Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_788_Библиотеки_им_академика_М_И_Перельмана.pdf
X
- •Preface
- •Contributors
- •Contents
- •1. Introduction
- •1.1 Introduction
- •1.2 Minimally Invasive Surgery and Videolaparoscopic Surgery
- •2. Instruments and Methods
- •2.1 Three-Dimensional Optics in Clinical Practice
- •2.2 Access and Exposure Techniques in Laparoscopic Surgery
- •2.3 Joining and Sealing Tissues and Hollow Organs
- •2.4 Gasless Laparoscopy
- •2.5 Anesthesia in Videolaparoscopic Surgery
- •3. Laparoscopic Exploration, Diagnosis, and Staging
- •3.1 Visual Exploration of the Peritoneal Cavity
- •3.2 Diagnostic Laparoscopy for Trauma
- •3.3 Laparoscopy for the Acute Abdomen
- •3.4 Laparoscopy for Peritonitis
- •3.5 Comments on Laparoscopy for the Acute Abdomen
- •3.6 Diagnostic Laparoscopy for Tumors
- •3.7 Staging of Neoplastic Disease with Ultrasound
- •3.8 Comments on Laparoscopic Ultrasonography for Staging
- •3.9 Visual Exploration of the Pelvic Organs in Women
- •4. Laparoscopic Cholecystectomy
- •4.1 Retrograde Cholecystectomy
- •4.2 Anterograde Cholecystectomy
- •4.3 Alternate Method of Gallbladder Retrieval
- •4.4 Comments on Laparoscopic Cholecystectomy
- •5. Extrahepatic Bile Ducts: Diagnosis and Treatment
- •5.1 Ultrasonography of the Bile Ducts
- •5.2 Intraoperative Cholangiography
- •5.3 Comments on Intraopertive Cholangiography
- •5.5 Common Bile Duct Exploration and Stone Removal
- •5.6 Laparoscopic Cholecystojejunostomy
- •5.7 Comments on Laparoscopic Biliary Operations
- •6. Laparoscopic Approach to the Spleen and Liver
- •6.1 Splenectomy
- •6.2 Comments on Laparoscopic Splenectomy
- •6.3 Comments on Laparoscopic Splenectomy
- •6.4 Fenestration of Large Splenic Cysts
- •6.5 Fenestration of Hepatic Cysts
- •7. Intra-abdominal and Endoluminal Gastric Operations
- •7.1 Closure of Peptic Ulcer Perforation
- •7.2 Laparoscopically-Assisted Gastric Resection
- •7.3 Combined Laparoscopic and Endoscopic Gastric Wedge Resections
- •7.4 Gastrostomy
- •7.5 Endoscopic Intraluminal Gastroduodeno-Pancreatic Cystostomy
- •7.6 Combined Endoluminal and Open Gastric Operation
- •8. Vagotomy and Drainage Procedures
- •8.1 Indications for Vagotomy
- •8.2 Posterior Truncal Vagotomy and Denervating Anterior Linear Strip Gastrectomy
- •8.3 Selective Proximal Vagotomy
- •8.4 Posterior Truncal Vagotomy and Anterior Gastric Seromyotomy (Taylor 1985)
- •8.5 Anterior and Posterior Truncal Vagotomy and Pyloroplasty
- •8.6 Laparoscopically Guided Truncal Vagotomy and Assisted Pyloroplasty Using a Circular Stapler
- •8.7 Gastrojejunostomy
- •8.8 Current Status of Laparoscopic Management of Duodenal Ulcers
- •8.9 Thoracoscopic Truncal Vagotomy
- •9. Operations on the G.-E. Junction
- •9.1 Nissen Fundoplication
- •9.2 Fundoplication and Partial Fundoplication Techniques
- •9.3 Comments on Nissen Fundoplication
- •9.4 Gastropexy in Paraesophageal Hiatus Hernia Repair
- •9.5 Cardiomyotomy and Fundoplasty for Achalasia
- •9.7 Laparoscopically Guided Gastric Banding for Morbid Obesity
- •9.8 Comments on Gastric Banding for Morbid Obesity
- •9.9 Alternative Operative Techniques for Gastro-Jejunal Bypass in Morbid Obesity
- •10. Appendectomy and Small Bowel Procedures
- •10.1 Appendectomy
- •10.2 Comments on Laparoscopic Appendectomy
- •10.3 Comments on Laparoscopic Appendectomy
- •10.4 Meckel’s Diverticulectomy
- •10.5 Small-Bowel Resection
- •10.6 Laparoscopic Lysis of Adhesions
- •10.7 Creation of a Loop Ileostomy
- •11. Laparoscopically-Assisted Large Bowel Procedures
- •11.1 Creation of an Intestinal Stoma
- •11.2 Laparoscopically-Assisted Right Hemicolectomy
