Abdominal Key

Surgeon factors Patient factors Disease factors Intestinal blood supply Body mass index (BMI) Inflammatory bowel disease (IBD) Tension at anastomotic site Anesthesia severity assessment (ASA) Metastatic carcinoma Perioperative hypoxia Age…

  Kumar [24] Perez [16] Lezoche [15] Bignell [20] Tsai [28] Allaix [25] Bach [18] Guerrieri [8] Buess [14] Patients ( n) 325 36 135 262 269 300 424 588…

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]….

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…