Minimally Invasive Liver and Biliary Procedures

Jun 3, 2017 by in Uncategorized Comments Off on Minimally Invasive Liver and Biliary Procedures

Figure 37.1 (a) Port placement for laparoscopic cholecystectomy. (b) Port placement for multiport, robotic-assisted cholecystectomy. An optional 5 mm assist port is used in the right lower quadrant if needed…

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Open Hepatic and Biliary Procedures

Jun 3, 2017 by in Uncategorized Comments Off on Open Hepatic and Biliary Procedures

Figure 36.1 Subcostal incision (dotted line) and vertical upper midline incision (solid line) For oncological resections, careful inspection and palpation of the liver and peritoneal surfaces is performed to identify…

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Bariatric Surgery

Jun 3, 2017 by in Uncategorized Comments Off on Bariatric Surgery

Category BMI (kg/m2) Underweight <18.5 Normal weight 18.5–24.9 Overweight 25–29.9 Obesity class 1 30–34.9 Obesity class 2 35–39.9 Extreme (severe) obesity class 3 ≥40 Obesity is a multifactorial disease with…

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Laparoscopic Surgery for Para-esophageal Hernias

Jun 3, 2017 by in Uncategorized Comments Off on Laparoscopic Surgery for Para-esophageal Hernias

Figure 13.1 Types of hiatal hernia (Illustration by Clinton T. Morgan, M.D.) Preoperative Preparation Pre-operative management varies according to patient presentation. For the symptomatic patient seeking surgical intervention, a thorough…

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Gastric and Duodenal Surgery

Jun 3, 2017 by in Uncategorized Comments Off on Gastric and Duodenal Surgery

Figure 17.1 Laparoscopic pyloroplasty with longitudinal incision across pylorus (A duodenum, B pylorotomy, C stomach) Figure 17.2 Closure of enterotomy proceeds transversely; retraction with atraumatic grasper replaces preplaced stay sutures…

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Esophagectomy

Jun 3, 2017 by in Uncategorized Comments Off on Esophagectomy

Figure 16.1 Division of the gastrohepatic ligament (A caudate lobe, B right crus, C divided gastrohepatic ligament, D esophageal hiatus) Figure 16.2 Esophageal mobilization from the abdomen. The upper picture…

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Laparoscopic Antireflux Surgery

Jun 3, 2017 by in Uncategorized Comments Off on Laparoscopic Antireflux Surgery

Hasson 12 mm trocar (1) 5 mm blunt trocar (3) 11 mm blunt trocar (1) 10 mm – 30° scope Atraumatic laparoscopic graspers Laparoscopic needle holder Babcock clamp L-shaped hook…

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Pilonidal Disease

Jun 3, 2017 by in Uncategorized Comments Off on Pilonidal Disease

Method IP or OP treatment Dressing changes required Weeks to healing (average) Recurrence (%) Abscess drainage/Shaving OP Yes 3–4 25–40 Excision OP No 3 16 Fistulotomy OP Yes 4–6 1–19…

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Distal Pancreatectomy

Jun 3, 2017 by in Uncategorized Comments Off on Distal Pancreatectomy

Figure 39.1 Entering the lesser sac Figure 39.2 Taking down the short gastric vessels Figure 39.3 Exposing the anterior pancreas Figure 39.4 The pancreas in situ Figure 39.5 Mobilizing the…

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