Choledochoduodenostomy and Other Biliary Bypass Procedures Choledochoduodenostomy is performed when multiple stones have been found in the common duct at exploration and when it appears unlikely that complete removal of…
Laparoscopic Cholecystectomy, Common Bile Duct Exploration, and Liver Biopsy Laparoscopic cholecystectomy introduced operative laparoscopy to most general surgeons, and is often the first laparoscopic procedure performed by surgical residents. Although…
Cholecystectomy, Common Bile Duct Exploration, and Liver Biopsy The safest way to perform an open cholecystectomy is from the top down, rather than retrograde (bottom up), as is done during…
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 (for example, the normal sized spleen associated with idiopathic thrombocytopenic purpura [ITP]). Techniques have been developed for moderate to large sized…
Splenectomy and Splenorrhaphy Total splenectomy is performed for hematologic indications and for traumatic injury. Special techniques for repairing the injured spleen are discussed in Figs. 61.8 and 61.9. A staging…
Laparoscopic Roux-en-Y Gastric Bypass James W. Maher Laparoscopic Roux-en-Y gastric bypass, one of the most technically demanding laparoscopic procedures, is emerging as the preferred method for treating morbid obesity when…
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…
