Laparoscopic Splenectomy Laparoscopic splenectomy is easiest for small spleens (e.g., the normal-sized spleen associated with idiopathic thrombocytopenic purpura [ITP]). Techniques have been developed for moderate- to large-sized spleens, but in…
Splenectomy and Splenorrhaphy Total splenectomy is performed for hematologic indications and for traumatic injury. Special techniques for repairing the injured spleen are discussed in Figures 70.8 and 70.9. A staging…
Laparoscopic Roux-en-Y Gastric Bypass Christine J. Waller Jessica K. Smith Laparoscopic Roux-en-Y gastric bypass is one of the most technically demanding laparoscopic procedures and is the preferred method for treating…
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…
Truncal Vagotomy and Pyloroplasty and Highly Selective Vagotomy Vagotomy is (rarely) performed to decrease the stimulus to acid output by the parietal cells. Most peptic ulcers respond to eradication of…
Laparoscopic Gastric Resection Laparoscopically assisted gastric resection is used for benign disease or for palliation of malignancy. The laparoscopic portion may be limited to mobilization, with an extracorporeal anastomosis. Although…
Gastric Resection with D2 Nodal Dissection for Gastric Adenocarcinoma Hisakazu Hoshi As the incidence of gastric cancer declines, gastrectomy for gastric carcinoma is becoming one of the rarely performed operations…
Laparoscopic Gastrojejunostomy Laparoscopic gastrojejunostomy is a simple procedure that may be used when palliation of malignant upper gastrointestinal obstruction is required. It has the same drawbacks as the corresponding open…
