram Bhamidimarri
language : en
Publisher: Elsevier Health Sciences
Release Date : 2014-08-28
Liver Transplantation Update Of Concepts And Practice An Issue Of Clinics In Liver Disease written by Kalyan Ram Bhamidimarri and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-08-28 with Medical categories.
A number of areas within liver transplant continue to evolve as the field matures. The advent of increasingly effective therapy for HCV will dramatically reduce the burden of recurrent disease within the next few years. HCC has become a well established indication for transplant with an increasing emphasis on adjuvant therapies to reduce the risk of tumor recurrence and potentially expand the acceptable limits of tumor burden amenable to liver transplant. Renal dysfunction is a frequent complication of decompensated liver disease and an important predictor of diminished post-transplant survival. Newer approached to therapy including terlipressin will reduce the impact of renal dysfunction in liver transplant candidates and potentially reduce the need for combined liver/kidney transplant. Increasing attention is being paid to role of comorbidities such as diabetes and hypertension on long-term recipient outcomes. Retransplantation remains a challenge with a variety of models available to predict outcomes. Cardiac disease pretransplant is an area of active investigation with newer entities such as cirrhotic cardiomyopathy a growing concern. These are some of many evolving issues in liver transplant which will be addressed to update our readers and which in turn will enhance the care of patients with liver disease.