Hepatopancreatobiliary Surgery: From Basics to Advanced

Comprehensive Guide to the Best Literature and Leading Surgeons in HPB Surgery

Key Takeaways

• Comprehensive Literature: Key textbooks and resources provide in-depth knowledge from foundational to advanced HPB surgical techniques.
• Leading Surgeons: Top global HPB surgeons are affiliated with renowned institutions, driving advancements through expertise and research.
• Innovative Trends: Minimally invasive surgery, robotics, and personalized medicine are revolutionizing the field of HPB surgery.

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Best Literature for Hepatopancreatobiliary (HPB) Surgery

Foundational Textbooks

For those embarking on a journey in HPB surgery, foundational textbooks are indispensable. These texts offer comprehensive coverage of anatomy, physiology, pathology, and surgical techniques essential for mastering the field.

• "Blumgart's Surgery of the Liver, Biliary Tract, and Pancreas"

  Considered the gold standard in HPB surgery education, this textbook authored by Leslie H. Blumgart delves into both basic and advanced surgical topics. It provides detailed insights into surgical anatomy, pathophysiology, and step-by-step surgical techniques, making it a vital resource for both beginners and seasoned practitioners.

  Link: Blumgart's Surgery of the Liver, Biliary Tract, and Pancreas

• "Master Techniques in Surgery: Hepatobiliary and Pancreatic Surgery"

  This comprehensive guide, written by leading HPB surgeons, offers detailed explanations of surgical techniques. It is structured to assist both novice and advanced surgeons with step-by-step procedures, indications, contraindications, and complication management strategies.

  Link: Master Techniques in Surgery: Hepatobiliary and Pancreatic Surgery

• "Hepato-Pancreato-Biliary Surgery: A Case-Based Approach"

  Focusing on real-world cases, this book emphasizes decision-making in complex scenarios. It is ideal for advancing surgical skills through practical examples and comprehensive analysis of diverse HPB conditions.

• "Minimally Invasive Surgery of the Liver, Pancreas, and Biliary Systems"

  With the rise of minimally invasive techniques, this textbook centers on laparoscopic and robotic approaches in HPB surgery. It highlights the benefits of these methods, including improved recovery times and reduced complications.

• "Laparoscopic Liver, Pancreas and Biliary Surgery: Textbook and Illustrated Video Atlas"

  This resource combines detailed text with high-definition illustrations and video atlases, providing a multimedia approach to learning minimally invasive HPB surgery techniques.

  Link: Laparoscopic Liver, Pancreas and Biliary Surgery: Textbook and Illustrated Video Atlas

Journals and Research Papers

Staying current with the latest research is crucial for advancing in HPB surgery. Leading journals provide updates on surgical innovations, research findings, and best practices.

• Langenbeck’s Archives of Surgery: Publishes cutting-edge research, reviews, and studies on HPB surgical advancements and frameworks like IDEAL.

• HPB: The Official Journal of the IHPBA: Focuses on the latest developments, surgical techniques, and multidisciplinary approaches in the HPB field.

• Journal of Hepato-Biliary-Pancreatic Sciences: Offers comprehensive articles on the sciences underlying HPB surgery, including translational research and clinical studies.

• Research Publications from Leading Institutions: Institutions such as Johns Hopkins, Mayo Clinic, and Memorial Sloan Kettering publish influential research that sets the clinical standards for HPB surgery.

Online Resources

Digital platforms provide accessible and up-to-date resources for HPB surgeons. These include guidelines, educational videos, and interactive case studies.

• The Americas Hepato-Pancreato-Biliary Association (AHPBA): Offers a wealth of guidelines, case studies, and continuing medical education resources tailored for HPB surgeons.

  Link: AHPBA

• Academic Centers like Johns Hopkins and Mayo Clinic: These institutions provide online libraries and video repositories showcasing advanced HPB procedures and surgical techniques.

Recent Advances and Emerging Trends

The field of HPB surgery is continually evolving with technological advancements and innovative surgical approaches. Key trends shaping the future include:

• Minimally Invasive and Robotic Surgery

  Advancements in laparoscopic and robotic-assisted surgeries have transformed HPB procedures, offering benefits like reduced recovery times, lower complication rates, and enhanced precision in complex surgeries.

• Genomics and Personalized Surgery

  Integrating genetic profiling and tumor characteristics into surgical planning allows for more personalized and effective treatment strategies, improving patient outcomes significantly.

• Artificial Intelligence (AI) Integration

  AI-based tools are increasingly used for preoperative planning and intraoperative navigation, enhancing the accuracy and efficiency of HPB surgeries, especially in complex cases.

• Enhanced Recovery Pathways

  Standardizing perioperative care pathways, often referred to as “textbook outcomes,” has become a benchmark for surgical success, focusing on optimizing recovery and minimizing complications.

Top Surgeons in Hepatopancreatobiliary (HPB) Surgery

Global Leaders in HPB Surgery

The field of HPB surgery boasts numerous esteemed surgeons globally, each contributing significantly through clinical excellence, research, and innovative surgical techniques. Below are some of the top surgeons in the world as of January 18, 2025:

• Dr. Gagandeep Singh

  Chief of Surgical Oncology and Director of Surgical Services at City of Hope Cancer Center Phoenix. Renowned for his expertise in liver and pancreas surgery, Dr. Singh is a leader in clinical practice and research in HPB surgery.

