Roux-en-Y Choledochojejunostomy

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Roux-en-Y Choledochojejunostomy

Roux-en-Y Choledochojejunostomy Shawnn Nichols Mark Bloomston DEFINITION Choledochojejunostomy involves the anastomosis of the common bile duct (CBD) to the jejunum, thereby reestablishing continuity of biliary flow (FIG 1). It may…

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Intraoperative Cholangiogram

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Intraoperative Cholangiogram

Intraoperative Cholangiogram Chasen A. Croft Dawood G. Dalaly DEFINITION Intraoperative cholangiography (IOC) is the use of radiography with contrast media injected directly into the biliary tree to determine biliary anatomy,…

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Resection of Hilar Cholangiocarcinoma

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Resection of Hilar Cholangiocarcinoma

Resection of Hilar Cholangiocarcinoma Ryan T. Groeschl T. Clark Gamblin DEFINITION Hilar cholangiocarcinoma (HC), also referred to as Klatskin’s tumor, is an extrahepatic cancer of biliary epithelial origin near the…

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Radical Cholecystectomy

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Radical Cholecystectomy

Radical Cholecystectomy Richard J. Bold DEFINITION Radical cholecystectomy is defined as the resection of the gallbladder and gallbladder fossa and is usually combined with a supraduodenal lymphadenectomy for the treatment…

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Choledochoduodenostomy

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Choledochoduodenostomy

Choledochoduodenostomy Katherine A. Morgan David B. Adams DEFINITION Choledochoduodenostomy (CDD) describes an anastomosis between the extrahepatic biliary tree and the duodenum undertaken to provide internal drainage of an obstructed distal…

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Antrectomy

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Antrectomy

Antrectomy J. Spencer Liles John D. Christein DEFINITION By strict definition, antrectomy refers to removal of the gastrin-secreting portion of the stomach and when combined with a vagotomy results in…

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Laparoscopic Gastric Band

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Laparoscopic Gastric Band

Laparoscopic Gastric Band Darren S. Tishler Pavlos K. Papasavas DEFINITION The laparoscopic adjustable gastric band (LAGB) is a Food and Drug Administration (FDA)-approved, implantable medical device for the treatment of…

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Surgically Assisted Endoscopic Retrograde Cholangiopancreatoscopy

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Surgically Assisted Endoscopic Retrograde Cholangiopancreatoscopy

Surgically Assisted Endoscopic Retrograde Cholangiopancreatoscopy Kfir Ben-David Steven J. Hughes DEFINITION Surgical assistance to successfully perform endoscopic retrograde cholangiopancreatoscopy (ERCP) is necessary when intestinal continuity has been surgically modified such…

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Total Gastrectomy for Cancer

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Total Gastrectomy for Cancer

Total Gastrectomy for Cancer Vikas Dudeja Eugene A. Choi Waddah B. Al-Refaie DEFINITION Total gastrectomy is removal of the stomach in its entirety including the gastroesophageal (GE) junction. This is…

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Open Cholecystectomy

Jul 24, 2016 by in GENERAL SURGERY Comments Off on Open Cholecystectomy

Open Cholecystectomy Sean P. Montgomery Preston B. Rich DEFINITION Removal of the gallbladder for benign disease using an open technique when the laparoscopic technique is not prudent. DIFFERENTIAL DIAGNOSIS Acute…

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