Pancreatic Resections
Pancreatic Resections James J. Mezhir This chapter discusses distal (left) pancreatectomy and pancreaticoduodenectomy (Whipple procedure). Because of the close anatomic proximity of the body and tail of pancreas to the…
Drainage of Hepatic Abscess
Drainage of Hepatic Abscess James J. Mezhir This chapter discusses open and laparoscopic approaches to the drainage of pyogenic hepatic abscess. Currently, most liver abscesses are drained percutaneously under ultrasound…
Major Hepatic Resection
Major Hepatic Resection Neal Wilkinson Hepatic resections are performed for benign and malignant conditions. Hepatic adenoma, hemangioma, and focal nodular hyperplasia are all benign mass lesions that the surgeon may…
Liver Biopsy—Open and Laparoscopic
Liver Biopsy—Open and Laparoscopic Liver biopsy is generally performed as part of another procedure in order to document pathology. Common indications include nodules suggestive of metastatic disease or the unexpected…
Portacaval and Distal Splenorenal Shunts
Portacaval and Distal Splenorenal Shunts A variety of portosystemic shunt procedures have been devised, attesting to dissatisfaction with the side effects. Most patients with bleeding esophageal varices are managed by…
Ampullary Resection for Tumor
Ampullary Resection for Tumor This procedure is used in highly selected cases, primarily for benign tumors such as villous adenomas that are not amenable to endoscopic resection. It is sometimes…
Transduodenal Sphincteroplasty
Transduodenal Sphincteroplasty Sphincteroplasty is a useful adjunct to bile duct exploration for calculous biliary tract disease. It produces a wide opening of the distal bile duct, allowing impacted stones to…
Laparoscopic Biliary Bypass
Laparoscopic Biliary Bypass Laparoscopic cholecystojejunostomy is a simple procedure that is described in this chapter. Other, more complex forms of biliary diversion have also been performed laparoscopically and are referenced…
Surgical Repair of Bile Duct Injuries
Surgical Repair of Bile Duct Injuries Thomas E. Collins Tamsin Durand Iatrogenic bile duct injuries remain a persistent risk and pose a challenging problem to repair. This chapter provides an…
Choledochoenteric Anastomosis by Choledochoduodenostomy and Other Biliary Bypass Procedures
Choledochoenteric Anastomosis by Choledochoduodenostomy and Other Biliary Bypass Procedures Choledochoduoenteric anastomosis is required when stones, stricture (including bile duct injury) and malignancy necessitate permanent drainage of the bile duct. This…
