Hepato-Biliary-Pancreatic Surgery and Liver Transplantation: A Comprehensive Guide, with Video Clips

296 Pages·2023·29.703 MB·English

by  Hee Chul Yu

Hepato-Biliary-
Pancreatic Surgery
and Liver
Transplantation
A Comprehensive Guide,
with Video Clips
Hee Chul Yu
Editor
Hepato-Biliary-Pancreatic Surgery
and Liver Transplantation
Hee Chul Yu
Editor
Hepato-Biliary-
Pancreatic Surgery
and Liver
Transplantation
A Comprehensive Guide,
with Video Clips
Editor
Hee Chul Yu
Chairman of the Korean Association of HBP Surgery
Jeonbuk National University Medical School
Jeonbuk National University Hospital
Jeonju, Korea (Republic of)
ISBN 978-981-16-1995-3 ISBN 978-981-16-1996-0 (eBook)
https://doi.org/10.1007/978-981-16-1996-0
© Springer Nature Singapore Pte Ltd. 2023
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Preface
Established in 1992, the Korean Association of Hepato-Biliary-Pancreatic
Surgery (KAHBPS) has a history of more than 20 years and improved its
status in terms of quality, as well as quantitative growth, including liver trans-
plantation, beyond Asia to the global level.
Hepatobiliary and pancreatic (HBP) surgery requires a lot of expertise.
Safe surgical practices can minimize complications after surgery and are
directly related to the patient’s prognosis. In particular, KAHBPS began to
contemplate the need for surgical guidelines that could be referenced by
young HBP surgeons who were currently developing their skills. Therefore,
we worked for two years with about 50 HBP experts in Korea and completed
the Korean version of the Hepatobiliary and Pancreatic Surgery Master col-
lection in 2015.
Currently, many Korean HBP surgeons are leading global research mem-
bers in international research and academic fields. Therefore, since KAHBPS
felt the responsibility not only to focus on the education of Korean surgeons
but to provide extensive help to young HBP surgeons across the world and
beyond the language barrier, we decided to publish an English version.
The contents of the book were divided into three parts: the liver, biliary
tract, and pancreas. We tried to write the surgical techniques as simply and
concisely as possible and attached pictures and videos for easy understand-
ing. In particular, as the worlds’ leading group in the field of liver transplanta-
tion, we added relatively more content on transplantation.
We would like to thank the authors for their hard work in writing from
time to time while performing long hours of surgery and medical practice. We
remain grateful to the planning director, the committee members, and the
publishers who put their entire hearts and souls into publishing a beautiful
book with meticulous effort.
We trust that this book will contribute to improving the surgical skills of
HBP surgeons and hope it will be widely used as a valuable material in the
training process of young surgeons. Based on this book, we hope that stan-
dard surgical procedures will be established in the field of HBP surgery and
progressively developed worldwide.
Jeonju, Republic of Korea Hee Chul Yu
v
Contents
Part I Operative Technique of Hepatectomy
1 Use of Intraoperative Ultrasonography . . . . . . . . . . . . . . . . . . . . 3
Il-Young Park
2 The Techniques and Instruments for Minimizing
Bleeding During Parenchymal Dissection . . . . . . . . . . . . . . . . . . . 7
Dong-Sik Kim
3 The Safe Application of Hanging Maneuver . . . . . . . . . . . . . . . . 13
Seoung Hoon Kim
4 Left Hemihepatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Jin Sub Choi
5 Right Hemihepatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Yoon Jin Hwang and Hyung Jun Kwon
6 Central Bisectionectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Kyung Sik Kim
7 Left Lateral Sectionectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Tae-Jin Song
8 Right Anterior Sectionectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Koo Jeong Kang and Keun Soo Ahn
9 Right Posterior Sectionectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Yang-Seok Koh
10 S4 Segmentectomy With or Without Resection
of Ventral Area of Right Anterior Section. . . . . . . . . . . . . . . . . . . 57
Yang Won Nah
11 S5 & S6 Segmentectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Soon-Chan Hong and Chi-Young Jeong
12 S7 & S8 Segmentectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Hee Jung Wang and Sung Yeon Hong
13 Laparoscopic Left Hemihepatectomy . . . . . . . . . . . . . . . . . . . . . . 71
Ki-Hun Kim and Hwui-Dong Cho
vii
viii Contents
14 Laparoscopic Left Lateral Sectionectomy . . . . . . . . . . . . . . . . . . 77
In Seok Choi and Ju Ik Moon
15 Laparoscopic Right Hemihepatectomy . . . . . . . . . . . . . . . . . . . . . 81
Ho-Seong Han and Jai Young Cho
Part II Deceased Donor Liver Transplantation
16 Liver Procurement in a Deceased Donor . . . . . . . . . . . . . . . . . . . 87
Hee Chul Yu and Jae Do Yang
17 Recipient Hepatectomy Without Venovenous Bypass . . . . . . . . . 97
Jin Sub Choi
18 Recipient Hepatectomy with Venovenous Bypass . . . . . . . . . . . . 103
Gi-Won Song
19 Implantation of the Deceased Donor Liver Graft . . . . . . . . . . . . 109
