Operation 33 Endovascular Aneurysm Repair (EVAR) CT-angiogram showing aorta, kidneys, aneurysm CT-angiogram showing endograft in neck of AAA and iliacs Indications • Infrarenal abdominal aortic aneurysm (AAA) greater than 5.5…
Operation 30 Whipple Procedure (Pancreaticoduodenectomy) Resection of Whipple procedure Completion of procedure showing pancreaticojejunostomy, choledochojejunostomy, and gastrojejunostomy Indications • Confirmed carcinoma of pancreatic head, duodenum, or ampulla • High suspicion…
Operation 4 Axillary Node Dissection Breast and axillary contents Triangle marks borders of axillary dissection with levels of axillary nodes Indications Breast cancer with positive sentinel node or clinically positive…
Chapter 31 Splenomegaly in a 40-Year-Old Female (Case 19) Matthew I. Goldblatt, MD, Clifford H. Pemberton, MD Differential Diagnosis Portal hypertension Lymphoproliferative disorders: Leukemia Lymphoma Myeloproliferative disorders: Myelofibrosis Polycythemia vera…
Operation 34 Carotid Endarterectomy Carotid bifurcation exposed after transection of facial vein and retraction of internal jugular vein Passing tapes above and below disease-bearing carotid segment Indications • Symptomatic carotid…
Operation 37 Insertion of Portacath Vascular access port placed through right subclavian vein Indications • Need for ongoing frequent venous access • Poor peripheral venous access Medical Knowledge—You Need to…
Operation 28 Common Bile Duct Exploration Removal of a common duct stone using choledochoscope and basket Indications • Common duct stones • Undiagnosed common duct obstruction Medical Knowledge—You Need to…
Operation 27 Laparoscopic Cholecystectomy Complete dissection of triangle of Calot Transection of cystic duct between clips Indications • Biliary colic • Acute and chronic cholecystitis Medical Knowledge—You Need to Know…
Operation 12 Splenectomy Vasculature of the spleen Indications • Splenic injury • Hematologic indications • Spherocytosis • Idiopathic thrombocytopenic purpura (ITP) • Symptomatic splenomegaly Medical Knowledge—You Need to Know •…
Operation 24 Open Appendectomy Ligation of appendiceal artery Division and inversion of appendiceal base Indications • Clinical history or CT scan compatible with acute appendicitis Medical Knowledge—You Need to Know…
