Liver Transplantation: Challenging Controversies and Topics

Springer Science & Business Media
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Liver Transplantation: Challenging Controversies and Topics grew out of a need I perceived within the fields of transplant hepatology and liver transplantation. Liver transplantation has rightly gained recognition as an established therapy for end-stage liver disease. Few would argue that liver transplantation is one of the few truly lifesaving and life-altering treatments within medicine and surgery. Not many realize that 20 years passed from the time of the first human liver transplantation in 1963 to its acceptance as therapy by the 1983 NIH Consensus Conference on Liver Transplantation. In 2008, 25 years will have passed since the 1983 NIH conference—a mere 25 years for a field that has provided patients hope, doctors options, and to some the “gift of life. ” Many issues in liver transplantation involve indications, patient selection, and outcomes after transplantation—these are standard topics, covered by textbooks of hepatology and transplantation. In contrast, the field of liver tra- plantation is young, evolving, dynamic, and issues and decisions are often controversial. Thus, Dr. Trotter and I, as well as our colleagues at the University of Colorado, felt that a text with a different focus was required, one that highlighted controversy and challenged dogma. Out of this perceived need emerged Liver Transplantation: Challenging Controversies and Topics. To meet the transplant community’s need for emerging information about liver transplantation, Dr. Larry Chan, Dr. Igal Kam, and I initiated the Controversies in Transplantation Conference.
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About the author

Gregory T. Everson, M.D., one of the country's leading hepatologists, is a recognized expert on the treatment & cure of hepatitis. He is director of hepatology at the University of Colorado School of Medicine.

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Additional Information

Publisher
Springer Science & Business Media
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Published on
Apr 21, 2009
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Pages
268
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ISBN
9781603270281
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Language
English
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Genres
Medical / Clinical Medicine
Medical / Gastroenterology
Medical / Hepatology
Medical / Surgery / General
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Content Protection
This content is DRM protected.
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The last decade has seen an explosion in the surgical efforts to overcome the shortage of liver grafts for transplantation. The end of the 1990s saw the development of the concepts of reduced, split and living donor transplantation by the transplant pioneers and their first applications in practice. During the 1990s many centers throughout the world invested their experience to further develop this into safe and teachable standardized procedures with excellent results. The result of this development is not only that split liver transplantation between adults and children became a validated surgical technique, but also the real possibility of achieving 0% mortality for children on the waiting list today. However, like many new surgical techniques, its success does not only depend on adequate patient selection (in this case selection of the donor and the recipients!), but also on the avoidance of mis takes that were already experienced by previous surgeons. It is this principle, combined with the need of spreading split liver trans plantation knowledge, that led to the organization of the first prac tical split liver transplantation course in Hamburg in March 2000. Writing about the surgeon scientist, Joseph E. Murray de scribed one of the differences between the scientist and sur geon: « The scientist can wait for all the data to become avail able whereas the surgeon must make a decision based on avail able data." This book aims to provide the surgeon, who wants to start split liver transplantation with the data available today.
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