- •11.3 Resection of Sigmoid Colon
- •11.4 Laparoscopically Assisted Left Hemicolectomy
- •11.5 Combined Endoluminal and Open Colon Procedure
- •12. Laparoscopically-Guided/Assisted Colo-Rectal Procedures
- •12.1 Repair of Perforations of the Colon and Rectum
- •12.2 Repair of Rectal Prolapse
- •12.3 Laparoscopic Second Stage Hartmann Procedure
- •12.4 Laparoscopically Assisted Anterior Resection and Recto-Sigmoidostomy
- •12.5 Abdominoperineal Excision or Amputation of the Rectum (with High Ligation of the Inferior Mesenteric Artery)
- •12.6 Comments on Laparoscopic Colorectal Surgery
- •12.7 Comments on Laparoscopic Colorectal Surgery
- •13. Inguinal Hernia Repair
- •13.1 Videoendoscopic Preperitoneal Hernia Repair
- •13.2 Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair
- •13.3 Complicated Laparoscopic Hernia Repair: Avoiding Complications and Recurrence in Clinical Practice
- •13.4 Comments on Laparoscopic Hernia Repair
- •14. Closing Commentaries
- •14.1 Analysis and Prevention of Untoward Events in Laparoscopic Surgery
- •14.2 Pneumoperitoneum-Associated Alterations and Risk Factors in Laparoscopic Surgery
- •14.3 Minimally Invasive Surgery by Video-Endoscopic Techniques: New Technology Rejuvenates Proven Concept
- •Index


Minimally Invasive Abdominal Surgery
I

II

Minimally Inv asive
Abdominal Surgery
Edited by
III
Karl Kremer, M.D.
Professor Emeritus of Surgery
Director, Surgical University Clinic
Düsseldorf, Germany
Hans Wilhelm Schreiber, M.D.
Professor Emeritus of Surgery
Director of General Surgery
Surgical University Clinic
Hamburg, Germany
1088 illustrations by F.v. Aspern, P. Haller, R. Henkel, and R. Lazarus
Werner Platzer, M.D.
Professor Emeritus of Anatomy
Director, Institute of Anatomy
University of Innsbruck
Innsbruck, Austria
Felicien M. Steichen, M.D.
Professor of Surgery
St. Agnes Hospital
Institute for Minimally
Invasive Surgery
White Plains, N.Y., USA
Thieme
Stuttgart · New York 2001

IV
Library of Congress Cataloging-in-Publication Data
is available from the publisher
Important Note: Medicine is an ever-changing science undergoing continual development. Research and clinical experience
are continually expanding our knowledge, in particular our
knowledge of proper treatment and drug therapy. Insofar as this
book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every
effort to ensure that such references are in accordance with the
state of knowledge at the time of production of the book.
Nevertheless, this does not involve, imply, or express any
guarantee or responsibility on the part of the publishers in respect of any dosage instructions and forms of application stated
in the book. Every user is requested to examine carefully the
manufacturer’s leaflets accompanying each drug and to check, if
necessary in consultation with a physician or specialist,
whether the dosage schedules mentioned therein or the contraindications stated by the manufacturers differ from the statements made in the present book. Such examination is particularly important with drugs that are either rarely used or have
been newly released on the market. Every dosage schedule or
every form of application used is entirely at the user’s own
risk and responsibility. The authors and publishers request
every user to report to the publishers any discrepancies or inaccuracies noticed.
The bulk of this book is an authorized translation of the German
edition Minimal-invasive Chirurgie, Vol. 7/2 of Chirurgische
Operationslehre, edited by K. Kremer, W. Lierse, W. Platzer,
H.W.Schreiber, S. Weller, published and copyrighted 1995 by
Georg Thieme Verlag, Stuttgart, Germany.
