Contralateral Bile Duct Injury During Hepatic Resection
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…
Postpancreatectomy Hemorrhage: Early and Late
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…
Duodenal Stump Blowout
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]….
Delivering Bad News: Conversations with My Surgeon
© 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,…
Chyle Leak After Esophageal Surgery
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…
Stoma Retraction/Ischemia/Stenosis
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…
Intraoperative Injury to Hepatic Arterial Structures
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…
Hepatic Abscess
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…
Esophageal Anastomotic Leak
Authors Publication year Surgical approach N Leak rate(%) Cervical anastomosis Heitmiller et al. [17] 1999 a 262 0.8 Swanson et al. [42] 2001 Three field 342 8 Walther et al. [12] 2003 Three…
Hepaticojejunostomy Anastomotic Strictures
Fig. 23.1 Hepaticojejunostomy stenosis following early repair of a bile duct injury during laparoscopic cholecystectomy in a 27-year-old women. This patient was successfully managed using repeated sessions of percutaneous dilatation….
