By Jeffrey Ponsky MD;Michael J. Rosen MD FACS
Atlas of Surgical innovations for the higher GI Tract and Small Bowel, through Drs. Ponsky and Rosen, provides state of the art updates at the complete variety of surgical procedures for the higher GI tract and small bowel played this present day. This identify within the new Surgical innovations Atlas sequence edited by means of Drs. Townsend and Evers provides you with specialist recommendation on various techniques-open and interventional-to assist you extend your surgical repertoire and hone your abilities. Full-color illustrations and pictures improve visible information and specialist seek advice performance provides quick access to the complete textual content on-line at expertconsult.com. contains handy entry to the full-text on-line in addition to procedural video clips that spotlight pivotal moments and the suggestions of the physicians who pioneered the systems, exhibiting you ways to continue. offers step by step assistance on a variety of techniques, either open and interventional, supplying you with a number of innovations for imminent any problem. Examines the most well liked themes in top gastrointestinal and small bowel surgical procedure. Discusses pearls and pitfalls that will help you stay away from issues. provides greater than three hundred full-color illustrations and step by step intraoperative pictures for professional visible information. deals pre- and postoperative imaging experiences that convey the results of assorted stipulations following surgical procedure. makes use of a constant, easy-to-follow bankruptcy structure that comes with medical anatomy, pre-operative concerns, operative steps, post-operative care, and pearls and pitfalls to make reference effortless. Your buy entitles you to entry the website till the subsequent version is released, or until eventually the present version isn't any longer provided on the market via Elsevier, whichever happens first. If the subsequent version is released under twelve months after your buy, you'll be entitled to on-line entry for twelve months out of your date of buy. Elsevier reserves the fitting to provide an appropriate alternative product (such as a downloadable or CD-ROM-based digital model) may still on-line entry to the website be discontinued.
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Extra resources for Atlas of Surgical Techniques for the Upper GI Tract and Small Bowel: A Volume in the Surgical Techniques Atlas Series
The gastric tube is created by first applying a endovascular staple firing across the right gastric artery to the edge of the lesser curvature of the stomach. 8-mm stapler is introduced, and the gastric conduit is created with sequential firings. A separate 15-mm port can be introduced into the right upper quadrant for introduction of the stapler. Ƈ The tip of the gastric tube is attached to the lowest aspects of the esophagogastric specimen using two figure of eight Endo Stitches. Ƈ A point in the jejunum 30 to 40 cm distal to the ligament of Treitz is identified, and a 2-0 Endo Stitch is used to secure the jejunum to the anterior abdominal wall.
Ginsberg R: Left thoracoabdominal cervical approach. In: Pearson FG, ed. Esophageal surgery, 2nd ed.. Philadelphia: Churchill Livingstone; 2002. 2. Linden P, Swanson S: Esophageal resection and replacement. In: Sellke F, del Nido P, Swanson S, ed. Sabiston and Spencer surgery of the chest, 7th ed.. Philadelphia: Elsevier Saunders; 2005. CHAPTER 4 – TRANSHIATAL Philip A. Linden, MD, Matthew O. Hubbard, MD FACS, FCCP, Step 1: Surgical Anatomy Ƈ Patients with bulky mid-esophageal tumors, especially those who have undergone neoadjuvant chemoradiation, are best treated with a transthoracic approach.
Additional 5-mm ports are placed laterally on the right (for liver retraction), opposite the 12-mm port on the left, and in higher subcostal positions on the right and left. (Figure 5-3) Ƈ The left lobe of the liver is retracted toward the anterior abdominal wall using either a flexible or a metal retractor. Ƈ A 5-mm, 30-degree camera is placed through the more medial left port (this can be switched with the lateral port position, as needed, during the procedure). Ƈ The ultrasonic scalpel is used to divided the gastrohepatic ligament up to the right crus.