Core Procedures Oesophagectomy for gastro-oesophageal junction cancer: resection of the oesophagus generally with creation of a gastric conduit to facilitate a thoracic or cervical anastomosis Subtotal or total gastrectomy and lymph node retrieval for cancer: varying amounts of gastric resection…
Core Procedures All operations can be performed via open, laparoscopic or robotic approaches and therefore the approach is not specified. Stomach: total gastrectomy, partial gastrectomy Pancreas: subtotal pancreatectomy, pancreaticoduodenectomy Liver: hepatectomy Spleen: splenectomy Appendix: appendicectomy Colon: complete mesocolic excision, total…
Core Procedures Pancreas Pancreaticoduodenoectomy (Whipple procedure) Distal pancreatectomy ± splenectomy Total pancreatectomy Spleen Splenectomy Partial splenectomy Colon and Rectum Right hemicolectomy ± extended resection Left hemicolectomy ± extended resection Total abdominal colectomy Total proctocolectomy Anterior resection Abdominoperineal resection Colostomy Vascular…
Part 1: Anterior abdominal wall Duncan SG Scrimgeour, Matthew J Laviolette, Sam M Wiseman Core Procedures Laparotomy Vertical, transverse and oblique incisions Ventral incisional hernia repair Umbilical hernia repair Spigelian hernia repair Epigastric hernia repair Abdominal wall closure Laparoscopy Hasson's…
This chapter is an overview of the surgical anatomy of the abdomen, the region of the body that is located between the thoracic diaphragm and the pelvic inlet. It is bounded by muscular layers of the abdominal wall and by…
Core Procedures Sternotomy Redo sternotomy Right ventricular outflow tract operations Left ventricular vent insertion Left ventricular aneurysm repair Left ventricular rupture repair Post-infarct ventricular septal defect repair Long saphenous vein harvest Radial artery harvest Internal thoracic (mammary) artery harvest Coronary…
Core Procedures Aortic valve replacement Transcatheter aortic valve replacement/implantation (TAVR/TAVI) Aortic root replacement Aortic root enlargement Embryology Septation of the initially single outflow tract begins in the fourth week of gestation (26–32 days post fertilization), occurring in the conotruncal region…
Core Procedures Mitral valve repair/replacement The fibrous skeleton of the heart The aortic, mitral and tricuspid valves form one continuous structure, with each valve in close approximation to the other and connected by the fibrous skeleton of the heart. They…
Core procedures Preoperative imaging Intraoperative imaging Postoperative imaging Non-invasive evaluation of the heart is an essential part of the assessment of patients undergoing cardiac surgery. Echocardiography is the commonly used non-invasive imaging modality. Preoperatively, it is an essential part of…
Core procedures Pericardiectomy Pericardiocentesis Pericardial harvesting, e.g. closure of atrial septal defect Thoracoscopic pericardial window creation Relief of pericardial tamponade post-cardiotomy Pericardial biopsy Surgical surface anatomy The surface projections of an average adult heart are modified by age, sex, stature,…