Книга_841_Библиотеки_им_академика_М_И_Перельмана

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<<< < Предыдущая 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 4142 / 4242

438

Index

– left gastric artery transection

123–124

– mobilisation along greater and

lesser curvatures 123 – oesophageal transection 124 – operative diﬃculties 124–125 – passage reconstruction 124 – retrogastric mobilisation 123–124

Gastric carcinoma

– and AEG

– multimodal therapeutic

strategies 135 – surgical procedures according to

classiﬁcation 135–136

– Jähne’s operative technique for

– diﬃcult situations handled by 154 – intraoperative challenges

in 154–155 – intrathoracic anastomosis 153 – pre-and intraoperative setting 146 – resection in 146–150 – Roux-en-Y loop 153 – Roux-en-Y reconstruction

methods 151–153 – Siewert types 153 – subtotal distal gastrectomy

153–154

Gastric oncology, Corcione’s surgical

technique – D2 lymphadenectomy 128–129 – distal lymph node bloc

dissection 128

– esophagal retraction into

mediastinum 130

– lymphadenectomy along lesser

curvature 129

– mesentery vascular segment

elongation 129–130 – R0 gastrectomy 129 – remnant gastrectomy

procedures 130–131 – retrogastric approach with stomach

and omentum 129 – Roux-en-Y transmesocolic side-to-

side esophagojejunal

anastomosis 129 – stapler access closure 130

Gastric sleeve resection. See

Laparoscopic sleeve gastrectomy (LSG)

Gastric sleeve surgery, MCDA

application for 16, 19 Gastric/oesophageal transection 124 Gastroesophageal junction (GEJ) 115 Gastroesophageal reﬂux diseases (GERD)

– laparoscopic antireﬂux surgery for

– cardioesophageal junction

reconstruction 38 – hiatoplasty 38 – operative diﬃculties 40 – pars ﬂaccida opening and

retrocardiac mobilization of

esophagus 37

– phrenicoesophageal ligament and

His angle dissection 37

– short gastric vessels divishion and

fundus mobilization 37–38

– upside-down stomach

surgery 38–40

– Stefanidis’s surgical techniques for

(see Gastric bypass, Stefanidis’s surgical techniques for)

– upside-down stomach 54

Gastrointestinal stromal tumors (GIST)

– distal gastrectomy 99 – intragastric resection 99 – intraoperative diﬃculties in 99–100 – laparoscopic gastric wedge

resection 98

– laparoscopic transgastric

resection 98

– multivisceral resection 99

– Raut’s surgical technique for

– adherence to structure 114–115 – goals of surgery 111 – intraoperative complications 114 – intraoperative diﬃculties 116 – laparoscopic approach 111–113 – near gastroesophageal junction/

pylorus 115 – open approach 113–114 – positive margins, pathological

ﬁndings 116 – preoperative considerations

110–111 – prognostic factors 110 – reoperative gastric surgery 115

– subtotal and total gastrectomy 99

– surgical factors 98 Gastroscopic grasper 84 Genital function 395–397 GERD. See Gastroesophageal reﬂux

disease (GERD) Gerota’s fascia 282 Gibbus formation, by Morbus Bechterew

deformities 168 GIST. See Gastric gastrointestinal stromal

tumors (GIST) Greenstein’s surgical technique

– for Crohn’s disease

– duodenal ﬁstula 207 – sigmoid and rectal ﬁstulae

207–208

– stricturing disease

208–209

– subacute perforation

204–206

– for ulcerative colitis

– hand-assisted laparoscopic

surgery 196

– laparoscopic technique

197–200

– preoperative strategy and

planning 196

GWR. See Laparoscopic gastric wedge

resection (GWR)

Hand-assisted laparoscopic surgery

(HALS), for ulcerative colitis 196

Hartmann’s procedure, for sigmoid

diverticulitis 296–298, 300

Heineke-Mikulicz pyloroplasty

213–214

Hemicolectomy, for colon cancer

– by laparoscopic right

232–233

– by open right 230–231

Hemorrhagic, acute ulcerative

colitis 225

Hepatobiliary and arterial anatomical

variants, in Crafa’s surgical

technique 181 Hepatocystic duct angle 174–175 Herniation of stomach. See Intrathoracic

stomach Hiatal hernias

– Dallemagne’s surgical technique for

(see (Large hiatal hernias, Dallemagne’s surgical technique))

