V a LANDES d LANDES BIOSCIENCE BIOSCIENCE V a d e m e c u m eme cum V a d e m e c u m Table of contents (excerpt) Northwestern 1. Gastrointestinal 2. Endocrine Handbook 3. Surgical Oncology Northwestern Handbook of Sur 4. Plastic Surgery 5. Cardiothoracic Surgery of Surgical 6. Transplantation 7. Vascular Surgery Procedures gical Procedures The Vademecum series includes subjects generally not covered in other handbook series, especially many technology-driven topics that reflect the increasing influence of technology in clinical medicine. The name chosen for this comprehensive medical handbook series is Vademecum, a Latin word that roughly means “to carry along”. In the Middle Ages, traveling clerics carried pocket-sized books, excerpts of the carefully transcribed canons, known as Vademecum. In the 19th century a medical publisher in Germany, Samuel Karger, called a series of portable medical books Vademecum. The Landes Bioscience Vademecum books are intended to be used both in the training of physicians and the care of patients, by medical students, medical house Kaufman staff and practicing physicians. We hope you will find them a valuable resource. Bell ISBN 1-57059-684-0 Richard H. Bell, Jr. All titles available at Dixon B. Kaufman www.landesbioscience.com 9 781570 596841 vademecum Northwestern Handbook of Surgical Procedures Richard H. Bell, Jr., M.D. Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Ilinois, U.S.A. Dixon B. Kaufman, M.D., Ph.D. Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Ilinois, U.S.A. Illustrations by Simon Kimm, M.D. L A N D E S B I O S C I E N C E GEORGETOWN, TEXAS U.S.A. VADEMECUM Northwestern Handbook of Surgical Procedures LANDES BIOSCIENCE Georgetown, Texas U.S.A. Copyright ©2005 Landes Bioscience All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any infor- mation storage and retrieval system, without permission in writing from the publisher. Printed in the U.S.A. Please address all inquiries to the Publisher: Landes Bioscience, 810 S. Church Street, Georgetown, Texas, U.S.A. 78626 Phone: 512/ 863 7762; FAX: 512/ 863 0081 ISBN: 1-57059-684-0 Library of Congress Cataloging-in-Publication Data Bell, Richard H., 1946- Northwestern handbook of surgical procedures / Richard H. Bell Jr., Dixon B. Kaufman ; illustrations by Simon Kimm. p. ; cm. -- (Vademecum) ISBN 1-57059-684-0 1. Surgery, Operative--Handbooks, manuals, etc. I. Kaufman, Dixon B. II. Northwestern University (Evanston, Ill.) III. Title. IV. Title: Handbook of surgical procedures. V. Series. [DNLM: 1. Surgical Procedures, Operative--methods--Handbooks. WO 39 B435n 2005] RD37.B45 2005 617'.91--dc22 2005012436 While the authors, editors, sponsor and publisher believe that drug selection and dosage and the specifications and usage of equipment and devices, as set forth in this book, are in accord with current recommendations and practice at the time of publication, they make no warranty, expressed or implied, with respect to material described in this book. In view of the ongoing research, equipment development, changes in governmental regulations and the rapid accumulation of information relating to the biomedical sciences, the reader is urged to carefully review and evaluate the information provided herein. Dedication To today’s students of surgery, whose skills will mature to the benefit of man. Contents Preface ............................................................................................ xii Section 1: Gastrointestinal...................................................... 1 1. Esophageal Diverticulectomy: Zenker’s ............................................. 2 2. Heller Myotomy: Laparoscopic......................................................... 4 3. Thoracic Esophageal Perforation Repair ........................................... 7 4. Antireflux Procedure: Laparoscopic (Nissen)..................................... 9 5. Gastrostomy: Open ........................................................................ 11 6. Gastrectomy: Total ......................................................................... 14 7. Gastrectomy: Subtotal or Partial ..................................................... 18 8. Gastric Bypass: Roux-en-Y.............................................................. 22 9. Truncal Vagotomy and Pyloroplasty ............................................... 24 10. Highly Selective (Parietal Cell) Vagotomy ....................................... 26 11. Perforated Duodenal Ulcer Repair: Omental Patch ......................... 28 12. Major Hepatic Laceration: Open Repair ......................................... 29 13. Hepaticojejunostomy: Roux-en-Y ................................................... 