Surgical Hepatic Vein (Hardcover)

Author: Xing Xue
Publisher:
Publish Date: 2005-06-01
Features: Since the first liver resection performed by German surgeon Langenbuch in 1888, liver surgery has undoubtedly made significant progress. Over the past century, the development of liver surgery has gone through a rather difficult process. The liver, a vital organ in the human body, is rich in sinusoids and anatomically complex. From being considered an organ that surgeons should avoid touching ("don't touch me") to the establishment of standardized, mature resections of liver lobes and segments, as well as in situ liver transplantation, partial liver transplantation, and living donor liver transplantation with autologous liver grafts, liver surgeons have undergone an extremely arduous exploration process. It can be said that the development of hepatic vein surgery has kept pace with the development of liver surgery. In the past, to address the issue of severe bleeding during liver resection, many liver surgeons designed various preventive measures, including preoperative dissection and ligation of the hepatic portal vessels, the use of hepatic parenchymal bundles, liver clamps, and hepatic combs (hepatic comb) during liver resection, and the application of hepatic portal inflow occlusion. However, these measures were primarily aimed at controlling hepatic inflow bleeding or simple parenchymal bleeding, while bleeding in the hepatic vein system remained largely uncontrolled. In light of this, in-depth research on how to control hepatic vein bleeding during liver resection led to a significant leap forward in the development of hepatic vein surgery. This process began in the late 1950s, and many research efforts in hepatic vein surgery primarily included: (1) external ligation of the main hepatic vein, specifically ligating the left hepatic vein at its hepatic surface projection outside the liver parenchyma before left liver resection; (2) controlling not only hepatic inflow but also hepatic venous outflow during liver resection, achieving true bloodless liver resection. Many authors designed bloodless liver resection techniques under total hepatic inflow occlusion, hypothermic isolated perfusion, and selective main hepatic vein occlusion. During surgery, ultrasound aspirators were used to free the main hepatic vein, particularly the right hepatic vein, for external management; (3) surgical resection of liver malignancies involving the main hepatic vein and inferior vena cava posterior to the liver, including resection of the main hepatic vein and inferior vena cava along with the tumor, and the use of artificial vessels for replacement. In recent years, the widespread adoption of liver transplantation has led to a second significant leap forward in the development of hepatic vein surgery, primarily including: (1) research on the reconstruction of hepatic vein outflow during liver transplantation, especially in piggyback orthotopic liver transplantation and living donor liver transplantation; (2) research on liver graft procurement during living donor liver transplantation; (3) diagnosis and treatment of hepatic vein outflow stenosis or thrombosis after liver transplantation; (4) modern surgical management of near-hepatic vein injuries; (5) radical surgical and interventional treatment of Budd-Chiari syndrome; (6) interventional treatment of portal hypertension (TIPSS); (7) isolated perfusion chemotherapy for inoperable liver cancer. This book consists of 34 chapters and over 600,000 words. It is well-structured, logically organized, and written in clear, fluent language. It combines scientific rigor, modernity, comprehensiveness, systematicity, theoretical depth, and practicality, making it a pioneering academic monograph on key aspects of hepatobiliary surgery: the hepatic vein system. Undoubtedly, it plays a positive role in advancing liver surgery, including liver transplantation, and serves as an outstanding academic reference.