Principles of Hepatic Surgery


by

Silvio Balzan, Vinicius Gava

DOI: 10.2174/97816810828511160101
eISBN: 978-1-68108-285-1, 2016
ISBN: 978-1-68108-286-8



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Principles of Hepatic Surgery introduces the reader to current trends in Liver surgery knowledge and practice. This r...[view complete introduction]

Table of Contents

Preface

- Pp. i

Silvio M P Balzan and Vinícius G Gava

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Foreword

- Pp. ii

Jacques Belghiti and François Cauchy

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Acknowledgements

- Pp. iii

Silvio Marcio Pegoraro Balzan and Vinicius Grando Gava

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Collaborators

- Pp. iv-viii (5)

Silvio Marcio Pegoraro Balzan and Vinicius Grando Gava

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Surgical Anatomyof the Liver

- Pp. 1-16 (16)

Renato Micelli Lupinacci, Silvio Marcio Pegoraro Balzan and Paulo Herman

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Radiological Anatomyof the Liver

- Pp. 17-37 (21)

Lee Grant, Albert Loh and Dow-Mu Koh

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Intraoperative Assessementof the Liver

- Pp. 38-47 (10)

Matteo Donadon, Guido Costa and Guido Torzilli

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Underlying Liver Disorders in Hepatic Surgery

- Pp. 48-56 (9)

Stéphane Zalinski, Antoine Brouquet, Kristoffer W. Brudvik and Jean-Nicolas Vauthey

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Liver Function Assessment Before and After Hepatic Resection

- Pp. 57-65 (9)

Rouzbeh Daylami, Philip D. Schneider and Vijay P. Khatri

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Surgical Approach in Cirrhotic Patients

- Pp. 66-79 (14)

Jacques Belghiti, Safi Dokmak and Vikram Raut

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Portal Vein Embolization, Transarterial Chemoembolization and Local Ablation of Hepatic Tumors

- Pp. 80-105 (26)

Nikhil Bhagat and Jean-Francois H. Geschwind

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Anesthesia and Pain Control in Liver Surgery

- Pp. 106-120 (15)

Ney Fuhrmann Leal, Maurício de Oliveira, Vinícius Grando Gava and Silvio Marcio Pegoraro Balzan

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Morbidity and Mortality After Liver Surgery

- Pp. 121-140 (20)

Silvio Marcio Pegoraro Balzan and Vinícius Grando Gava

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Colorectal Liver Metastases

- Pp. 141-157 (17)

Mark G. van Vledder, Michael A. Choti, Vinícius G. Gava and Silvio M.P. Balzan

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Neuroendocrine Liver Metastases

- Pp. 158-168 (11)

Eloísa Amate, Pablo Ramírez, Ricardo Robles, Francisco Sánchez-Bueno, Marcio Pegoraro Balzan and Pascual Parrilla

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Non-Colorectal Non-Neuroendocrine Liver Metastases

- Pp. 169-186 (18)

Louis Bredt, Emir Hoti and Rene Adam

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Hepatocellular Cancer

- Pp. 187-221 (35)

Eddie K. Abdalla

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Hilar Cholangiocarcinoma

- Pp. 222-236 (15)

David Fuks, Jean-Marc Regimbeau, Brice Robert, Silvio Marcio Pegoraro Balzan and Olivier Farges

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Intrahepatic Cholangiocarcinoma

- Pp. 237-252 (16)

David Fuks and Olivier Farges

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Gallbladder Carcinoma

- Pp. 253-279 (27)

Julie G. Grossman, Ryan C. Fields and Michael D`Angelica

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Other Malignant Primary Tumors of the Liver

- Pp. 280-294 (15)

Matteo Cescon, Valentina Bertuzzo, Gian Luca Grazi and Antonio Daniele Pinna

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Benign Solid Focal Lesions and Incidentalomas of the Liver

- Pp. 295-323 (29)

Silvio Marcio Pegoraro Balzan, Vinicius Grando Gava and Gustavo Felipe Luersen

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Non-Parasitic Cystic Diseases of the Liver

- Pp. 324-342 (19)

Emma Barron and O James Garden

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Parasitic Hepatic Cysts and Pyogenic Hepatic Abscess

- Pp. 343-361 (19)

