By John L. Cameron, Corinne Sandone, MD, FACS, MA, CMI
The 1st variation of this fabulous, 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 thoughts and to illustrate the present prestige of gastrointestinal surgeries. Written for the skilled health professional, this two-volume paintings is fantastically illustrated with anatomical watercolor work by means of co-author Corinne Sandone that bring up the paintings to a degree now not visible in different atlases. The aim of this quantity is to provide the alimentary tract tactics played and in a few circumstances initiated on the Johns Hopkins clinic in this kind of model that different alimentary tract surgeons can research those concepts and practice them effectively.
- Includes operative approaches at the gall bladder and biliary tract, liver (including shunts), pancreas, spleen, and the esophagus.
- Both open and laparoscopic methods are defined for plenty of of the procedures.
- The art offers readability digital camera can't seize, but continues the realism of the perioperative field.
- Illustrations depict perspectives that can not be photographed: conceptual photos, cut-away perspectives, and distillations of visible details now not simply saw within the working room.
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Extra resources for Atlas of Gastrointestinal Surgery
Qxd 50 8/22/06 3:26 PM Page 50 Atlas of Gastrointestinal Surgery: Gall Bladder and Biliary Tract 12 Proximal jejunum Enteric continuity is reestablished with an end-to-side jejunojejunostomy. This is carried out 60 cm distal to the end of the Roux-en-Y loop. The anastomosis is constructed with an inner continuous layer of 3-0 synthetic absorbable material and an outer interrupted layer of 3-0 silks. After the posterior row of interrupted sutures has been placed, the staple line from the end of the proximal jejunum is removed with the electrocautery (12).
This anastomosis is not, strictly speaking, a mucosal-to-mucosal Enterotomy anastomosis, because the posterior row was placed before the enterotomy. However, it functions as a mucosal-to-mucosal anastomosis and is easier to perform than if an enterotomy is made first. qxd 8/22/06 3:26 PM Page 55 Resection of a Benign Bile Duct Stricture with Reconstruction Utilizing a Hepaticojejunostomy 55 The Roux-en-Y loop may be tacked to periportal material on the undersurface of the liver to ensure that there is no tension on the anastomosis.
If the ampulla cannot be palpated, a small choledochotomy can be performed and a Bakes dilator inserted down through the distal biliary tree and through the ampulla into the duodenum. 1 Stay sutures of 3-0 silk are placed in the duodenum over the ampulla. The balloon catheter is then advanced beyond the ampulla so as not to perforate the balloon when the duodenotomy is performed. The duodenotomy is performed with the electrocautery (1). After the duodenotomy is completed, the ampulla can easily be seen by identifying the balloon catheter emanating Duodenotomy from the biliary tree.