Figure 38.1 Initial dissection for pancreaticoduodenectomy. A curvilinear, subcostal incision is first carried out over the right upper quadrant and is subsequently extended across the midline as far as is…
Figure 23.1 Mobilization of the sigmoid colon can be performed in a lateral to medial fashion by incising the white line of Toldt and separating the sigmoid mesentery from the…
Figure 22.1 The right colon is retracted medial while dividing the lateral peritoneal attachments, taking care to identify and preserve the right ureter. As the dissection is carried superiorly, the…
Figure 43.1 Inject anesthetic (Courtesy of Andrew M. Swanson MD) Use 1 or 2 % lidocaine with epinephrine. An allergy to procaine (Novacain) is not a contraindication to the use…
Figure 20.1 Patient positioning during a laparoscopic splenectomy. The patient is placed on the operating room table in the right “lazy” decubitus position using a bean bag with the right…
Figure 34.1 Veress needle placement. A Veress needle is placed into the left upper quadrant. After a negative saline drop test, the abdomen is insufflated to a pressure of 15…
Fig. 44.1 Inflamed cyst (Courtesy of Jennifer Wilson) Fig. 44.2 Lobulated lipoma pre-excision (Courtesy of Jennifer Wilson) Imaging, such as ultrasound and magnetic resonance imaging (MRI), can be used when…
Figure 21.1 Patient positioning during a laparoscopic appendectomy. The patient is placed on the operating room table in the supine position with the right arm abducted to facilitate intravenous axis…
Figure 31.1 Right indirect inguinal hernia Figure 31.2 Peritoneal incision We begin our dissection in the indirect space where the testicular vessels and vas deferens are identified and bluntly dissected…
Pain refractory to medical therapy Recurrent pancreatitis secondary to pancreatic duct stenosis Bile duct stenosis Gastric outlet obstruction/duodenal obstruction/colonic obstruction Pancreatic fistula Pseudocyst Pancreatic carcinoma Preoperative Preparation Preoperative Workup Just…
