Fig. 20.1 Standard and variant portal venous anatomy. a In standard portal venous anatomy, superior mesenteric vein ( SMV) and splenic vein ( SV) join behind the neck of the…
Grade Change in clinical management A No or minimal B Radiographic or endoscopic intervention or Grade A for > 1 week C Operative intervention Biliary leak defined as bilirubin concentration 3…
Fig. 19.1 Variation in biliary anatomy and aggressive hilar dissection in patients with large tumors close to hilum are risk factors for biliary injuries. a Variation in biliary anatomy of…
Location Onset Diagnosis/management Vessel Gastroduodenal artery stump Usually late Angiography and embolization/stent Hepatic artery Late Angiography and embolization Inferior pancreaticoduodenal artery Early Reoperation following PD Inferior pancreaticoduodenal artery Late Angiography…
Fig. 15.1 Initial dissection required for Nissen’s closure. (Source: [13]. Reprinted with permission from Elsevier. © Elsevier 1991) Fig. 15.2 Technique of Nissen’s closure for the difficult duodenum. (Source: [13]….
© Springer Science+Business Media New York 2015Timothy M. Pawlik, Shishir K. Maithel and Nipun B. Merchant (eds.)Gastrointestinal Surgery10.1007/978-1-4939-2223-9_45 45. Delivering Bad News: Conversations with My Surgeon Murray F. Brennan1 (1) Department of Surgery, Memorial Sloan-Kettering Cancer Center,…
Fig. 5.1 Embryologic development of the lymphatic system. (Reprinted with permission from [48]) The thoracic duct is formed from downward growth of the jugular sacs and upward growth of the…
Ostomytype Ileostomy vs. colostomy Transverse vs. left-sided colostomy Loop vs. end ostomy Emergency surgery Patient factors Obesity Diabetes Prevention Efforts to reduce the incidence of stoma ischemia, retraction, and stricture…
Fig. 22.1 A 50-year-old female presenting with biopsy-proven recurrent epitheliod hemangioendothelioma 6 years post living-related liver transplantation measuring 3.8 × 2.9 cm (a) underwent an uneventful nonanatomic wedge resection of the lesion…
Fig. 21.1 Normal arterial anatomy of upper abdominal viscera. RH right hepatic artery, MH middle hepatic artery, LH left hepatic artery, PV portal vein, RGA right gastric artery, GDA gastroduodenal…
