Difficult Decisions in Hepatobiliary and Pancreatic Surgery: An Evidence-Based Approach

Front Matter....Pages i-xix
Finding and Appraising the Evidence: EBM and GRADE....Pages 1-13
Is Surgery Indicated for Asymptomatic Giant Hepatic Hemangioma?....Pages 15-24
What Is the Best Surgical Method of Addressing Hepatic Hemangiomas?....Pages 25-37
Which Diagnostic Modality is best to Assess Benign Hepatic Tumors?....Pages 39-54
Cystic Diseases of the Liver....Pages 55-61
When Should You Operate on Major Hepatic Trauma?....Pages 63-72
Surgical Treatment of Hepatocellular Carcinoma: Resection Versus Transplantation....Pages 73-84
Hepatic Epithelioid Hemangioendothelioma....Pages 85-91
What Is the Best Way to Screen Cirrhotic Patients for Hepatocellular Carcinoma in the United States?....Pages 93-111
When Is Laparoscopic Liver Resection Preferred Over Open Resection?....Pages 113-127
Clinical Management of Pyogenic Liver Abscesses....Pages 129-137
Which Is Better Local Therapy for HCC, RFA or TACE?....Pages 139-147
When Should Patients with Liver Metastases from Colorectal Cancer Receive Chemotherapy?....Pages 149-163
What Is the Best Way to Assess Hepatic Reserve Prior to Liver Resection in the Cirrhotic Patient?....Pages 165-177
Treatment Protocols for Small Hepatocellular Carcinoma (≤3 cm): RFA or Resection?....Pages 179-188
Which Is the Better Predictor of Hepatic Reserve Prior to Liver Resection: MELD or the Child-Pugh Score?....Pages 189-199
Early (<24 h) or Delayed Cholecystectomy for Acute Cholecystitis?....Pages 201-208
Primary Closure or T-Tube Drainage After Open or Laparoscopic Common Bile Duct Exploration?....Pages 209-218
Single-Incision or Multiport Laparoscopic Cholecystectomy....Pages 219-226
Management of Recurrent Cholangitis....Pages 227-239
Management of Postoperative Bile Duct Stricture....Pages 241-252
Immediate or Delayed Repair for Bile Duct Injury Recognized Postoperatively?....Pages 253-261
Management of Suspected Choledocholithiasis on Intraoperative Cholangiography....Pages 263-271
Management of Incidentally Discovered Gallbladder Cancer....Pages 273-289
Gallstone Ileus....Pages 291-295
Surgery or Endoscopy for Bile Duct Strictures Secondary to Chronic Pancreatitis?....Pages 297-309
Routine or Selective Cholangiography for Elective Laparoscopic Cholecystectomy?....Pages 311-320
When Is Bile Duct Resection Indicated for Biliary Strictures in Primary Sclerosing Cholangitis?....Pages 321-327
Assessment of Bile Duct Tumors: Endoscopic vs Radiographic....Pages 329-339
Management of Significant Hemobilia: Hepatic Artery Embolization or Stenting?....Pages 341-348
The Assessment of Ductal Margin in Curative-Intent Surgery for Perihilar Cholangiocarcinoma....Pages 349-357
Management of Early Post-transplant Portal Vein Thrombosis: Results of Interventional Techniques Versus Surgical....Pages 359-367
When Should Patients with Bleeding Esophageal Varices Undergo TIPS Versus Endoscopic Therapy?....Pages 369-378
Management of Symptomatic Portal Hypertension: TIPS vs. Medical Management....Pages 379-390
Should All Hepatic Arteriovenous Fistulas Be Embolized?....Pages 391-398
Early or Delayed Cholecystectomy in Acute Gallstone Pancreatitis....Pages 399-409
Nutritional Support in Acute Necrotizing Pancreatitis....Pages 411-420
Management of Symptomatic Pancreatic Pseudocyst....Pages 421-432
Antibiotic Prophylaxis for Acute Necrotizing Pancreatitis....Pages 433-449
Endoscopic or Minimally Invasive Debridement of Walled-Off Pancreatic Necrosis?....Pages 451-466
Surgical Debridement in Necrotizing Pancreatitis....Pages 467-474
Surgery or Endotherapy for Large Duct Chronic Pancreatitis....Pages 475-485
Pancreatic Head Resection for Painful Chronic Pancreatitis....Pages 487-497
Is Total Pancreatectomy with Islet Autotransplantation Indicated in Hereditary/Genetic Pancreatitis?....Pages 499-507
Management of Blunt Pancreatic Trauma in Children....Pages 509-517
Surgery or Surveillance for Asymptomatic Small Mucinous Pancreatic Head Cyst....Pages 519-525
Management of Asymptomatic IPMN in the Elderly....Pages 527-539
Minimally Invasive Surgery for Pancreatic Head Cancer....Pages 541-552
Advanced Pancreatic Cancer Discovered at Operation: The Role of Palliative Bypass....Pages 553-565
Neoadjuvant Therapy for Borderline Resectable Pancreatic Head Cancer....Pages 567-582
Neoadjuvant Therapy for Resectable Pancreatic Adenocarcinoma....Pages 583-597
Management of Borderline Resectable Pancreatic Cancer....Pages 599-608
Peritoneal Drain Placement at Pancreatoduodenectomy....Pages 609-620
Management of Villous Adenoma of the Ampulla of Vater....Pages 621-630
Splenic Preservation at Distal Pancreatectomy....Pages 631-639
Management of Small Nonfunctional Pancreatic Neuroendocrine Tumors....Pages 641-653
Management of Pancreatic Gastrinoma....Pages 655-671
Management of Pancreatic Cancer in the Elderly....Pages 673-687
Back Matter....Pages 689-695