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Massive Intraoperative Hemorrhage During Hepato-Biliary and Pancreatic Surgery

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Abstract

Historically, liver and pancreatic surgery was associated with high mortality and morbidity. Large blood loss associated with liver surgery made it unsafe until better understanding of intricate anatomy of liver coupled with refinement in operative technique and advancements in intra- and perioperative management made safe liver surgery possible. Similarly, close proximity of the pancreas to major blood vessels makes pancreatic surgery perilous if performed by an inexperienced operator. Detailed understanding of the vascular anatomy, potential areas of pitfalls, and above all, a clearly defined plan for how to manage difficult intra-operative problems are critical to performing safe pancreatic resection.

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Correspondence to William R. Jarnagin MD .

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Dudeja, V., Jarnagin, W. (2015). Massive Intraoperative Hemorrhage During Hepato-Biliary and Pancreatic Surgery. In: Pawlik, T., Maithel, S., Merchant, N. (eds) Gastrointestinal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2223-9_20

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  • DOI: https://doi.org/10.1007/978-1-4939-2223-9_20

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2222-2

  • Online ISBN: 978-1-4939-2223-9

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