By Bruce V. MacFadyen Jr., Maurice Arregui, Steve Eubanks, Douglas O. Olsen, Jeffrey H. Peters, Nathaniel J. Soper, Lee L. Swanstrom, Steven D. Wexner
Laparoscopic surgical procedure of the stomach is meant to offer the practising healthcare professional or trainee an in-depth research of the technical facets of the main in general played laparoscopic techniques, their symptoms, contraindications, and issues. incorporated are suggestions to avoid issues in addition to how one can deal with them when they happen. seriously illustrated, the e-book breaks new flooring in visualizing operative approaches and difficulties.
Seven sections, comprising the center curriculum of accredited methods in laparoscopic surgical procedure, current gallbladder disorder, universal bile duct exploration, hernia, colon ailments, anti-reflux tactics, acute stomach and the function of diagnostic laparoscopy, and rising methods at the spleen and adrenals. well-known leaders within the box take on each one part, emphasizing what to do whilst and the way to unravel acute events.
Laparoscopic surgical procedure of the stomach is a realistic, must-have source for the final physician, providing the medical perception wanted for profitable functionality of the center miminally invasive strategies.
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Extra info for Laparoscopic surgery of the abdomen
Once the hiatus has been mobilized and the crura have been closed, and the fundus has been completely mobilized, the posterior fundus is passed behind the esophagus as described. The fundus is then secured to the right crural margin by a 3-0 silk suture, and three of four additional sutures are placed between the posterior lip of fundus and the right lateral wall of the esophagus. The anterior fundic lip is then sutured to the left crural margin, and three or four more interrupted sutures are placed between the fundus and the left anterolateral esophageal wall to complete a 270° fundoplication.
An extracorporeal knot is then tied down. As mentioned, the most common error in constructing the fundoplication is grasping the anterior portion of the stomach and pulling it behind the esophagus, which results in twisting the gastric fundus around the esophagus. The esophagus should be enveloped by an untwisted fundus before suturing. 5 cm above and below the U-stitch to complete the fixation of the fundoplication. If the esophagus and fundus have been sufficiently wrapped, and if the wrap is not twisted, the stomach should remain in its original plane with the suture line of the fundoplication facing in the right anterior direction and the greater curvature, in the left posterior direction.
1. Endoscopic Mucosal Resection in the Esophagus 9. Martin TR, Onstad GR, Silvis SE, et al. Life and cut biopsy technique for submucosal samplings. Gastrointest Endosc 1976;23:29–30. 10. Hirao M, Masuda K, Asanuma T, et al. Endoscopic resection of early gastric cancer and other tumors with local injection of hypertonic saline-epinephrine. Gastrointest Endosc 1988;34:264–269. 11. Monma K, Sakaki N, Yoshida M. Endoscopic mucosectomy for precise evaluation and treatment of esophageal intraepithelial cancer (in Japanese).