This book intends to provide a comprehensive and up-to-date description of the newest techniques in minimally invasive liver surgery. The treatment of liver diseases comprises a significant component of the practice of any general surgeon working either in the academic, general and community hospitals. With the rapid expansion of knowledge and technology also the liver has been approached laparoscopically in a few specialized centers with well recognized advantages for the patients. Now this large amount of experience will be made universally available through this book. After a concise description of the main tools and technology necessary to carry out a safe laparoscopic and/or robot-assisted liver surgery, details of operative techniques will be illustrated. Each chapter will consist of an introduction, a summary of the indications and contraindications of specific operative procedures and a detailed description of each surgical procedure, including the potential complications of both the surgery and the postoperative care. A special effort will be done to provide informative and accurate illustrations and pictures, that will be completed by the DVD containing the movies illustrating the technical procedures performed by the leading European liver surgeons.
Foreword.-Preface.-Minimally invasive surgery:an update.- Minimally invasive surgery of the liver:an update.- The learning curve:experimental surgery.- The learning curve:teaching in robotic surgery.- Technology in the operating room:the laparoscopic column.- Technology in the operating room:the robot .- Anesthesia.- Costs and benefits, a triad in comparison:open , laparoscopic, robotic surgery.- Transection devices .- The Louisville consensus conference.- Indications to surgery:laparoscopic or robotic approach.- Diagnostic laparoscopy and allied technologies.- Intraoperative ultrasound.- A new anatomical vision:the liver screen-surgery.- Encircling the pedicle for the Pringle manoeuvre.- Combined minimally invasive surgery:liver and colon-rectum.- Minimally invasive procedures for liver trauma.- Minimally invasive surgery in the cirrhotic patient.- Repeated mininvasive surgery.-Treatment of the resection surface.-Delivery of the specimen.- Short and long-term follow up.-Ligation of the portal branch.-Tumorectomy.-An introduction to Segmentectomy.- Segment I: robot.- Segment II: VL.-Segment III: VL.- Segment IV:VL.- Segment IVa: VL.- Segment V: VL.- Segment VI: VL.- Segment VII: robot.- Segment VIII: robot.- Left lobectomy : VL.- Left lobectomy for living donor:VL.- Right hepatectomy: VL.- Right hepatectomy: robot.- Left Hepatectomy: VL.- Left hepatectomy: robot.- Complications.- The Italian experience in minimally invasive surgery of the liver: an overview.- Perspectives: where shall we be 20 years from now?.- Analytical Index.