Cataldo Doria – Contemporary Liver Transplantation (2017)

Автор: Cataldo Doria
Название книги: Contemporary Liver Transplantation
Формат: PDF
Жанр: Трансплантация печени
Страницы: 645
Качество: Изначально компьютерное, E-book

The first liver transplant performed in a human was done in 1963. In half a century, liver transplantation has evolved dramatically. In the USA, we went from 1 to over 150 liver transplant centers that offer this highly specialized treatment for patients needing transplantation. We have become the most scrutinized field in medicine: transplantation is the only specialty with multiple regulatory agencies overseeing the outcomes of the different centers on a yearly basis. Our results in terms of patient and graft survival are publicly available in the SRTR web page; this is not true for any other subspecialty in medicine. When a transplant center does not perform as expected, a mechanism is in place to enroll that transplant center in a remedy program, which can theoretically lead to termination of such a center by federal programs charged of securing very high standard of quality across the country. There is no other field in medicine where clinical management, discoveries, and organizational issues have changed this fast in such a short period of time. In the past 5–10 years, hospitals have tried to organize their services in service lines rather than silos. However, transplantation has been the quintessence of multidisciplinarity since the very beginning. We have been working in a service line model since inception; therefore, transplantation can be used as a model for other disciplines to emulate while they are modernizing their structural organization. This book is a comprehensive review of the most crucial and provocative aspects of liver transplantation. It is a unique source of information and guidance for the current generation of transplant professionals that evolved from being pure clinicians into savvy administrators, knowledgeable in every regulatory aspect governing transplantation.

Contents

Historical Perspective.
History of Liver and Other Splanchnic Organ Transplantation.
The Operation.
Orthotopic Liver Transplantation: Indications and Contraindications.
Donor Operation.
Orthotopic Liver Transplantation: Surgical Techniques.
Split Liver Transplantation.
Live Donor Liver Transplant.
Minimally Invasive Live Donor Liver Hepatectomy.
Orthotopic Liver Transplantation: Complications.
Anesthesia Management.
Anesthesia Management of Liver Transplantation.
Hepatopulmonary Syndrome and Portopulmonary Hypertension.
Transplant Hepatology.
NASH: The Ethical Dilemma.
Fulminant Hepatic Failure: Diagnosis and Management.
Hepatitis C Virus Infection: A New Era.
Infections and Sepsis After Liver Transplantation.
Liver Transplantation for HCC: The Milan Criteria.
HCC: The San Francisco Criteria.
Downstaging Hepatocellular Carcinoma for Liver Transplantation.
Systemic Chemotherapy in Orthotopic Liver Transplantation.
Combined Transplantations.
Immunology and Pathology of Liver Transplant.
Immunology of Liver Transplantation.
Pathology of Liver Transplantation.
Radiology and Liver Transplantation.
Radiology in Liver Transplantation.
Interventional Radiology for the Pre-transplant Patient.
Basic Science in Liver Transplantation.
Xenotransplantation.
Cell Therapy for Liver Failure: A New Horizon.
Special Topics.
Pregnancy After Liver Transplantation.
Palliative Care in Liver Transplantation: When to Consult a Specialist.
Artificial Liver Treatment: When and Which One? .
Liver Autotransplantation from the Labs to the Ante-situm Procedure: A Long Journey.
Role of Integrative Medicine in Liver Transplantation.
Liver Transplantation: Medical Home.
The Contemporary Successful Liver Transplant Program.
Regulatory Agencies in Transplantation.
Quality Measure of a Contemporary Liver Transplant Program.
Role of the Transplant Coordinator.
Finance of Liver Transplantation.
Liver Transplantation in the Third Millennium in North America: The Strategy for Success.
Transplant Program Liability and Risk Factors for Litigation.