Translated by John Grossman, Berlin
Cover drawing by Reinhold Henkel, Heidelberg
Any reference to or mention of manufacturers or specific brand
names should not be interpreted as an endorsement or advertisement for any company or product.
Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names, even though specific reference to this fact is not
always made in the text. Therefore, the appearance of a name
without designation as proprietary is not to be construed as a
representation by the publisher that it is in the public domain.
This book, including all parts thereof, is legally protected by
copyright. Any use, exploitation, or commercialization outside
the narrow limits set by copyright legislation, without the publisher’s consent, is illegal and liable to prosecution. This applies
in particular to photostat reproduction, copying, mimeographing or duplication of any kind, translating, preparation of microfilms, and electronic data processing and storage.
© 2001 Georg Thieme Verlag,
Rüdigerstraße 14,
D-70469 Stuttgart, Germany
Thieme New York, 333 Seventh Avenue,
New York, NY 10001, USA
Typesetting by primustype R. Hurler GmbH,
D-73274 Notzingen
Printed in Italy by G. Canale & C., Turin
ISBN 3-13-108191-0 (GTV)
ISBN 0-86577-639-3 (TNY) 12345

Preface
V
“Primum Non Nocere − First and Foremost Do No Harm”, has
been a basic guide for our diagnostic and therapeutic endeavors
ever since Hippocrates (460−361 B.C.) expressed this principle
as a major aphorism in the care of the sick and injured. Taken to
its rational conclusion in modern healthcare, this means that a
seemingly injurious and “radical” operative action, when indi-
cated, causes less harm than medication-based, “conservative”
inaction. For example, the truly “conservative” treatment of
ruptured appendicitis, a decisive incision, excision of the offending organ, and “laudable” drainage of pus is superior to the
“radical” use of pills, potions, and various warm or cold compresses. However, this approach does entail a violation of ana-
tomical integrity with all the real and potential, short and long-
term morbidity associated with a surgical wound, often regardless of the urgent or elective nature of the procedure, especially
if it is established to cure infection or neoplasia.
Advances in the technology of endoscopy, the ability to transmit
and project anatomical and pathological findings onto a television monitor and the progressive mastery of operative skills
within a closed space, guided by a two- or three-dimensional
image, have greatly reduced and in some instances eliminated
the handicap of a conventional incision. Local and systemic
wound morbidity, so aptly called “maladie de l’incision” by Ph.
Mouret, has been largely remedied by this minimal invasion of
endocavitary, endoluminal, endovascular, and endoarticular
spaces!
While the injury of surgical access has been greatly reduced, if
not eliminated, the indications, strategy, technique, and goals of
any given internal operative procedure feasible through a minimal approach have not changed in their essential features. This
Atlas of Minimally Invasive Surgery does provide a comprehensive and didactic guide to this new art and craft of operative
surgery within the abdomen.
We wish to thank our contributing authors for their enthusiasm, expertise, and prompt responses. Mr. Gert Krueger and Dr.
Clifford Bergman of Georg Thieme Verlag have earned our gratitude for their masterful design and layouts, as well as their
patience with last-minute changes. Last but not least, the artists
Franziska von Aspern, Peter Haller, Reinhold Henkel, and Robin
Lazarus, deserve special recognition for the way they were able
to transform their own operating-room sketches and those of
neophyte medical illustrators into true works of surgical art.
White Plains, N.Y.
October 2000
Felicien M. Steichen

VI
Contributors
G. Abtahi
Chir. Klinik
Otto-von-Guericke Universität
Leipzig, Germany
M. E., Arregui, M.D., F.A.C.S.
Attending Surgeon
St. Vincent’s Hospital
Indianapolis, IN
USA
G. Berci, M.D. FACS, FRCS Ed.
Director Endoscopic Research
Cedars Sinai Medical Center
Dept. of Surgery
Los Angeles, LA
USA
M. Berry, M.D.
Attending Surgeon
Miguel Claro
Santiago, Chile
K. M. Bhuta, M.D.
Assistant Professor of Surgery
New York Medical College
Dept. of Surgery
Valhalla, NY
USA
M. Birth, M.D.
Klinik für Chirurgie/
Chir. Intensivstation
Universitätsklinikum
Lübeck, Germany
R. Bittner, M.D.
Professor
Director Surg. Clinic
Marienhospital
Stuttgart, Germany
C. Bloechle, M.D.
Professor
General Surgery
Chir. Univ. Klinik Hamburg
Hamburg, Germany
E. Bodner, M.D.
Professor
Chairman II Surg. Univ. Clinic
Innsbruck, Austria
F.J. Borao, M.D.