Hadj Omar El Malki, Amine Souadka, Vinicius Grando Gava and Silvio Marcio Pegoraro Balzan

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Primary Intrahepatic Lithiasis

- Pp. 362-380 (19)

Gennaro Nuzzo, Felice Giuliante, Francesco Ardito, Agostino Maria De Rose, Gennaro Clemente and Silvio Marcio Pegoraro Balzan

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General Technical Aspects of Liver Resections

- Pp. 381-403 (23)

Silvio Marcio Pegoraro Balzan and Vinícius Grando Gava

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Vascular Control and Parenchymal Transection Techniques

- Pp. 404-417 (14)

Patrick Pessaux, Elie Oussoultzoglou and Daniel Jaeck

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Principles of Segment-oriented Liver Resections –Mesohepatectomy, Monosegmentectomies,and Bisegmentectomies

- Pp. 418-427 (10)

Kelvin K. Ng

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Right Liver Resections

- Pp. 428-437 (10)

Takuya Hashimoto and Masatoshi Makuuchi

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Left Liver Resections

- Pp. 438-444 (7)

Ailton Sepulveda, Fabiano Perdigão and Olivier Scatton

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Principles of Laparoscopic Liver Resections

- Pp. 445-458 (14)

Joseph F. Buell, Brice Gayet, Hao Lei, Dimitrios Tzanis, Robert M. Cannon and Ibrahim Dagher

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Complementary Techniques in Liver Surgery

- Pp. 459-466 (8)

Fernando Burdio and Yuman Fong

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Liver Transplantation for Hepatic Failure

- Pp. 467-477 (11)

Luis Augusto Carneiro D`Albuquerque, Andre Ibrahim David, Wellington Andraus, Bernardo Fernandes Canedo, Ivana Schmidtbauer and Silvio Marcio Pegoraro Balzan

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Liver Transplantation for Malignant and Benign Tumors

- Pp. 478-491 (14)

Eloísa Amate, Pablo Ramírez, Silvio Marcio Pegoraro Balzan and Pascual Parrilla

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Immunosuppression in Liver Transplantation

- Pp. 492-504 (13)

François Durand and Claire Francoz

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Technical Aspects of Liver Transplantation

- Pp. 505-524 (20)

Fady M. Kaldas, Hasan Yersiz and Ronald W. Busuttil

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Subject Index

- Pp. 525-530 (6)

Silvio Marcio Pegoraro Balzan and Vinicius Grando Gava

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Foreword

The foreword to this superb book has deliberately been written jointly by one old and one young academic surgeon involved in hepatobiliary surgery. The elder of us started his career with more limited access to medical publications, which were only available through printed scientific journals. International exchanges were mainly done during scientific congresses. Nowadays, the widespread use of the internet and the development of more and more sophisticated connected devices have allowed us to always stay updated and with endless amounts of information in our daily medical practice. For the younger of us, while these tools represent an endless source of knowledge, differentiating medical fads from actual scientific breakthroughs remains difficult. In hepatobiliary surgery, with the constant renewal of operative techniques (including the development of miniinvasive surgery), the ongoing evolution in our understanding of the liver regeneration process (which has allowed for the planning of complex operative strategies), and the increasing role of chemotherapeutic regimens in refining the indications for resection, it has become somewhat easy to get lost in the shuffle. This is clearly one of the main reasons why textbooks still play an important part in our medical training and practice. A surgical textbook must contain widely accredited knowledge from around the world and clearly describe state-of-the-art techniques, but it must also provide well-chosen insights regarding forthcoming trends that may represent the future of the field. Hence, the most difficult task is probably to anticipate which techniques and strategies may withstand the test of time and which ones will fade away without trace. By inviting input from some of the most renowned hepatobiliary clinicians in the world, Dr. Balzan and Dr. Gava have ensured the most relevant selection of information. We admire their undertaking of providing such extensive and important information in this “mini-Blumgart”; chapters have been meticulously selected and developed, providing a thorough overview of our specialty both for trainees and for senior surgeons. The relevant selection of suggested readings enables the reader to go even further in their understanding of every chapter, and represents a valuable feature of this book. Finally, the excellent illustrations and overall presentation of the book make it a true masterpiece, one that any reader would want on his or her bookshelf.

