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 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 Choledochoduoenteric anastomosis is required when stones, stricture (including bile duct injury) and malignancy necessitate permanent drainage of the bile duct. This…
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…
