Titlebook: Difficult Decisions in Hepatobiliary and Pancreatic Surgery; An Evidence-Based Ap J. Michael Millis,Jeffrey B. Matthews Book 2016 The Edito

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Difficult Decisions in Hepatobiliary and Pancreatic SurgeryAn Evidence-Based Ap

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What Is the Best Surgical Method of Addressing Hepatic Hemangiomas?,of hepatic hemangiomas has improved significantly for the past decade. The decision to treat this tumors surgically should be based mostly on symptomatology, inability to exclude malignancy, documented growth and less on feasibility for resection or patient anxiety. The decision for observation shou

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Which Diagnostic Modality is best to Assess Benign Hepatic Tumors?,ose any risk to the patient. Some of these lesions have characteristic imaging features while others can have atypical imaging features and can pose a diagnostic challenge. Utilizing the proper imaging modality and intravenous contrast agents can help better characterize them and minimize unnecessar

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When Should You Operate on Major Hepatic Trauma?,blem. Operative management carries with it a higher rate of morbidity and mortality than non-operative management. However, clear indications do exist when an operation is needed. These include hemodynamic instability, continued bleeding, peritonitis, and other abdominal injuries requiring operation

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What Is the Best Way to Screen Cirrhotic Patients for Hepatocellular Carcinoma in the United States course. Cirrhosis is a well-established risk factor for HCC, but direct evidence demonstrating the benefit of screening for HCC in this population remains under contention today. Ultrasound (US) every 6 months is currently the proposed screening methodology. Serum alpha-feto protein (AFP) has been

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When Is Laparoscopic Liver Resection Preferred Over Open Resection?,opic liver resection is associated with improvements in short-term outcomes such as decreased blood loss, transfusion rate, perioperative complications, length of stay, and overall cost. When laparoscopic is performed for malignancies such as hepatocellular carcinoma and metastatic colorectal cancer

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Clinical Management of Pyogenic Liver Abscesses,es yielded high morbidity and mortality. However, over the last three decades, treatment has moved away from surgery as the front-line therapy and has evolved to include less invasive interventional radiologic procedures. This change in paradigm has been accompanied by shorter length of hospital sta