Jacques Belghiti MD
Professor of Surgery
Hopital Beaujon, University Paris 7 - Denis Diderot
Clichy, France

François Cauchy MD
Chef de Clinique Assistant
Hopital Beaujon, University Paris 7 - Denis Diderot
Clichy, France

I am delighted to have been asked to write this additional foreword. There is no doubt that this book will make a significant contribution to the development of Hepatobiliary Surgery as a specialty. The editors have managed to produce a text that is comprehensive yet easily readable. I am sure it will be of value to not only the young resident but also a point of reference for the established surgeon.

I congratulate the editors and am confident of the success of this book, which will occupy an important place on the bookshelf of many interested in the special skills needed for successful Hepatobiliary Surgery.

Leslie H Blumgart MD FRCS FACS
Professor of Surgery
Memorial Sloan Kettering Cancer Center
New York, USA


Preface

The main goal of “Principles of Hepatic Surgery” is to introduce the reader to the modern era of liver surgery and to discuss its current features. This ambitious project was conceived as a means of covering both the fundamentals of liver surgery as well as cutting-edge progress in this exciting surgical area.

We sought to provide a pleasant reading experience through a concise but comprehensive manuscript. To that end, we were fortunate to have an impressive list of contributors including experts from major centers devoted to hepatic surgery around the world. In addition, texts and illustrations were largely edited to avoid excessive overlap and to achieve a standard style. With 350 illustrations and figures, readers are provided with truly effective didactic material.

Hopefully, “Principles of Hepatic Surgery” will not only be of value to those at the beginning of their training in the field, but will also become a key source of up-to-date information for practicing liver surgeons. To address potential differences in approaches to and/or the biology of a given condition, some chapters include a commentary section written by other experts.

In summary, our aim was to publish a textbook providing logical, concise, and clear information in the field of hepatic surgery. As such, this first edition of “Principles of Hepatic Surgery” has exceeded our expectations and also inspired us to look forward to further developments in the field.

Silvio M P Balzan
Vinícius G Gava

ACKNOWLEDGEMENTS

We are deeply grateful to the collaborators that believed in this project and dedicated their valuable time to this textbook.

Thanks to Dr Fábio Girardi, our colleague and illustrator, for his tireless work in providing clear and informative illustrations.

We are thankful to Rebecca Wolfe for her expertise in medical English and the copy-editing of almost the entire textbook.

Thanks to Milton Duarte for his hard work in the typesetting and edition of the figures.

List of Contributors

Editor(s):
Silvio Balzan


Vinicius Gava




Contributor(s):
Eddie K. Abdalla, MD, FACS
Professor and Founding Chairman of Surgery, Chief of Surgical
Oncology and Hepatobiliary Surgery
Department of Surgery
Lebanese American University Medical Center - Rizk Hospital
Achrafieh, Lebanon



Rene Adam, MD, PhD
Institute National de la Santé et de la Recherce Médicale – Inserm
Paul Brousse Hospital, Centre Hépato-Biliaire, Assistance Publique
Hôpitaux de Paris
University Paris-Sud
Villejuif, France



Eloísa Amate, MD
Department of Surgery
Liver Transplantation Unit, Virgen de la Arrixaca University
Hospital
Murcia, Spain



Wellington Andraus, MD, PhD
Department of Gastroenterology
Hospital das Clínicas, University of São Paulo, School of Medicine
São Paulo, Brazil



Francesco Ardito, MD
S1 Department of Surgery
Hepatobiliary Surgery Unit, Catholic University of the Sacred
Heart, School of Medicine
Rome, Italy



Silvio Marcio Pegoraro Balzan, MD, PhD
Professor of Surgery
Universidade de Santa Cruz do Sul
Santa Cruz do Sul, Brazil;
Assistant Attending Surgeon
Hospital Moinhos de Vento
Porto Alegre, Brazil


Emma Barron, BSC MB ChB
Royal Infirmary Edinburgh
University of Edinburgh
Edinburgh, United Kingdom



Jacques Belghiti, MD
Professor
Department of Hepato-Pancreato-Biliary Surgery and Liver
Transplantation
Hospital Beaujon - Assistance Publique Hôpitaux de Paris
University Paris 7
Clichy, France


Valentina Bertuzzo, MD
General Surgery and Transplant Unit
Department of Medical and Surgical Sciences
University of Bologna
Bologna, Italy



