Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation, 1st ed. 2021

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. 

Part I: Anatomy and Physiology of the Liver.- Anatomy of HepatoPancreatoBiliary Surgery and Liver Transplantation Relevant to Anaesthesia.- Anatomy and physiology of the liver.- Part II: Liver transplantation.- Pathophysiology behind cardiopulmonary complications of cirrhosis and portal hypertension.- Liver Transplantation: Graft Variables.- Surgical aspects of liver transplantation.- Pre-assessment for Hepato-Pancreato-Biliary and Liver Transplant Surgery.- The Role of Cardiopulmonary Exercise Testing (CPET) in the Preoperative Assessment of Patients for Hepatico-Pancreatic-Biliary (HPB) Surgery and Liver Transplantation (LT).- Anaesthesia for Liver Transplantation.- How does the aetiology of primary liver disease affect anaesthesia for liver transplantation.- Haemodynamic monitoring during liver transplant surgery.- Point of Care Viscoelastic Haemostasis Monitoring During liver Transplant Surgery.- How to Reduce Bleeding and Blood Transfusion During Liver Transplantation.- Fast tracking in liver transplant programme.- Acute kidney injury in hepatico-pancreatic-biliary surgery and liver transplantation.- Use of Extracorporeal Membrane Oxygenation during Liver Transplantation.- Liver preservation with extracorporeal perfusion.- Veno-venous bypass in liver transplantation.- Part III: Liver resection.- Biology of liver tumors and outcomes of liver surgery.- Anaesthesia for Live Donor Hepatectomy.- Strategies for low central venous pressure in liver resection surgery.- Enhanced Recover after HPB Surgery.- Postoperative analgesia in liver resection surgery.- Part IV: Pancreas.- Surgical Aspects of Hapato- Pancreato- Biliary Surgery.- Perioperative anaesthetic considerations for the Whipple procedure and other pancreatic surgeries.- Anaesthetic management for patients undergoing pancreas transplantation.- Part V: Paediatric.- Anaesthesia for Paediatric Liver Surgery.- Anaesthesia for Paediatric Liver Transplantation.- Anaesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation Communication between HPB anaesthetists: meetings, websites and forums.

Dr Zoka Milan, MD, PhD, FRCA, MZI
Dr Milan was born and trained in Serbia, where she worked at a university hospital and practiced major abdominal and cardiac anesthesia, research, teaching, examining, mentoring and management.

Since moving to the UK 20 years ago, she has been involved in anesthesia for hepatico-pancreatic-biliary surgery and liver transplantation at Leeds Teaching Hospitals, Leeds and more recently at King’s College Hospital, London. As liver transplant programs in Leeds and King’s College attract professionals from all over the world, and with her background working in developing and developed regions, sharing her experience and knowledge became an important part of Dr Milan’s work. Additionally, she is involved in the EDIAC examination in European Society of Anesthesiology.

Dr Milan has written one book: Cardiovascular Diseases and Liver Transplantation and translated another: Basic Physics and Measurement in Anaesthesia (from English into Serbian). She has published more than 100 peer-reviewed papers, and is Editor-in-Chief of the Edorium Journal of Anesthesia and the Clinical Audit Journal.

Dr Chula Goonasekara, MBBS, MD, PhD, MPhil, FRCP, MRCPCH, DCH, FCAI
Dr Goonasekara is a senior clinical scientist with training in both anesthesia and pediatrics. With clinical, teaching and research experience spanning both developing (Sri Lanka) and developed (UK) countries, Dr Goonasekara’s research and clinical interests include pediatric hypertension, end stage renal failure, critical illness, poisoning and sepsis. Dr Goonasekara is actively involved in the teaching of postgraduate doctors in anesthesia, critical care and emergency medicine, in addition to nurses and allied health workers. Since being recruited as a consultant anesthetist by King’s College Hospital in 2012, Dr Goonasekara’s focus has shifted to brain mappingtech