By John L. Cameron, Corinne Sandone, MD, FACS, MA, CMI
The 1st version of this extraordinary, two-volume atlas on surgical procedure of the biliary tract, pancreas and liver used to be released approximately two decades in the past. Dr. Cameron has revisited and up to date this vintage paintings to incorporate laparoscopic recommendations and to illustrate the present prestige of gastrointestinal surgeries. Written for the skilled doctor, this two-volume paintings is fantastically illustrated with anatomical watercolor work by way of co-author Corinne Sandone that bring up the paintings to a degree now not visible in different atlases. The target of this quantity is to give the alimentary tract tactics played and in a few situations initiated on the Johns Hopkins medical institution in this kind of model that different alimentary tract surgeons can research those options and practice them effectively.
- Includes operative strategies at the gall bladder and biliary tract, liver (including shunts), pancreas, spleen, and the esophagus.
- Both open and laparoscopic ways are defined for plenty of of the procedures.
- The paintings presents readability digital camera can't catch, but continues the realism of the perioperative field.
- Illustrations depict perspectives that can't be photographed: conceptual photos, cut-away perspectives, and distillations of visible info no longer simply saw within the working room.
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Extra resources for Atlas of Gastrointestinal Surgery
Following bifurcation resection, Silastic stents are placed in both the right and left hepatic ducts and bilateral hepaticojejunostomies are performed.
The area of the choledochoduodenostomy can be drained with a closed suction Silastic drain. qxd 8/22/06 3:25 PM Page 42 Resection of a Benign Bile Duct Stricture with Reconstruction Utilizing a Hepaticojejunostomy Operative Indications: Benign bile duct strictures can follow a variety of clinical situations. Scarring and fibrosis of the head of the pancreas from chronic pancreatitis can result in a distal biliary stricture. Mirizzi’s syndrome, with impaction of a cystic duct stone obstructing the common hepatic duct, can also result in a benign biliary stricture.
One should be careful not to extend the sphincteroplasty incision beyond the point where the biliary tract and duodenum have a common wall. With careful approximation of the ductal and duodenal mucosa, however, risk of retroperitoneal or intraperitoneal leakage is virtually eliminated. If the sphincteroplasty has been carried out for what are believed to be 5 symptoms related to the pancreas, from a stenotic pancreatic duct orifice, a septotomy can be performed with Pott’s scissors (5). This incision can usually be extended for four or five millimeters, at which point the septum thickens as the course of the pancreatic and biliary tree diverge.