Inst. for Minimally Invasive Surgery
St. Agnes Hospital
White Plains, NY
USA
H.-P. Bruch, M.D.
Professor
Director Surg. Clinic
Medizinische Universität zu Lübeck
Lübeck, Germany
Michael Butters, M.D.
Professor
Director Clinic for General and Visceral
Surgery
Krankenhaus Bietigheim-Bissingen
Bietigheim-Bissingen, Germany
L. R. M. Del Guercio, M.D.
Professor and Chairman
Dept. of Surgery
New York Medical College
Valhalla, NY
USA
T.R. DeMeester, M.D.
Professor and Chairman
Dept. of Surgery
University of Southern California
Medical Center
Los Angeles, C.A.
USA
F. Dubois, M.D.
President
Académie Nationale de Chirurgie
“Les Cordeliers”
Paris, France
D. B. Earle, M.D.
Director, Division of Min. Inv. Surgery
Baystate Medical Center
Springfield, MA
USA
R. Eichen, M.D.
Director Surg. Dept.
Marienkrankenhaus
Düren, Germany
A. Emmermann, M.D.
Israelitisches Krankenhaus
Chirurgische Klinik
Hamburg, Germany
A. Encke, M.D.
Professor
Director Chir. Univ. Klinik
Frankfurt, Germany
H. Feussner, M.D.
Surg. Clinic and Polyclinic
Techn. Univ.
Klinikum rechts der Isar
Munich, Germany
Robert J. Fitzgibbons Jr., M.D., F.A.C.S.,
Professor of Surgery
Omaha, Nebraska
USA
M. E. Franklin Jr., M.D., F.A.C.S.,
Clinical Professor of Surgery
Baptist Medical Center
San Antonio, TX
USA
K. H. Fuchs, M.D.
Professor
Chir. Univ. Klinik
Würzburg, Germany
L. A. Galibert, M.D.
Assistant Director
St. Agnes Hospital
Inst. for Min. Inv. Surgery
White Plains, N.Y.
USA
Ingo Gastinger, M.D.
Professor
Schwarza, Germany
M. F. Gioscia, M.D.
Attending Surgeon
St. Agnes Hospital
Inst. for Min. Inv. Surgery
White Plains, NY
USA
F. Götz, M.D.
Professor
Linnich, Germany
E. J. Hagopian
Dept. of Hepato-Biliary Surgery
Hôpital Paul Brousse
Paris, France
B. L. Herz, M.D.
Director of Surgery
Sound Shore Medical Center of
Westchester
Dept. of Surgery
New Rochelle, NY
USA
M. A. Hopkins, M.D.
Assistant Professor of Surgery
NYU Medical School
New York, NY
USA
T.P. Hüttl, M.D.
Chir. Univ. Klinik
Munich, Germany

Contributors
VII
J. C. Iraci, M.D.
Attending Surgeon
Lenox Hill Hospital
New York, NY
USA
Jakob R. Izbicki, M.D.
Professor
General Surgery
Chir. Universitätsklinik
Hamburg, Germany
J. Jacimowicz, M.D., Ph.D. FRCS (Ed)
Department of Surgery
Catharina Hospital
Eindhoven, Netherlands
W. Jonat, M.D.
Professor and Director
Universitäts-Frauenklinik Kiel
Kiel, Germany
L. U. Jung, M.D.
Staten Island Medical Group
Staten Island, NY
USA
R. G. Karanfilian, M.D.
Attending Surgeon
Sound Shore
Medical Center of Westchester
New Rochelle, NY
USA
Namir Katkhouda, M.D.
Associate Professor of Surgery
Div. of Min. Inv. Surgery
School of Medicine
University of Southern California
USC Healthcare Consultation Center
Los Angeles, CA
USA
D. Kettler, M.D.
Professor
Director Center for Anesthesiology
Klinikum der Universität Göttingen
Göttingen, Germany
Ch. Klaiber, M.D.
Director Surg.