– Feussner’s surgical technique for

– access into hiatus 47 – antireﬂux surgeries 46 – diaphragmatic hernia

closure 48–49 – dissection 47–48 – fundoplication 49–50 – intraoperative situation 49–50 – paraesophageal hernia/upside-

down stomach 50–51 – preoperative diagnostic

workup 46–47

– Fuchs’s surgical technique for

– Collis gastroplasty linear

stapler 56 – esophagus mobilization 55 – fundoplication 56–57 – hiatoplasty 56, 57 – patient preparation 55 – preoperative diagnostic

workup 55 – principles of dissection 55 – short gastric vessels division 56

Hoelscher’s surgical technique, for

adenocarcinoma of esophagogastric

junction (AEG) – classiﬁcation and staging 134–136 – diagnostics 134 – diaphragmatic crus dissection 138 – diﬃcult situations handled 143 – distal esophagus dissection 138 – endoscopic/surgical resection

134–135

– extent of resection

135–137 – gastric fundus 137 – greater omentum dissection 137 – intraoperative diﬃculties in

143–144

Index

439

H–K

– J-pouch formation in abdominal

gastrectomy 141 – left gastric vein suture 138 – lymphadenectomy

137–138 – median laparotomy 137 – multimodal therapeutic

strategies 135 – opening of esophageal hiatus 137 – patient preparation 137 – peritoneal carcinomatosis

exclusion 137 – postpyloric duodenum

dissection 137 – purse-string suture 139 – reconstruction after

gastrectomy 139–141 – retrogastric connective tissue 138 – right gastric artery suture 137 – small omentum dissection 137 – spleen preservation 138 – subtotal gastric resection 141–142 – surgical procedures according to

classiﬁcation 135–136 – transhiatal extended

gastrectomy 138–141

Hohenberger’s surgical technique

– rectal cancer

– abdominoperanal intersphincteric

rectal resection 331–332 – anterior rectal resection 329–330 – colonic pouch formation 332 – left colon mobilization 328–329 – low anterior resection 330–331 – low anterior resection

syndrome 332 – sphincter preservation

328

– right hemicolectomy

– central lymph node dissection 253 – duodenum and pancreatic

mobilization

251 – hepatic ﬂexure and the transverse

colon 253 – ileocolic vein dissection

252 – ileocolic vessels dissection 253 – preparation 250 – right colon mobilization

250–251

Hyperthermic intraperitoneal

chemotherapy (HIPEC) 162–163

Hypogastric nerve preservation 387–

388

Ileocolic anastomosis

– intracorporeal

– advantages 237–238, 240 – disadvantages 238–240

– iso-versus antiperistaltic 240 – totally stapled versus stapled/

handsewn 239–240

– right hemicolectomy 245–246

Ileostomy

– deﬁnite 218–219 – patient position 219

– stitch technique 219 Incontinence 395 Inferior epigastric vessels injury,

management of 341 Inferior hypogastric plexus 388–390 International Index of Erectile Function

(IIEF) 384 International Prostate Symptom Score

(IPSS) 384 Intersphincteric rectal resection

325–326 Intestinal stenosis,

strictureplasties 213–215 Intracorporeal anastomosis

(ileotransversostomy) 257, 259 Intracorporeal ileocolic anastomosis

– advantages 237–238, 240 – disadvantages 238–240 – iso-versus antiperistaltic 240 – totally stapled versus stapled/

handsewn 239–240 Intragastric resection, in GIST 99 Intrahepatic gallbladder 180–181 Intraoperative cholangiogram

(IOC) 182–183

Intraoperative diﬃculty, classiﬁcation

of 4–5

IOC. See Intraoperative cholangiogram

(IOC)

Izbicki’s surgical techniques, for sigmoid

diverticulitis – Hartmann’s procedure 296–298 – laparoscopic sigmoid resection

297–298 – loop ileostomy 296, 298 – open Hartmann’s procedure 300 – open loop ileostomy

299–300 – operational tactics 296 – sigmoid colon, open resection

of 298–299 – timing of intervention 296

J-pouch 217, 218 J-pouch formation 141 Jähne’s operative technique, for gastric

carcinoma – diﬃcult situations handled by 154 – duodenal mobilization 147

– duodenal stump closure 149

– duodenum transection 149 – esophagus embracement 147 – gastrosplenic ligament

transection 150

– intraoperative challenges in 154–155 – intrathoracic anastomosis 153 – left gastric artery dissection 150 – left lobe of liver mobilization

146–147 – lymph node dissection 147 – lymphadenectomy

– at celiac trunk 149–150 – at hepatoduodenal ligament 148 – below pylorus and right

gastroepiploic vessels 148–149 – omentectomy 148 – peritoneum incision 146–147 – pre-and intraoperative setting 146 – Roux-en-Y reconstruction

methods 151–153 – Siewert types 153 – skin incision and transverse

laparotomy 146 – small omentum incision 146–147 – subtotal distal gastrectomy 153–154 – transected esophagus holded with

Ellis clamps 150 – truncal vagotomy 150

Jayne’s surgical technique, rectal

prolapse – diﬃcult situations 416 – intraoperative complications

416–417 – operative technique 414–415 – patient selection 414 – postoperative care 416 – preparation 414