Nikhil Bhagat, MD
Interventional Radiology
Johns Hopkins University School of Medicine
Baltimore, USA



Luis Bredt, MD
Hospital Paul Brousse, Assistance Publique Hôpitaux de Paris,
Centre Hépato-Biliaire
Villejuif, France



Antoine Brouquet, MD
Department of Surgical Oncology
University of Texas M.D. Anderson Cancer Center
Houston, USA



Kristoffer Watten Brudvik, MD, PhD
Department of Surgical Oncology
University of Texas M.D. Anderson Cancer Center
Houston, USA



Joseph F. Buell, MD, MBA
Professor of Surgery, Director
Tulane Transplant Abdominal Institute, Tulane Medical Center
Tulane University
New Orleans, USA



Fernando Burdio, MD
Department of General and Digestive Surgery
Unitat de Cirurgia Hepato-Bilio-Pancreàtica, Hospital del Mar
Barcelona, Spain



Ronald W. Busuttil, MD, PhD
Department of Surgery
The Dumont-University of California Los Angeles (UCLA)
Transplant Center, David Geffen School of Medicine at UCLA
Los Angeles, USA



Bernardo Fernandes Canedo, MD
Department of Gastroenterology
Hospital das Clínicas, University of São Paulo, School of Medicine
São Paulo, Brazil



Robert M. Cannon, MD
Department of Surgery
University of Louisville
Louisville, USA



Matteo Cescon, MD
General Surgery and Transplant Unit
Department of Medical and Surgical Sciences
University of Bologna
Bologna, Italy



Michael Choti, MD, MBA
Professor and Chairman
Department of Surgery
University of Texas Southwestern Medical Center
Dallas, USA



Gennaro Clemente, MD
S1 Department of Surgery
Hepatobiliary Surgery Unit, Catholic University of the Sacred
Heart, School of Medicine
Rome, Italy



Guido Costa, MD
Liver Surgery Unit
Department of Hepatobiliary Surgery, Humanitas Cancer Center,
IRCCS
University of Milan
Milan, Italy



Ibrahim Dagher, MD, PhD
Head of Department of Minimally Invasive Surgery
Department of Surgery
Hôpitaux Universitaires Paris-Sud
Orsay, France



Luiz Augusto Carneiro D’Albuquerque, MD, PhD
Professor and Chairman
Department of Gastroenterology
Hospital das Clínicas, University of São Paulo, School of Medicine
São Paulo, Brazil



Michael D’Angelica, MD, FACS
Associate Professor of Surgery
Department of Surgery
Memorial Sloan-Kettering Cancer Center
New York, USA



Andre Ibrahim David, MD, PhD, MBA
Department of Gastroenterology
Hospital das Clínicas, University of São Paulo, School of Medicine
São Paulo, Brazil



Rouzbeh Daylami, MD
Department of Surgery
University of California Davis Medical Center, School of Medicine
Sacramento, USA



Maurício de Oliveira, MD
Department of Anesthesiology
Hospital Moinhos de Vento
Porto Alegre, Brazil



Agostino Maria de Rose, MD
S1 Department of Surgery
Hepatobiliary Surgery Unit, Catholic University of the Sacred
Heart, School of Medicine
Rome, Italy



Safi Dokmak, MD
Department of Hepato-Pancreato-Biliary Surgery and Liver
Transplantation
Hospital Beaujon - Assistance Publique Hôpitaux de Paris
University Paris 7
Clichy, France



Matteo Donadon, MD, PhD
Liver Surgery Unit, Department of Hepatobiliary Surgery,
Humanitas Cancer Center, IRCCS
University of Milan.
Milan, Italy



François Durand, MD, PhD
Chief
Department of Hepatology and Liver Intensive Care, Hospital
Beaujon, University Denis Diderot, Paris VII
Clichy, France



Dominique Elias, MD, PhD
Department of Surgical Oncology
Gustave Roussy Institute
Villejuif, France



Hadj Omar El Malki, MD
Surgery Department “A”
Ibn Sina Hospital, University Mohammed Vth Souissi, School of
Medicine
Rabat, Morocco