Spital Aarberg
Aarberg, Switzerland
F. Köckerling, M.D.
Professor
Director Surg. Clinic
Krankenhaus Siloah
Hannover, Germany
Ernst Kraas, M.D.
Professor
Director Surg. Clinic
Krankenhaus Mohabit
Berlin, Germany
Bernhard J. Leibl, M.D.
Supervising Physician
Surg. Clinic
Marienhospital
Stuttgart, Germany
E. Löhde, M.D.
Medical Director Meoclinic
Minimally Invasive Surgery
Berlin, Germany
J. M. Loubeau, M.D.
Associate Director of Surgery
Lenox Hill Hospital
New York, NY
USA
Bruce V. MacFayden, Jr., M.D.
Dept. of Surgery
Medical School
Houston, TX
USA
L. Maffucci, M.D.
Attending Surgeon
Sound Shore
Medical Center of Westchester
New Rochelle, NY
USA
V. A. Marrero, M.D.
Director Emeritus
Department of Surgery
St. Agnes Hospital
White Plains, NY
USA
C. Mann, M.D.
Carolina Physicians
Greenville, NC
USA
S. Alejandro Metzger, M.D.
Surg. Clinic
Bürgerspital
Solothurn, Switzerland
G. Meyer, M.D.
Chir. Univ. Klinic
Munich, Germany
Vittorio Paolucci, M.D.
Professor
Ospedale Regionale di Bolzano
Divisione di Chirurgia II
Bolzano, Italy
J. H. Peters, M.D.
Associate Professor of Surgery
Dept. of Surgery, School of Medicine,
Univ. of Southern California
Los Angeles, CA
USA
A. Pier, M.D.
Aachen, Germany
H. P. Rajdeo, M.D.
Assistant Professor of Surgery
New York Medical College
Valhalla, NY
USA
M. Rangraj, M.D.
Chief, Division of Laparoscopic Surgery
Sound Shore
Medical Center of Westchester
New Rochelle, NY
USA
Raul J. Rosenthal, M.D.
Beth Israel Medical Center New York
New York, NY
USA
A. E. Roth, M.D.
Coordinator, Surgical Intensive Care
St. Agnes Hospital
White Plains, NY
USA
K. Rückert, M.D.
Professor
Director Surg. Clinic Nord Heidberg
Hamburg, Germany
Th. Schiedeck, M.D.
Chir. Univ. Klinik
Lübeck, Germany
Fr. W. Schildberg, M.D.
Professor
Director Chir. Univ. Klinik
Klinikum Großhadern
Munich, Germany
E. Schippers, M.D
Professor
Julius Spital Surg. Clinic
General and Visceral Surgery
Würzburg, Germany
C. A. Schneider, M.D.
Millburn Surgical Associates
Millburn, NJ
USA
K. Schönleben, M.D.
Professor
Director Surg. Clinic
Klinikum der Stadt Ludwigshafen
Ludwigshafen, Germany
V. Schumpelick, M.D.
Professor
Surg. Clinic and Polyclinic
Univ. Klinikum Rheinisch-Westf. Techn.
Hochschule Aachen
Aachen, Germany
N. Soehendra, M.D.
Professor
Director Clinic for Interdisciplinary
Endoscopy
Hamburg, Germany
U. Kunath, M.D.
Professor
Surgery, Visceral Surgery
Meoclinic
Berlin, Germany
S. D. Potter, M.D.
Attending Surgeon
Chilton Memorial Hospital
Pompton Plains, NJ
USA
E. B. Sottile, M.D.
Chief of General Surgery
St. Agnes Hospital
White Plains, NY
USA

VIII
Contributors
T. Strate, M.D.
General Surgery
Chir. Univ. Klinik
Hamburg, Germany
G. Stringel, M.D.
Prof. of Surgery and Pediatrics
New York Medical College
Valhalla, NY
USA
J. Teixeira, M.D.
Assistant Professor of Surgery
New York Medical College
Valhalla, NY
USA
T.A. Thomas, M.D.B24
St. Agnes Hospital
Inst. Min. Inv. Surgery
White Plains, NY
USA
Greg Van Stiegmann, M.D.