  Link: Dr. Gagandeep Singh

• Dr. William R. Jarnagin

  Affiliated with Memorial Sloan Kettering Cancer Center, Dr. Jarnagin is known for his proficiency in liver and pancreatic surgery. He serves as the editor of key HPB textbooks and is instrumental in multidisciplinary cancer care.

  Link: Dr. William R. Jarnagin

• Dr. Steven M. Strasberg

  An internationally recognized surgeon, Dr. Strasberg developed the Strasberg Classification for bile duct injuries. His contributions to HPB education and surgical standards are highly esteemed worldwide.

• Dr. Masatoshi Makuuchi

  Based in Tokyo, Japan, Dr. Makuuchi is a pioneer in innovative liver resection techniques and liver transplantation. His work continues to influence HPB surgical practices globally.

• Dr. Michael D’Angelica

  At Memorial Sloan Kettering Cancer Center, Dr. D’Angelica specializes in complex liver cancer surgeries and minimally invasive HPB techniques, contributing significantly to surgical advancements.

• Dr. Pierre-Alain Clavien

  Affiliated with University Hospital Zurich, Switzerland, Dr. Clavien is renowned for his expertise in liver transplantation and minimally invasive HPB surgery. He is also a prolific author in HPB surgical literature.

• Dr. Srinivas R. Malladi

  Focusing on minimally invasive HPB surgeries, Dr. Malladi is notable for his major contributions to robotic surgery techniques, enhancing precision and outcomes in HPB procedures.

• Dr. Baipalli Ramesh

  Based in Visakhapatnam, India, Dr. Ramesh is known for his expertise in complex HPB procedures and is a leading figure in the HPB surgical community in Asia.

  Link: Dr. Baipalli Ramesh

• Dr. Kokudo

  From Japan, Dr. Kokudo is a prominent figure in liver surgery and laparoscopic techniques, contributing significantly to the global advancements in HPB surgery.

Leading HPB Surgery Centers

Top surgeons are often affiliated with leading medical institutions that excel in HPB surgical care, research, and education. Notable centers include:

• Johns Hopkins Medicine, USA: Known for pioneering research and minimally invasive approaches in HPB surgery.
• Mayo Clinic, USA: Internationally recognized for high-volume performance of complex HPB procedures with outstanding clinical outcomes.
• Memorial Sloan Kettering Cancer Center, USA: A leader in multidisciplinary cancer care and HPB surgical treatments.
• Duke University, USA: Home to a nationally ranked HPB surgery program with a robust pancreatic resection volume and outcomes.
• Asian Institute of Gastroenterology, India: Renowned for advanced HPB surgical treatments and research in the Asian region.
• University Hospital Zurich, Switzerland: A leading center for liver transplantation and minimally invasive HPB surgery.

Innovations and Emerging Trends in HPB Surgery

Minimally Invasive and Robotic Surgery

The shift towards minimally invasive techniques, including laparoscopic and robotic-assisted surgeries, has significantly impacted HPB surgery. These approaches offer several advantages over traditional open surgeries, such as smaller incisions, reduced blood loss, shorter hospital stays, and faster recovery times. Advances in robotic technology have enhanced the precision and dexterity of surgeons, particularly in complex procedures like pancreaticoduodenectomy and liver resections.

Genomics and Personalized Surgery

The integration of genomics into surgical planning allows for more personalized treatment strategies. By analyzing genetic profiles and tumor characteristics, surgeons can tailor their approaches to target specific vulnerabilities in cancer cells, improving the effectiveness of surgical interventions and patient outcomes.

Artificial Intelligence (AI)

AI is increasingly being utilized in HPB surgery for preoperative planning and intraoperative navigation. AI algorithms can analyze complex imaging data to assist in surgical planning, predict surgical outcomes, and guide surgeons during procedures. This integration enhances decision-making, reduces the risk of complications, and improves the overall precision of surgeries.

Enhanced Recovery Pathways

Enhanced Recovery After Surgery (ERAS) protocols are being standardized in HPB surgery to optimize perioperative care. These pathways focus on evidence-based practices to reduce surgical stress, maintain physiological function, and accelerate recovery. Metrics known as “textbook outcomes” are being used to evaluate the success of these protocols, focusing on minimizing complications and ensuring optimal patient recovery.

Conclusion

Hepatopancreatobiliary surgery is a dynamic and rapidly evolving field that demands a high level of expertise and a thorough understanding of both foundational and advanced surgical techniques. Comprehensive literature, led by seminal textbooks and cutting-edge journals, provides the necessary knowledge base for surgeons. Additionally, top surgeons affiliated with prestigious institutions continue to drive innovation and excellence in HPB surgery. Embracing emerging trends such as minimally invasive techniques, genomics, AI integration, and enhanced recovery pathways will further enhance the quality and outcomes of HPB surgical care.

References

1. Master Techniques in Surgery: Hepatobiliary and Pancreatic Surgery
2. Blumgart's Surgery of the Liver, Biliary Tract, and Pancreas
3. Recent Advances in Hepato‐Biliary‐Pancreatic Surgery
4. Americas Hepato-Pancreato-Biliary Association (AHPBA)
5. Dr. Gagandeep Singh
6. Mayo Clinic HPB Surgery
7. Dr. Baipalli Ramesh
8. Professor Leslie H. Blumgart
9. Hepato-Pancreato-Biliary Surgery Overview at Duke
10. Application of the IDEAL framework in hepatopancreatobiliary surgery
11. Johns Hopkins HPB Surgery Research

This response is based on the most up-to-date and relevant information available as of January 18, 2025.