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Illustrative
Handbook
ofGeneral Surgery
HerbertChen
BrenessaLindeman
Editors
ThirdEdition
123

Illustrative Handbook of General Surgery

Herbert Chen • Brenessa Lindeman
Editors
Illustrative Handbook
of General Surgery
Third Edition

Editors
Herbert Chen
Department of Surgery
University of Alabama at Birmingham
Birmingham, AL, USA
Brenessa Lindeman
Department of Surgery
University of Alabama at Birmingham
Birmingham, AL, USA
ISBN 978-3-031-63877-0 ISBN 978-3-031-63878-7 (eBook)
https://doi.org/10.1007/978-3-031-63878-7
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature
Switzerland AG 2024
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and
transmission or information storage and retrieval, electronic adaptation, computer software, or by similar
or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specic statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, expressed or implied, with respect to the material contained herein or for any
errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
If disposing of this product, please recycle the paper.

Contents
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Part I Endocrine Surgery
Total Thyroidectomy and Thyroid Lobectomy. . . . . . . . . . . . . . . . . . . . . . . 3
Wen Shen
Remote Access Thyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Likolani Arthurs and Insoo Suh
Radiofrequency Ablation of Thyroid Nodules . . . . . . . . . . . . . . . . . . . . . . . 19
Shawn Y. Hsu and Jennifer H. Kuo
Central Neck Dissection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Jaclyn Gellings, Michael Josephson, and Sophie Dream
Modified Radical Neck Dissection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Cord Sturgeon and Dina M. Elaraj
Parathyroidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Jessica Liu McMullin and Herbert Chen
Open Adrenalectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Alexander Papachristos and Stanley B. Sidhu
Laparoscopic Adrenalectomy: Transperitoneal Approach . . . . . . . . . . . . . 69
Stephanie Chan and James A. Lee
Laparoscopic Adrenalectomy: Retroperitoneal Approach . . . . . . . . . . . . . 79
Cameron D. Adkisson and Linwah Yip
Part II Breast Surgery
Breast Conservation Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Astrid Botty van den Bruele and Laura H. Rosenberger
Mastectomy for Treatment and Prevention . . . . . . . . . . . . . . . . . . . . . . . . . 101
Camilla Gomes and Jasmine M. Wong
v

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Contents
Axillary Surgery for Breast Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Mackenzie N. Abraham, Rachael B. Lancaster, and Catherine C. Parker
Oncoplastic Breast Reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Pamela Rudnicki, Cara Moses, Amanda Fang, and Brad Denney
Part III Esophageal and Gastric Surgery
Minimally Invasive Anti-Reflux Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Madison Grasty and Victoria Gershuni
Laparoscopic Paraesophageal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . 163
Amber L. Shada
Minimally Invasive Treatment of Achalasia . . . . . . . . . . . . . . . . . . . . . . . . . 179
Kristen A. Wong
Laparoscopic Assisted Robotic Sleeve Gastrectomy, Laparoscopic
Assisted Robotic Roux-en-Y Gastric Bypass . . . . . . . . . . . . . . . . . . . . . . . . 195
Givi Basishvili and Carla Holcomb
Gastric Resection: Laparoscopic Wedge Resection, Laparoscopic
Subtotal Gastrectomy, Laparoscopic Total Gastrectomy . . . . . . . . . . . . . . 209
Eric Chuang, Alexander Hien Vu, Mohammad Suleman Bajwa,
and Fareed Cheema
Minimally Invasive Treatment of Ulcer Disease: Laparoscopic
Graham Patch, Laparoscopic Vagotomy and Antrectomy . . . . . . . . . . . . . 227
Christian Adkisson and David Weithorn
Esophagectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Michael Jureller, John Jay, and Dhiresh Rohan Jeyarajah
Laparoscopic Splenectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
Nicole Lunardi and Hillary B. Prince
Part IV Small Bowel and Appendix Surgery
Small Bowel Resection and Anastomosis . . . . . . . . . . . . . . . . . . . . . . . . . . . 273
Lauren Raff and Trista Reid
Appendectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285
Michelle M. Holland Wahlgren and Mohammad Zain G. Hashmi
Meckel’s Diverticulum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297
Janet Rae Julson and Chinwendu Onwubiko
Part V Colorectal Surgery
Right Hemicolectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307
Cyrus Feizpous, Meghan Lark, and Sanjay Mohanty