Young Kyoung You
Part III Living Donor Liver Transplantation
20 Donor Right or Extended Right Hemihepatectomy . . . . . . . . . . 115
Jae-Won Joh and Gyu-seong Choi
21 Donor Left Hemihepatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Kyung-Suk Suh and Suk Kyun Hong
22 Living Donor Liver Graft Back- Table Procedure . . . . . . . . . . . . 127
Choon Hyuck David Kwon and Gyu-seong Choi
23 Middle Hepatic Vein Reconstruction of Right Liver Graft . . . . . 131
Dong-Sik Kim
24 Recipient Total Hepatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Kwang-Woong Lee and Jaehong Jeong
25 Reconstruction of Hepatic Vein and Portal Vein . . . . . . . . . . . . . 141
Deok-Bog Moon and Sung-Gyu Lee
26 Hepatic Artery Anastomosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Chul-Soo Ahn
27 Biliary Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Bong-Wan Kim
Part IV Cholecystectomy
28 Laparoscopic Cholecystectomy (3–4 Ports Method) . . . . . . . . . . 169
Sang Mok Lee
29 Laparoscopic Single-Site Cholecystectomy
(Single Port Method) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Dong-Hoon Shin
Contents ix
30 Laparoscopic Surgery for Gallbladder Polyps
and Early- Stage Gallbladder Cancer . . . . . . . . . . . . . . . . . . . . . . 181
Woo-Jung Lee and Myung Jae Jung
31 Extended Cholecystectomy (Wedge Resection) . . . . . . . . . . . . . . 187
Kim Wan-Joon and Kim Wan-Bae
32 Extended Cholecystectomy (Including Segment
IVb and V Resection) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Sang-Jae Park
Part V Resection of Choledochal Cyst
33 Open Resection of Chledochal Cyst . . . . . . . . . . . . . . . . . . . . . . . 199
Kuk Hwan Kwon and Jin Ho Lee
34 Laparoscopic and Robotic Excision of Choledochal Cyst . . . . . . 207
Jin-Young Jang and Jae Seung Kang
Part VI Hilar Cholangiocarcinoma
35 Extended Right Hepatectomy and Caudate Lobectomy . . . . . . . 217
Shin Hwang
Part VII Extrahepatic Bile Duct Cancer
36 Bile Duct Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231
Joo Seop Kim
37 Pancreatico-duodenectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Sang Geol Kim and Hyung Jun Kwon
38 Hepatopancreatoduodenectomy . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Shin Hwang
Part VIII Operative Technique of Pancreatectomy
39 Pylorus-Preserving Pancreaticoduodenectomy . . . . . . . . . . . . . . 253
Dong Sup Yoon and Joon Seong Park
40 Radical Antegrade Modular Pancreatosplenectomy
(RAMPS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Sung Su Yun and Dong-Shik Lee
41 Spleen-Preserving Distal Pancreatectomy . . . . . . . . . . . . . . . . . . 267
Yong Hoon Kim
42 Laparoscopic Pancreaticoduodenectomy . . . . . . . . . . . . . . . . . . . 273
Song Cheol Kim and Ki Byung Song
43 Laparoscopic Distal Pancreatectomy . . . . . . . . . . . . . . . . . . . . . . 279
Chang Moo Kang
x Contents
44 Laparoscopic Central Pancreatectomy . . . . . . . . . . . . . . . . . . . . . 295
Yoo-Seok Yoon
45 Transduodenal Ampullectomy of Ampullary Adenoma . . . . . . . 301
Jinseok Heo and Wooil Kwon
46 Essential Tips for Pancreatic and Duodenal Surgery:
Vessel Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307
Song Cheol Kim and Dae Wook Hwang
47 Essential Tips for Reconstruction After
Pancreaticoduodenectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
Sung-Sik Han, Dong Eun Park, Koo Jeong Kang,
and Young Kyoung You
List of Videos
Video 1.1 Intraoperative liver ultrasonography (Il-Young Park)
Video 1.2 Case. Intraoperative ultrasound in HCC (Il-Young Park)
Video 1.3 Case. Intraoperative ultrasound in metastatic tumor
(Il-Young Park)
Video 1.4 Case. Safety margin during liver resection (Il-Young Park)
Video 1.5 Case. Radiofrequency ablation (RFA) (Il-Young Park)
Video 1.6 Laparoscopic ultrasound (Il-Young Park)
Video 3.1 The safe use of hanging maneuver (central
bisectionectomy) (Seoung Hoon Kim)
Video 4.1 Left hemihepatectomy (intrahepatic duct stone)
(Jin Sub Choi)
Video 5.1 Right hemihepatectomy (Yoon Jin Hwang)
Video 6.1 Central bisectionectomy (Kyung Sik Kim)
Video 7.1 Left lateral sectionectomy (Tae-Jin Song)
Video 8.1 Right anterior sectionectomy (Koo Jeong Kang)
Video 9.1 Right posterior sectionectomy (preserving RHV)
(Chol Kyoon Cho)
Video 9.2 Right posterior sectionectomy sacrificing RHV
(Chol Kyoon Cho)
Video 10.1 Resection of segment 4 and ventral portion of anterior
section (Yang Won Nah)
Video 11.1 Segmentectomy 5-6 (Chiyoung Jeong)
Video 12.1 Segmentectomy 8 (classic anatomical resection)
(Hee Jung Wang)
Video 12.2 Segmentectomy 8 (Makuuchi’s blue dye staining method)
(Hee Jung Wang)
Video 12.3 Segmentectomy 8 (Takasaki’s method) (Hee Jung Wang)
Video 13.1 Laparoscopic left hepatectomy (Ki-Hun Kim)
Video 14.1 Laparoscopic left lateral sectionectomy (In Seok Choi)
Video 15.1 Laparoscopic right hemihepatectomy (Ho-Seong Han)
Video 16.1 Modified rapid-en-loc liver recovery in deceased donor
(Hee Chul Yu)
Video 17.1 Recipient hepatectomy in DDLT, no use of venovenous
bypass (Jin Sub Choi)
Video 20.1 Living donor right or extended right hemihepatectomy
(Jae-Won Joh)
Video 21.1 Living donor left hemihepatectomy (Kyung-Suk Suh)
xi