Difficult Decisions in Hepatobiliary and Pancreatic Surgery

"This book collects, in 58 chapters, expert opinion and best evidence from the current literature on a series of difficult and controversial topics in hepatobiliary and pancreatic surgery. ... The intended audience is the multidisciplinary group of professionals who care for hepatobiliary and pancreatic patients. ... This is a great reference for those in practice and an outstanding resource for those in training. ... It will be valuable to subspecialists and trainees in the field." (Kent C. Choi, Doody's Book Reviews, October, 2016)

• Chapter 1: Finding and appraising the evidence: EBM and GRADEChapter 2: Is Surgery Indicated for Asymptomatic Giant Hepatic Hemangioma?Chapter 3: What is the Best Surgical Method of Addressing Hepatic Hemangiomas?Chapter 4: Which Diagnostic Modality is Best to Assess Benign Hepatic Tumors?Chapter 5: Cystic Diseases of the LiverChapter 6: When Should You Operate on Major Hepatic Trauma?Chapter 7: Surgical Treatment of Hepatocellular Carcinoma: Resection versus TransplantationChapter 8: Hepatic Epithelioid HemangioendotheliomaChapter 9: What is the Best Way to Screen Cirrhotic Patients for Hepatocellular Carcinoma in the United States?Chapter 10: When is Laparoscopic Liver Resection Preferred Over Open Resection?Chapter 11: Clinical Management of Pyogenic Liver Abscesses Chapter 12: Which is better local therapy for HCC, RFA or TACE?Chapter 13: When should patients withliver metastases from colorectal cancer receive chemotherapy? Chapter 14: What is the best way to assess hepatic reserve prior to liver resection in the cirrhotic patient?Chapter 15: Treatment Protocols for Small Hepatocellular Carcinoma (≤ 3cm): RFA or Resection?Chapter 16: Which is the Better Predictor of Hepatic Reserve Prior to Liver Resection:  MELD or the Child-Pugh Score?Chapter 17: Early (<24 hr) or Delayed Cholecystectomy for Acute Cholecystitis?Chapter 18: Primary Closure or T-tube Drainage after Open or Laparoscopic Common Bile Duct Exploration?Chapter 19: Single-Incision or Multiport Laparoscopic CholecystectomyChapter 20: Management of Recurrent CholangitisChapter 21: Management of postoperative bile duct stricture Chapter 22: Immediate or Delayed Repair for Bile Duct Injury Recognized Postoperatively?Chapter 23: Management of Suspected Choledocholithiasis on Intraoperative CholangiographyChapter 24: Management of Incidentally Discovered Gallbladder CancerChapter 25: Gallstone IleusChapter 26: Surgery or Endoscopy for Bile Duct Strictures secondary to Chronic Pancreatitis?Chapter 27: Routine or Selective Cholangiography for Elective Laparoscopic Cholecystectomy? Chapter 28: When is bile duct resection indicated for biliary strictures in primary sclerosing cholangitis?Chapter 29: Assessment of Bile Duct Tumors: Endoscopic vs RadiographicChapter 30: Management of Significant Hemobilia: Hepatic Artery Embolization or Stenting?Chapter 31: The assessment of ductal margin in curative-intent surgery for perihilar CholangiocarcinomaChapter 32: Management of early post-transplant portal vein thrombosis: results of interventional techniques versus surgicalChapter 33: When should patients with bleeding esophageal varices undergo TIPS versus endoscopic therapy?Chapter 34: Management of symptomatic portal hypertension: TIPS vs. medical managementChapter 35: Should all hepatic arteriovenous fistulas be embolized?Chapter 36: Early or Delayed Cholecystectomy in Acute Gallstone PancreatitisChapter 37: Nutritional Support in Acute Necrotizing PancreatitisChapter 38: Management of Symptomatic Pancreatic Pseudocyst Chapter 39: Antibiotic Prophylaxis for Acute Necrotizing PancreatitisChapter 40: Endoscopic or Minimally Invasive Debridement of Walled-off Pancreatic Necrosis?Chapter 41: Surgical Debridement in Necrotizing PancreatitisChapter 42: Surgery or Endotherapy for Large Duct Chronic PancreatitisChapter 43: Pancreatic Head Resection for Painful Chronic PancreatitisChapter 44: Is total pancreatectomy with islet autotransplantation indicated in hereditary/genetic pancreatitis?Chapter 45:  Management of Blunt Pancreatic Trauma in ChildrenChapter 46: Surgery or Surveillance for Asymptomatic Small Mucinous Pancreatic Head CystChapter 47: Management of Asymptomatic IPMN in the ElderlyChapter 48: Minimally Invasive Surgery for Pancreatic Head CancerChapter 49: Advanced Pancreatic Cancer Discovered at Operation: The Role of Palliative BypassChapter 50: Neoadjuvant Therapy for Borderline Resectable Pancreatic Head CancerChapter 51: Neoadjuvant Therapy for Resectable Pancreatic AdenocarcinomaChapter 52: Management of borderline resectable pancreatic cancerChapter 53: Peritoneal Drain Placement at PancreatoduodenectomyChapter 54: Management of Villous Adenoma of the Ampulla of VaterChapter 55: Splenic Preservation at Distal PancreatectomyChapter 56: Management of Small Nonfunctional Pancreatic Neuroendocrine TumorsChapter 57: Management of Pancreatic GastrinomaChapter 58: Management of Pancreatic Cancer in the Elderly