Olivier Farges, MD, PhD
Professor of HPB Surgery
Department of Hepato-Pancreato-Biliary Surgery and Liver
Transplantation
Hospital Beaujon - Assistance Publique Hôpitaux de Paris
University Paris 7
Clichy, France


Ryan C. Fields, MD, FACS
Department of Surgery
Memorial Sloan-Kettering Cancer Center
New York, USA



Yuman Fong, MD
Department of Surgery
City of Hope Medical Center
Duarte, USA



Claire Francoz, MD, PhD
Department of Hepatology and Liver Intensive Care
Hospital Beaujon, University Denis Diderot, Paris VII
Clichy, France



David Fuks, MD, PhD
Department of Digestive Surgery
Centre Hospitalier Universitaire Amiens
Amiens, France



James Garden, BSc, MB, ChB, MD, FRCSEd, FRCSC
(Hon) FRACS (Hon)
Regius Professor of Clinical Surgery
Department of Clinical Surgery
Royal Infirmary Edinburgh, University of Edinburgh
Edinburgh, United Kingdom



Vinicius Grando Gava, MD, MSc
Associate Professor of Surgery
Universidade de Santa Cruz do Sul
Santa Cruz do Sul, Brazil;
Assistant Attending Surgeon
Hospital Moinhos de Vento
Porto Alegre, Brazil


Brice Gayet, MD, PhD
Professor
Department of Digestive Diseases
Institut Mutualiste Montsouris
Paris, France



Jean-Francois H. Geschwind, MD
Chair
Department of Radiology and Biomedical Imaging
Yale School of Medicine
New Haven, USA



Felice Giuliante, MD
S1 Department of Surgery
Hepatobiliary Surgery Unit, Catholic University of the Sacred
Heart, School of Medicine
Rome, Italy



Lee Grant, MBChB BA (Oxford), MRCS, FRCR
Department of Radiology
Royal Marsden NHS Foundation Trust
Sutton, United Kingdom



Gian Luca Grazi, MD, PhD
Department of Hepatobiliary Surgery
“Regina Elena” Cancer Institute
Rome, Italy



Julie G. Grossman, MD
Department of Surgery
Memorial Sloan-Kettering Cancer Center
New York, USA



Takuya Hashimoto, MD
Department of Hepato-Biliary-Pancreatic-Transplantation Surgery
Japanese Red Cross Medical Center
Tokyo, Japan



Paulo Herman, MD, PhD
Associate Professor
Liver Surgery Unit, Department of Gastroenterology
University of Sao Paulo School of Medicine
Sao Paulo, Brazil



Emir Hoti, MD, FRCS
Hospital Paul Brousse, Assistance Publique Hôpitaux de Paris,
Centre Hépato-Biliaire
Villejuif, France;
Liver Transplant Unit
Saint Vincent’s University Hospital
Dublin, Ireland


Daniel Jaeck, MD PhD FRCS
Professor Emeritus of Surgery
Centre de Chirurgie Viscérale et de Transplantation, Hôpital de
Hautepierre – Hôpitaux Universitaires de Strasbourg
Strasbourg, France



Fady M. Kaldas, MD
Department of Surgery
The Dumont-University of California Los Angeles (UCLA)
Transplant Center, David Geffen School of Medicine at UCLA
Los Angeles, USA



Vijay P. Khatri, MB, ChB, FACS
Department of Surgery
University of California Davis Medical Center, School of Medicine,
Sacramento, USA



Dow-Mu Koh, MD, MRCP, FRCR
Department of Radiology
Royal Marsden NHS Foundation Trust
Sutton, United Kingdom



Ney Fuhrmann Leal, MD
Department of Anesthesiology
Hospital Moinhos de Vento
Porto Alegre, Brazil



Hao Lei, MD
Department of Surgery
National Yang-Ming University
Taipei, Taiwan



Albert Loh, MD
Department of Diagnostic Imaging
Singapore General Hospital
Singapore, Singapore



Gustavo Felipe Luersen, MD
Department of Radiology
Hospital Moinhos de Vento
Porto Alegre, Brazil



Renato Micelli Lupinacci, MD, PhD
Liver Surgery Unit, Department of Gastroenterology
University of São Paulo School of Medicine
São Paulo, Brazil



Masatoshi Makuuchi, MD, PhD
President
Department of Hepato-Biliary-Pancreatic-Transplantation Surgery
Japanese Red Cross Medical Center
Tokyo, Japan



