Feeding Jejunostomy John Daniel Hunter III John Roland Porterfield Jr. DEFINITION A jejunostomy tube (J-tube) is a flexible soft tube that connects the intraluminal jejunum with the outside world through…

Right Hepatectomy Neil H. Bhayani Niraj J. Gusani Kevin Staveley-O’Carroll DEFINITION A right hepatectomy (or hemihepatectomy) consists of surgical resection of the right liver, consisting of Couinaud segments 5 to…

Pancreaticoduodenectomy: Pancreaticogastrostomy Laureano Fernández-Cruz DEFINITION Pancreaticogastrostomy (PG) is defined as the anastomosis of the remnant pancreas to the stomach rather than a limb of jejunum. This procedure is necessary following…

Left Hepatic Lobectomy Jon S. Cardinal DEFINITION The liver has a segmental anatomy that is defined by the intrahepatic distribution of the portal triad structures. There are eight liver segments…

Minimally Invasive Sectional and Segmental Hepatic Resection Kevin T. Nguyen DEFINITION The International Hepato-Pancreato-Biliary Association (IHPBA) Brisbane 2000 terminology of liver anatomy and resections1 defines a segmental hepatic resection as…

Operative Management of Choledochal Cyst Charles S. Cox Jr. Robert Hetz DEFINITION Choledochal cyst represents a spectrum of cystic abnormalities of the extrahepatic biliary tree. It is not an isolated…

Percutaneous Transhepatic Biliary Imaging and Intervention Brian S. Geller DEFINITION Cholangiography is the term used to describe the evaluation of the biliary system by fluoroscopy after injection of radiopaque material…

Segmental Hepatectomy Neil H. Bhayani Eric T. Kimchi Niraj J. Gusani DEFINITION A segmental hepatectomy consists of surgical resection of one or more functional anatomic segments of the liver, as…

Gastrostomy John Daniel Hunter III John Roland Porterfield Jr. DEFINITION A gastrostomy tube (G-tube) is a transcutaneous tube that is positioned in the lumen of the stomach. The primary functions…

Fenestration or Enucleation of Hepatic Cystic Disease Purvi Y. Parikh DEFINITION Fenestration is defined as the removal of the free wall of a hepatic cystic lesion with the intent of…