Extended Cholecystectomy for Gallbladder Carcinoma Prashant Khullar Hisakazu Hoshi The operations for gallbladder carcinoma have a wide range of variety from simple cholecystectomy for T1a cancer to extended right hepatectomy…
Laparoscopic Cholecystectomy and Common Bile Duct Exploration Laparoscopic cholecystectomy introduced operative laparoscopy to most general surgeons, and is often the first laparoscopic procedure performed by surgical residents. Although the anatomy…
Cholecystectomy and Common Bile Duct Exploration The safest way to perform an open cholecystectomy is from the top down, rather than retrograde (bottom up), as is done during laparoscopic cholecystectomy….
Introduction This section is organized into two parts: The extrahepatic biliary tract (and liver) and the pancreas. Within each part, simple procedures are described first, followed by a discussion of…
Laparoscopic Splenectomy Laparoscopic splenectomy is easiest for small spleens (e.g., the normal-sized spleen associated with idiopathic thrombocytopenic purpura [ITP]). Techniques have been developed for moderate- to large-sized spleens, but in…
Splenectomy and Splenorrhaphy Total splenectomy is performed for hematologic indications and for traumatic injury. Special techniques for repairing the injured spleen are discussed in Figures 70.8 and 70.9. A staging…
Laparoscopic Roux-en-Y Gastric Bypass Christine J. Waller Jessica K. Smith Laparoscopic Roux-en-Y gastric bypass is one of the most technically demanding laparoscopic procedures and is the preferred method for treating…
Laparoscopic Adjustable Gastric Banding The adjustable gastric band is designed to divide the stomach into a small upper pouch of approximately 15 mL that can empty only gradually into the…
Pyloromyotomy Infants with hypertrophic pyloric stenosis typically develop symptoms in the first month or two of life. The history of progressive nonbilious vomiting, occurring right after feeding, is classic. Palpation…
Pyloric Exclusion and Duodenal Diverticulization Injuries of the duodenum can be difficult to manage. In this chapter, exposure of the duodenum from the pylorus to the suspensory ligament of duodenum…
