Download Chassin’s Operative Strategy in Esophageal Surgery by Carol E.H. Scott-Conner PDF

By Carol E.H. Scott-Conner

Real Atlas, brilliantly illustrated.
Succint overview of surgical options, together with minimally invasiveapproachesfor GERD.
Step via Step descriptions of thirteen operative tactics in esophageal surgery.
Significantly cheap than it is competitors.
Educed from Chassin's Operative techniques in most cases surgical procedure, guaranteed to be a vintage.

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Sample text

Incise it with Metzenbaum scissors (Fig. 2–15). Repeat this maneuver, going around the second and third portions of duodenum (behind the hepatic flexure); this leads to the point at which the superior mesenteric vein crosses over the duodenum. Be careful, as excessive traction with the index finger may tear this vessel. For esophagogastric resection the Kocher maneuver need not be continued much beyond the junction of the second and third portions of the duodenum. At this point the left hand is easily passed behind the head of the pancreas, which should be elevated from the renal capsule, vena cava, and aorta (Fig.

It requires an overlap to enable 7–8 cm of the esophagus to lie freely over the front of the stomach. If a 7- to 8-cm overlap is not available, this stapling technique is contraindicated. 5 cm long, on the anterior wall of the gastric pouch at a point 7–8 cm from the Fig. 3–26a Fig. 3–26b Fig. 3–26c 54 Esophagogastrectomy: Left Thoracoabdominal Approach Fig. 3–27 cephalad margin of the stomach (Fig. 3–28). Insert one fork of the cutting linear stapler through the stab wound into the stomach and the other fork into the open end of the overlying esophagus (Fig.

3–2b operations, however, there is no second line of defense against technical error. 5. Although the anterior layer of the end-to-end or the end-to-side esophagogastrostomy is much easier to construct without technical defects than the posterior layer, even here the end-to-side version offers advantages. Figure 3–2b illustrates how the anterior wall of the esophagus invaginates into the stomach for additional protection. If this were attempted with an end-to-end anastomosis, the large inverted cuff would produce stenosis at the stoma (Fig.

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