34 14. Cholecystectomy with Cholangiography: Open.............................. 38 15. Cholecystectomy with Cholangiogram: Laparoscopic ..................... 41 16. Common Bile Duct Exploration: Open.......................................... 45 17. Common Bile Duct Exploration: Laparoscopic .............................. 47 18. Transduodenal Sphincteroplasty ..................................................... 50 19. Pancreatic Necrosis: Debridement .................................................. 53 20. Pancreaticoduodenectomy: Whipple Procedure .............................. 55 21. Distal Pancreatectomy and Splenectomy ......................................... 60 22. Pancreatic Cystogastrostomy........................................................... 62 23. Longitudinal Pancreaticojejunostomy: Puestow Procedure .............. 64 24. Duodenum-Preserving Subtotal Pancreatic Head Resection: Frey Procedure................................................................................ 67 25. Splenectomy: Open ........................................................................ 71 26. Splenectomy: Laparoscopic ............................................................. 73 27. Splenorrhaphy: Open ..................................................................... 76 28. Small Bowel Resection and Anastomosis (Enterectomy): Open ......... 79 29. Enterolysis for Small Bowel Obstruction: Open.............................. 82 30. Appendectomy: Open .................................................................... 84 31. Appendectomy: Laparoscopic ......................................................... 86 32. Ileostomy: Open Loop.................................................................... 88 33. Hemicolectomy (Right): Open ....................................................... 90 34. Hemicolectomy (Right): Laparoscopic ............................................ 93 35. Colostomy Closure ......................................................................... 96 36. Colostomy: End Sigmoid with Hartmann’s Pouch .......................... 98 37. Colostomy: Transverse Loop ......................................................... 101 38. Sigmoid Colectomy: Open ........................................................... 104 39. Proctocolectomy with Ileal Pouch: Anal Anastomosis ................... 106 40. Proctocolectomy: Total with Ileostomy ......................................... 110 41. Anal Fistulotomy .......................................................................... 113 42. Anal Fissure: Lateral Internal Sphincterotomy .............................. 116 43. Anorectal Abscess: Drainage Procedure ......................................... 118 44. Internal Hemorrhoids: Band Ligation........................................... 120 45. Inguinal Hernia Repair with Mesh: Open..................................... 122 46. Inguinal Hernia Laparoscopic Repair: Extraperitoneal Approach ... 124 47. Ventral Hernia Repair: Open ........................................................ 128 48. Ventral Hernia Repair: Laparoscopic ............................................ 130 49. Exploratory Laparotomy: Open .................................................... 133 Section 2: Endocrine........................................................... 137 50. Adrenalectomy: Laparoscopic ....................................................... 138 51. Pancreatic Endocrine Tumor Enucleation ..................................... 141 52. Parathyroid Adenoma Excision ..................................................... 144 53. Radioguided Parathyroidectomy: Minimally Invasive ................... 147 54. Thyroid Lobectomy and Total Thyroidectomy ............................. 149 55. Modified Neck Dissection ............................................................ 153 Section 3: Surgical Oncology.............................................. 157 56. Transanal Excision of Rectal Tumor .............................................. 158 57. Abdominoperineal Resection ........................................................ 160 58. Right Hepatic Lobectomy ............................................................ 163 59. Axillary Lymphadenectomy .......................................................... 166 60. Inguinal Lymphadenectomy ......................................................... 169 61. Breast Biopsy after Needle Localization ........................................ 172 62. Lymphatic Mapping and Sentinel Node Biopsy ............................ 174 63. Partial Mastectomy and Axillary Dissection .................................. 176 64. Modified Radical Mastectomy .....................................................