Netter's Surgical Anatomy and Approaches

Gastrectomy

Video 8.1 Laparoscopic Total Gastrectomy With D2 Lymphadenectomy Introduction The indications and approaches for gastrectomy have evolved in recent years. Before the introduction of effective diagnostic modalities and medical therapies for peptic ulcer disease (PUD) and Helicobacter pylori infection, most…

Truncal and Selective Vagotomy

Video 7.1 Laparoscopic Truncal Vagotomy Introduction Gastric acid production contributes to duodenal and gastric ulcer formation. Intraluminal gastric acid is released by parietal cells, which in turn are stimulated via three mechanisms: gastrin, histamine, and acetylcholine. All three mechanisms activate…

Minimally Invasive Antireflux Surgery

Video 6.1 Laparoscopic Nissen Fundoplication Introduction Gastroesophageal reflux disease (GERD) remains one of the most common diseases for which patients seek medical treatment. Surgical intervention is offered after failure of maximal medical therapy and/or when an anatomic defect, such as…

Esophagectomy

Introduction Franz Torek performed the first successful esophagectomy in 1913, after 30 years of dismal results without any survivors. Improvements in technique and patient care have reduced morbidity and mortality; however, esophagectomy remains a high-risk procedure because of the challenging…

Laparoscopic Adrenalectomy

Introduction The adrenals are paired retroperitoneal glands that lie partially anterior, superior, and medial to the upper pole of the kidneys, bounded by retroperitoneal fat and Gerota’s fascia. The right adrenal gland is posteromedial to the right lobe of the…

Thyroidectomy and Parathyroidectomy

Video 3.1 Thyroidectomy and Parathyroidectomy Thyroidectomy Thyroidectomy is the most common endocrine surgical procedure. By definition, a total thyroidectomy requires the resection of both thyroid lobes and isthmus, whereas a thyroid lobectomy requires the resection of one lobe with the…

Tracheostomy

Video 2.1 Tracheostomy Introduction Tracheotomy (tracheostomy) is one of the oldest surgical procedures known, with the first reference in 3600 BCE. Chevalier Jackson is credited with standardizing the tracheotomy procedure in 1932, outlining the individual steps for establishing a direct…

Selective (Supraomohyoid) Neck Dissection, Levels I-III

Video 1.1 Neck Dissection Introduction Neck dissection has been a standard method of removing at-risk or involved cancerous lymph nodes in the head and neck for more than 100 years. Crile first described the radical neck dissection in the early…