Basicmedical Key

Small Bowel Resection and Anastomosis Small bowel resection is performed when a segment of small intestine must be removed. The nature of the pathology dictates the extent of resection. Carcinoma…

Internal Drainage of Pancreatic Pseudocysts Pancreatic pseudocysts form when collections of fluid become loculated in the region of the pancreas and fail to reabsorb. Most pancreatic pseudocysts are found in…

Laparoscopic Distal Pancreatectomy Laparoscopic access to the lesser sac is gained by the same maneuver as that employed during open surgery. The gastrocolic omentum is opened wide and the stomach…

Pancreatic Resections In this chapter, distal pancreatectomy (resection of the tail of the pancreas) will be described first. Because of the close anatomic proximity of the tail of pancreas to…

Major Hepatic Resection Neal W. 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…

Portacaval and Distal Splenorenal Shunts A variety of portasystemic 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 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 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 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…