Kelvin K Ng, MS PhD FRCSEd (Gen)
Department of Surgery
Queen Mary Hospital, University of Hong Kong
Hong Kong, China



Gennaro Nuzzo, MD
S1 Department of Surgery
Hepatobiliary Surgery Unit, Catholic University of the Sacred
Heart, School of Medicine
Rome, Italy



Elie Oussoultzoglou, MD
Department of Surgery
Centre de Chirurgie Viscérale et de Transplantation
Hôpital de Hautepierre – Hôpitaux Universitaires de Strasbourg
Strasbourg, France



Pascual Parilla, MD, PhD
Department of Surgery
Liver Transplantation Unit, Virgen de la Arrixaca University
Hospital
Murcia, Spain



Fabiano Perdigão, MD
Department of Hepatobiliary Surgery and Liver Transplantation
Hospital Saint Antoine, University Rene Descartes
Paris, France



Patrick Pessaux, MD PhD
Department of Surgery
Centre de Chirurgie Viscérale et de Transplantation - Hôpital de
Hautepierre - Hôpitaux Universitaires de Strasbourg
Strasbourg, France



Antonio Daniele Pinna, MD, PhD
General Surgery and Transplant Unit
Department of Medical and Surgical Sciences
University of Bologna
Bologna, Italy



Pablo Ramírez, MD
Department of Surgery
Liver Transplantation Unit, Virgen de la Arrixaca University
Hospital
Murcia, Spain



Vikram Raut, MD
Department of Hepato-Pancreato-Biliary Surgery and Liver
Transplantation, Hospital Beaujon
Clichy, France



Jean-Marc Regimbeau, MD, PhD
Department of Digestive Surgery
Centre Hospitalier Universitaire Amiens
Amiens, France



Brice Robert, MD
Department of Radiology
Centre Hospitalier Universitaire Amiens
Amiens, France



Ricardo Robles, MD, PhD
Department of Surgery
Liver Transplantation Unit, Virgen de la Arrixaca University
Hospital
Murcia, Spain



Francisco Sánchez-Bueno, MD
Department of Surgery
Liver Transplantation Unit, Virgen de la Arrixaca University
Hospital
Murcia, Spain



Olivier Scatton, MD, PhD
Department of Hepatobiliary Surgery and Liver Transplantation
Hospital Saint Antoine, University Rene Descartes
Paris, France



Ivana Schmidtbauer, MD
Department of Gastroenterology
Hospital das Clínicas, University of São Paulo, School of Medicine
São Paulo, Brazil



Philip D. Schneider, MD, PhD
Department of Surgery
University of California Davis Medical Center, School of Medicine
Sacramento, USA



Ailton Sepulveda, MD
Department of Hepatobiliary Surgery and Liver Transplantation,
Hospital Saint Antoine, University Rene Descartes
Paris, France



Amine Souadka, MD
Surgery Department “A”
Ibn Sina Hospital, University Mohammed Vth Souissi, School of
Medicine
Rabat, Morocco



Guido Torzilli, MD, PhD
Professor
Liver Surgery Unit, Department of Hepatobiliary Surgery,
Humanitas Cancer Center, IRCCS
University of Milan.
Milan, Italy



Dimitrios Tzanis, MD
Department of Digestive and Minimally Invasive Surgery
Hospital Antoine Beclere
Clamart, France



Jean-Nicolas Vauthey, MD
Professor and Chief
Department of Surgical Oncology
University of Texas M.D. Anderson Cancer Center
Houston, USA



Valerie Vilgrain, MD
Professor of Radiology
Hospital Beaujon – Assistance Publique Hôpitaux de Paris
University Paris Denis Diderot
Paris, France



Mark G van Vledder, MD
Department of Surgery
Johns Hopkins University School of Medicine
Baltimore, USA



Hasan Yersiz, MD
Department of Surgery
The Dumont-University of California Los Angeles (UCLA)
Transplant Center, David Geffen School of Medicine at UCLA
Los Angeles, USA



Stéphane Zalinski, MD
Department of Digestive and Hepatobiliary Surgery
Hospital Saint-Antoine, Assistance Publique – Hôpitaux de Paris
University Pierre et Marie Curie
Paris, France





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