By Jeffrey Ponsky MD;Michael J. Rosen MD FACS
Atlas of Surgical thoughts for the higher GI Tract and Small Bowel, by means of Drs. Ponsky and Rosen, provides state of the art updates at the complete variety of surgical procedures for the higher GI tract and small bowel played this present day. This identify within the new Surgical strategies Atlas sequence edited through Drs. Townsend and Evers will give you specialist suggestion on numerous techniques-open and interventional-to assist you extend your surgical repertoire and hone your abilities. Full-color illustrations and images improve visible information and specialist seek advice performance promises quick access to the total textual content on-line at expertconsult.com. contains handy entry to the full-text on-line in addition to procedural movies that spotlight pivotal moments and the suggestions of the physicians who pioneered the methods, exhibiting you the way to continue. presents step by step assistance on quite a lot of strategies, either open and interventional, supplying you with a number of innovations for coming near near any problem. Examines the most well liked issues in top gastrointestinal and small bowel surgical procedure. Discusses pearls and pitfalls that will help you keep away from issues. offers greater than three hundred full-color illustrations and step by step intraoperative photos for specialist visible assistance. deals pre- and postoperative imaging reviews that exhibit the results of assorted stipulations following surgical procedure. makes use of a constant, easy-to-follow bankruptcy structure that comes with medical anatomy, pre-operative concerns, operative steps, post-operative care, and pearls and pitfalls to make reference effortless. Your buy entitles you to entry the website until eventually the subsequent version is released, or until eventually the present variation is not any longer provided on the market by means of Elsevier, whichever happens first. If the following variation is released under twelve months after your buy, you can be entitled to on-line entry for 365 days out of your date of buy. Elsevier reserves the perfect to provide an appropriate alternative product (such as a downloadable or CD-ROM-based digital model) may still on-line entry to the website be discontinued.
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Extra resources for Atlas of Surgical Techniques for the Upper GI Tract and Small Bowel: A Volume in the Surgical Techniques Atlas Series
Patients with end-stage achalasia have an enlarged, tortuous esophagus with enlarged, periesophageal vessels. Transhiatal esophagectomy in this setting is challenging, and transthoracic dissection may be easier. Ƈ Neoadjuvant chemoradiation of gastroesophageal (GE) junction tumors is not a contraindication to this approach as this area is well visualized from the abdomen. Ƈ Patients with poor cardiac function or significant aortic stenosis are best resected with a transthoracic approach in order to avoid perioperative hypotension.
Intraoperative endoscopy can be performed to confirm position of wrap and absence of twisting. Posterior Gastropexy Stitch (Figure 6-7) Ƈ With the completed wrap, the superior posterior portion is sutured to the base of the crural repair to provide intraabdominal fixation.
Br J Surg 1993; 80:367-376. 3. Hulscher J, Tijssen J, Lanschot J: Transthoracic versus transhiatal resection for carcinoma of the esophagus: a meta-analysis. Ann Thor Surg 2001; 72:306-313. 4. Hulscher J, Van Sandick J, Van Lanschot J: Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus. N Engl J Med 2002; 347:1662-1669. 5. Orringer MB: Esophagectomy without thoracotomy. J Thorac Cardiovasc Surg 1978; 76:643. 6. Orringer MB: Technical aids in performing transhiatal esophagectomy without thoracotomy.