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This concise, accessible book covers anesthesia for
hepatico-pancreatic-biliary (HPB) surgery and transplantation,
based on randomized clinical trials, meta-analyses, case series,
reports, and hands-on experience. The anatomy, physiology,
pathophysiology and clinical consequences are discussed, and the
close ties between HPB resection and transplant anesthesia are
explored. The content reflects current real-world practice, as
liver and pancreatic transplant surgeries have substantially
improved in terms of blood-loss reduction, fast tracking and
reduced risk. The book also addresses anesthetic aspects in
connection with the recently introduced and rapidly expanding
practice of laparoscopic surgery; with enhanced recovery; and with
pancreatic surgery. Anesthesia for Hepatico-Pancreatic-Biliary
Surgery and Transplantation is intended for aspiring HPB and
transplant anesthetists, anesthesia trainees, and consultants with
experience in HPB anesthesia who want to see whether or not they're
up to date on the current standards.
With approximately 8,000 liver transplant operations per year
world-wide, this surgical procedure has become relatively routine.
Improvements in surgical and anesthetic techniques and
immunosuppression have resulted in improved outcomes, but
cardiovascular events and sepsis remain the principal obstacles to
further lowering morbidity and mortality rates. Consequently,
cardiovascular assessment and optimisation are of increased
interest to anaesthetists and other professionals involved in liver
transplant programs. This book summarises the current knowledge on
preoperative hemodynamic profiling and cardiovascular assessment of
patients awaiting liver transplantation.
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