Stapled Subtotal Gastrectomy
Fig. 5.1 Subtotal gastrectomy is selected when a satisfactory proximal resection margin can be obtained. There are several techniques to perform a stapled subtotal gastrectomy: total or partial inferior anastomosis,…
Special Cases
Figs. 9.1, 9.2, and 9.3 A locally advanced gastric tumor infiltrating the transverse mesocolon without involvement of middle colic vessels. Subtotal gastrectomy with en bloc resection of mesocolic tissue was…
Position of the Patient
Fig. 1.1 The patient is placed supine with the left arm abducted, as required by the anesthetist, and the right arm adducted to leave sufficient room for the surgeon and…
Polyps and Other Tumors of the Gastrointestinal Tract
Adenomatous polyposis syndromes Familial adenomatous polyposis (FAP) MYH-associated polyposis (MAP) Turcots syndrome Lynch syndrome Hamartomatous polyps Solitary juvenile polyp Juvenile polyposis syndrome PTEN hamartoma tumor syndrome Peutz–Jeghers syndrome Inflammatory polyps…
Diagnostic Procedures in Pediatric Hepatology
Fig. 54.1 T2W MRI image of a patient with BASM. The liver is cirrhotic with a large central regenerative nodule and atrophied left lobe and posterior segments of the right…
Biliary Atresia and Choledochal Malformations
Fig. 56.1 Schematic illustration of biliary atresia (based on Japanese Association of Pediatric Surgeons classification) A more radical approach to the technique was pioneered in Sendai, Japan, during the 1950s…
Familial Intrahepatic Cholestasis
Disease name Aliases Gene Protein Features FIC1 deficiency Byler disease, PFIC1 ATP8B1 FIC1 Multisystem disorder Wide range of severity BSEP deficiency Byler syndrome, PFIC2 ABCB11 BSEP Liver only affected Spectrum…
Vascular Disorders of the Liver
Fig. 67.1 Ultrasonography (a) and colour Doppler (b) showing cavernomatous transformation of the portal vein in a 14-year-old boy with portal vein thrombosis. Liver MRI illustrating coronal (c), (d) and…
Portal Hypertension in Children
Fig. 68.1 Anatomy of the portal system In this system, the central vessel is the portal vein, which is formed by the union of the splenic vein (SV) and the…
Liver Tumors in Children
Benign Hemangioma: focal, multiple, diffuse Mesenchymal hamartoma Hepatic adenoma Focal nodular hyperplasia Inflammatory myofibroblastic tumor (may be locally invasive) Malignant Primary Hepatoblastoma Hepatocellular carcinoma, fibrolamellar HCC Transitional tumors Embryonal sarcoma…
