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AuthorLongmire, William P. author
TitleManual of Liver Surgery [electronic resource] / by William P. Longmire, Ronald K. Tompkins
ImprintNew York, NY : Springer New York, 1981
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Descript XVII, 267 p. 176 illus., 120 illus. in color. online resource


As research in liver disease has greatly expanded over the past few decades the etiology, pathology, and natural history of many hepatic disorders have been clearly defined. Many new and accurate diagnostic tools are now available. In spite of all this progress the treatment of many liver diseases remains ameliorative. Nevertheless a more aggressive and successful surgical approach has taken place in regard to many diseases of the liver in part due to the pioneering work of Dr. William P. Longmire, Jr. and his colleagues. Dr. Longmire was among the early advocates of liver resection of neoplasms, successfully removยญ ing a large benign tumor of the liver in 1946. In the following decades his contributions covered the surgical treatment of trauma, tumors, cysts, and other congenital abnormalities. He has performed hundreds of operations on patients with these disorders. In 1948 he reported a procedure now named for him, in which intractable common duct obstruction was relieved by partial left hepatectomy and cholanยญ giojejunostomy. He was one of the first to advocate side-to-side portacaval shunt for portal hypertension. Other essential contributions by this master surgeon were the periodic reviews that covered the advances in his field. Dr. Longmire, with his scholarly approach and broad background of knowlยญ edge in all aspects of hepatic surgery, is exceptionally qualified to write this book. He and his colleague, Dr. Ronald K. Tompkins, are to be congratulated on this complete treatise


1 Historical Background -- Early History -- The Eighteenth and Nineteenth Centuries -- Early Trauma Operations -- Early Tumor Operations -- Anatomical Observations -- Hepatic Surgery in the 1900โ{128}{153}s -- Anatomical Versus Nonanatomical Resection -- Technique of Parenchymal Dissection -- Tumors in Infants and Children -- 2 Anatomy -- General Structure of the Liver -- External Projection of the Liver -- Peritoneal Attachments -- Surfaces and Surface Divisions -- Segments of the Liver -- Intrahepatic Distribution of Bile Ducts and Blood Vessels -- 3 Physiology -- Physiological Units of the Liver -- Functions of the Liver -- Liver Regeneration -- 4 Diagnosis -- Biochemical Evaluation of Liver Function -- Radiological Studies -- Liver Biopsy -- Laparoscopy -- 5 Infections -- Pyogenic Abscess -- Parasitic Abscess -- 6 Benign Tumors -- Tests -- Principles of Treatment -- Hemangioma -- Adenoma and Focal Nodular Hyperplasia -- Mesenchymal Hamartoma and Other Benign Tumors -- 7 Malignant Tumors -- Pathology -- Symptoms -- Malignant Hepatoma -- Metastatic Tumors of the Liver -- 8 Cystic Disease -- Congenital Cystic Disease -- Neoplastic and Traumatic Lesions -- 9 Hepatic Trauma -- Type of Injury -- Diagnosis -- Preoperative Preparation and Resuscitation -- Surgical Treatment -- Specific Procedures -- Perioperative and Postoperative Management -- 10 Unusual Benign Conditions -- Primary Sclerosing Cholangitis -- Segmental and Lobar Atrophy of the Liver -- Intraheptic Stones -- 11 Techniques of Hepatic Resection -- Incisions -- Steps in Resection -- Sublobar Resection -- Lobar Resections -- Intrahepatic Enteric Anastomosis -- Summary -- 12 Transplantation -- Indications and Preparation -- Orthotopic Transplantation -- Heterotopic Grafting

Medicine Abdominal surgery Medicine & Public Health Abdominal Surgery


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