Techniques in Hepatobiliary Surgery Handbook: A Clinical Textbook Covering Operative Anatomy, Procedural Decision-Making, and Complication Avoidance f
Built for the HPB fellow standing at the hepatocystic triangle at 2 a.m., this reference connects the segmental and vascular anatomy of the liver to the specific operative decisions that determine whether an aberrant duct is preserved or divided. It moves from Couinaud segmental architecture and its portal, arterial, and biliary variants through the full range of hepatobiliary technique - cholecystectomy and duct exploration, biliary reconstruction, parenchymal-sparing and formal anatomic resection, laparoscopic and robotic platforms, transplantation, portal hypertension, and trauma - organized around a single named discipline: the Critical Step Recognition System, a five-part framework that flags the exact juncture in each operation where an unrecognized error carries the greatest consequence. Detailed figure prompts, step-by-step procedural diagrams, and a 92-entry cross-referenced Master Index turn that discipline into something a fellow can carry into the OR, not just read once before boards.
Inside, You Will Learn How To:
- Recognize the aberrant right posterior sectoral duct - the anatomic pattern behind the bile duct injuries that spare the main duct and go unnoticed the longest.
- Achieve and verify the critical view of safety - a circumferential, anterior-and-posterior confirmation sequence that replaces habit with a reproducible checkpoint.
- Calculate future liver remnant against the correct threshold - normal, chemotherapy-exposed, or cirrhotic - before committing to a resection the liver can't support.
- Choose between portal vein embolization, ALPPS, and radioembolization - matched to tumor growth kinetics and morbidity tolerance, not institutional default.
- Deploy the anterior approach and liver hanging maneuver - for the large right-sided tumor where standard mobilization risks rupture.
- Match platform to pathology across laparoscopic, robotic, and open technique - including the docking, port, and vascular-control adaptations each specifically demands.
- Manage the ruptured HCC, the retrohepatic caval injury, and the failed ALPPS - the emergencies this specialty can't outsource to guesswork.
- Navigate ninety-two indexed Critical Steps - cross-referenced by chapter and by clinical trigger for the moment a decision can't wait for a literature search.
Open it before the next hilar dissection - the anatomic confirmation your patient's bile duct depends on, in one reference.
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