Prof. of Surgery
Head Gastrointestinal, Tumor,
and Endocrine Surgery
University of Colorado, School of Medicine
Denver, CO
USA
H. Troidl, M.D.
Professor
Director Surg. Clinic Köln-Merheim
Cologne, Germany
H. F. Weiser, M.D.
Professor
Diakoniekrankenhaus
Rotenburg, Germany
R. Welter, M.D.
President
AECV, Telemediana
Luxembourg
S. D. Wexner, M.D., F.A.C.S., FA.S.C.R.S.
Director Dept. of Colorectal Surgery
Cleveland Clinic Florida
Fort Lauderdale
USA
H. K. Yang, M.D.
Attending Surgeon
Sound Shore
Medical Center of Westchester
New Rochelle, NY
USA
C. Zornig, M.D.
Professor
Director Surg. Clinic
Israelitisches Krankenhaus
Hamburg, Germany

Contents
1. Introduction
IX
1.1 Introduction
H. W. Schreiber, F. M. Steichen, E. Kraas
..................................... 1
2. Instruments and Methods
2.1 Three-Dimensional Optics in Clinical Practice
H. P. Bruch, T. H. K. Schiedeck
Clinical Application ............................... 6
Advantages and Disadvantages of 3-D Optical Sys-
tem.............................................. 6
2.2 Access and Exposure Techniques in Laparoscopic
Surgery
L. Galibert, D. B. Earle, F.M. Steichen, G. Stringel
Summary ........................................ 9
.......................................... 9
...... 6
3. Laparoscopic Exploration, Diagnosis, and Staging
3.1 Visual Exploration of the Peritoneal Cavity
F. Götz, A. Pier
3.2 Diagnostic Laparoscopy for Trauma
H. Feussner
3.3 Laparoscopy for the Acute Abdomen
A. Metzger, K. Schönleben, Ch. Klaiber
3.4 Laparoscopy for Peritonitis
E. Löhde, E. Kraas
3.5 Comments on Laparoscopy for the Acute Abdomen
M.−E. Arregui
........................ 71
................ 61
......... 59
............... 68
.74
1.2 Minimally Invasive Surgery and Videolaparoscopic
Surgery
H. W. Schreiber, F. M. Steichen, E. Kraas
Surgical Strategy ................................. 2
2.3 Joining and Sealing Tissues and Hollow Organs
D. B. Earle, L. A. Galibert, M.A.. Hopkins, F. M. Steichen
2.4 Gasless Laparoscopy
V. Paolucci, A. Encke
2.5 Anesthesia in Videolaparoscopic Surgery
D. Kettler
3.6 Diagnostic Laparoscopy for Tumors
H. Feussner
3.7 Staging of Neoplastic Disease with Ultrasound
M. Birth, H.−F. Weiser
3.8 Comments on Laparoscopic Ultrasonography for
Staging
G. Van Stiegmann
3.9 Visual Exploration of the Pelvic Organs in Women
W. Jonat
.......................................... 2
..... 24
.............................. 51
........... 54
................ 75
..... 76
.......................................... 81
.82
4. Laparoscopic Cholecystectomy
4.1 Retrograde Cholecystectomy
F. Götz, A. Pier
4.2 Anterograde Cholecystectomy
F. Köckerling
...................... 85
..................... 117
5. Extrahepatic Bile Ducts: Diagnosis and Treatment
5.1 Ultrasonography of the Bile Ducts
M. Birth, H.−F. Weiser
Ultrasound Technique ............................ 129
5.2 Intraoperative Cholangiography
A. Pier, F. Götz
5.3 Comments on Intraopertive Cholangiography
B. V. MacFadyen, Jr.
................. 128
................... 133
...... 136
4.3 Alternate Method of Gallbladder Retrieval
F. Köckerling
4.4 Comments on Laparoscopic Cholecystectomy
G. Berci
5.4 Intraluminal Endoscopic Common Bile Duct Exploration and Stone Retrieval
N. Soehendra
5.5 Common Bile Duct Exploration and Stone Removal
F. Götz, A. Pier
5.6 Laparoscopic Cholecystojejunostomy
L. U. Jung, M. S. Rangraj, C.A. Schneider, V. Maffucci
5.7 Comments on Laparoscopic Biliary Operations
..................... 137
......... 119
...... 126
.............. 148
. 142
Соседние файлы в папке Библиотека им академика М.И. Перельмана