Contents
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vii
Sigmoid Colectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
Maria Unuvar and Rebecca L. Hoffman
Low Anterior Resection and Abdominoperineal Resection . . . . . . . . . . . . 339
S. Thomas Kang and Drew Gunnells
Total Abdominal Colectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345
Mary G. Smithson and Drew Gunnells
Stomas (Colostomy and Ileostomy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351
David Habib and Fady Elabbasy
Part VI Anorectal Surgery
Anorectal Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363
Christine Choi
Anorectal Fistula Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369
Sowmya Sharma and Julia T. Saraidaridis
Hemorrhoid Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381
S. Thomas Kang and Robert Hollis
Lateral Internal Sphincterotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 389
Samantha L. Savitch, Richard E. Burney, and Pasithorn A. Suwanabol
Part VII Hernia Surgery
Lichtenstein Tension-Free Open Inguinal Hernia Repair . . . . . . . . . . . . . . 399
Zachary N. Weitzner, David C. Chen, and Ian T. MacQueen
Minimally Invasive Inguinal Hernia Repair: TAPP, TEP,
and eTEP Approaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409
Adam T. Lucy and Margaux N. Mustian
Ventral Hernia Repair- Preperitoneal and Underlay . . . . . . . . . . . . . . . . . 423
Patrick McCarty and Alisa M. Coker
Advanced Techniques in Ventral Hernia Repair: Retromuscular
Mesh Placement and Myofascial Releases . . . . . . . . . . . . . . . . . . . . . . . . . . 437
Caroline G. Porter and Vahagn C. Nikolian
Off-Midline Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 447
Emaad Iqbal, Artem Shmelev, and Dina Podolsky
Part VIII Hepatobiliary Pancreas Surgery
Hepatic Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461
Antony Haddad and Timothy E. Newhook
Perihilar Cholangiocarcinoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 487
José Donizeti de Meira Júnior and Ismael Dominguez Rosado

viii
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Contents
Biliary Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 499
Miguel Angel Mercado and Gabriela Del Angel Millán
Ampullectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 505
Gabriela Ochoa and Ismael Dominguez-Rosado
Pancreatoduodenectomy (Whipple Procedure) . . . . . . . . . . . . . . . . . . . . . . 513
Katherine McElroy and J. Bart Rose
Distal Pancreatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527
Felicia L. Zhang, Angela L. Hill, and Natasha Leigh
Other Pancreatic Resections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 539
Angela L. Hill, Felicia L. Zhang, and Natasha Leigh
Surgical Treatment of Chronic Pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . 547
Alexa Hughes and Eugene P. Ceppa
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 563

Part I
https://t.me/med1917
Endocrine Surgery

Total Thyroidectomy andThyroid
https://t.me/med1917
Lobectomy
WenShen
1 Indications
Indications for thyroidectomy can be grouped into three categories [1]:
(i) Goiters with compressive symptoms [2, 3]. Asymptomatic patients may be
considered for thyroidectomy based on patient or surgeon preference.
(ii) Hyperthyroidism or thyroiditis, where medical treatment is contraindicated or
undesirable [4–6]
(iii) Nodules with suspected or known malignancy [7]
Extent of thyroidectomy is dependent on characteristics of the underlying disease,
as well as patient clinical prole [1]. Lobectomy may be considered in patients with
small, well-differentiated malignant nodules without high-risk features [7]. In carefully selected patients, outcomes for lobectomy are comparable to those of total
thyroidectomy, though completion surgery may be required in a small number of
cases [8, 9].
2 Preoperative Preparation
All patients undergoing thyroidectomy should have preoperative biochemical thyroid function tests as well as a neck ultrasound with ne-needle aspiration biopsies
of any suspicious nodules that would not be removed with surgery (i.e. if
W. Shen (*)
Endocrine Surgery Section, Department of Surgery, UCSF Medical Center—Mount Zion,
University of California, San Francisco, San Francisco, CA, USA
e-mail: Wen.Shen2@ucsf.edu
Switzerland AG 2024
H. Chen, B. Lindeman (eds.), Illustrative Handbook of General Surgery,
https://doi.org/10.1007/978-3-031-63878-7_1
3© The Author(s), under exclusive license to Springer Nature
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