Portacaval and Distal Splenorenal Shunts A variety of portosystemic 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…
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…