Kalﬀ’s left hemicolectomy

– diﬃcult situations handled in

– blood perfusion, of resection

margins 270 – splenic injury 269 – under emergency conditions 270 – ureteral injury 269

– intraoperative challenges 270–271 – postoperative management 269 – preparation 268 – surgical technique

268–269

Kneist’s autonomic pelvic nerves

preservation – case examples 393–399 – clinical examination 384 – hypogastric nerves

387–388

– imaging diagnostics

384–385

– inferior hypogastric plexus 388–390

– intraoperative diﬃculties 399–400 – intraoperative neuromonitoring

391–392 – medical history 384 – neoadjuvant radiochemotherapy 385 – pelvic neuroanatomy 385–386

440

Index

– pelvic splanchnic nerves 388–390 – plexus mesentericus inferior 386–387 – postoperative aspects 392–393 – superior hypogastric plexus 387–388 – surgery technique 385 – tumor inﬁltration 386

Laparoscopic antireﬂux surgery

– for GERD

– cardioesophageal junction

reconstruction 38

– compact-pyramidal trocar

position 36 – hiatoplasty 38 – intraoperative diﬃculties 40 – pars ﬂaccida opening and

retrocardiac mobilization of

esophagus 37 – phrenicoesophageal ligament and

His angle dissection 37 – short gastric vessels division and

fundus mobilization 37–38 – upside-down stomach

surgery 38–40

– Watson’s techniques

– case studies 76–77 – fundoplication construction 73–74 – intraoperative situations 74–76 – Nissen fundoplication

73–74 – operating room setup 72 – operative technique 72–73 – preoperative workup 72

Laparoscopic approach

– anterior rectum resection 312 – for gastric cancer

– bursa omentalis opening 122 – duodenum mobilisation and

transection 123 – grading of operative

diﬃculties 124–125 – greater omentum detachment 122 – left gastric artery transection

123–124 – oesophageal transection 124 – passage reconstruction 124 – retrogastric mobilisation 123–124 – stomach mobilisation along

greater and lesser curvatures 123

– for rectal cancer 310, 312–313

Laparoscopic cholecystectomy (LC) 168

– abnormal anatomy 180 – anticipation 176–178 – baseline structured surgical

strategy 173 – Budde-Rocko’s triangle 174–175 – Cantlie’s line 174 – CBD plane 174 – common bile duct stones 183–187

– cystic artery 174–176 – cystic duct 175–176 – extrahepatic bile duct injuries

182–183 – hepatocystic duct angle 174–175 – infundibulum 174–175 – intraoperative diﬃculty 173 – pathological anatomy 181–182 – technical aspects 178–180 – variants 180–181

Laparoscopic gastric wedge resection

(GWR) 98

Laparoscopic left hemicolectomy, for

colon cancer 264–265

Laparoscopic low anterior resection, for

rectal cancer – anesthesia considerations 378 – diﬃcult situations 380–381 – patients position 378 – pneumoperitoneum 380 – pouch formation 379–380 – sigmoid colon mobilisation 378 – splenic ﬂexure mobilisation

378–379

Laparoscopic paraesophageal hernia

repair 68

Laparoscopic rectal resection 326 Laparoscopic resection rectopexy

410–412

Laparoscopic right hemicolectomy

– for colon cancer

– grading of operative

diﬃculties 233 – ileotransverse anastomosis 233 – right colon mobilisation 232 – specime removal 233 – trocar placement 232 – vessels transection 232

– Saad’s surgical technique and diﬃcult

situation 255–260

Laparoscopic sigmoid resection

297–298

Laparoscopic sleeve gastrectomy (LSG),

Gagner’s surgical techniques – anterior left fat pad dissection 103 – contraindications 102 – distal antral mobilization 103 – distal staple line oversewing

103–104 – greater curvature mobilization 102 – indications 102 – intraoperative situations 104–106 – left crus exposure and dissection 103 – oversewing intersections 104 – postoperative problems 106–107 – stapling 103–104 – trocar position 102

Laparoscopic surgery, for ulcerative

colitis – distal dissection 198 – opening lesser sac 199 – positioning 197

– right hemicolectomy 199 – splenic ﬂexure dissection 198–199 – stapling rectosigmoid junction 198 – transection of terminal lleum 200 – transverse colon dissection 200

– trocar placement 197 Laparoscopic transgastric resection 98 Laparoscopic upside-down stomach

surgery 38 – fundopexy/fundoplication 40 – hernia sac opening and removal and

mobilization of cardioesophageal

junction 39 – hiatoplasty 39–40 – stomach repositioning 39

Laparoscopic ventral rectopexy

414–417

Laparoscopic-assisted right colectomy

– operating room 236 – surgical technique

236–239

Large crural defect, laparoscopic repair

of UDS 69–70

Large hiatal hernia

– Dallemagne’s surgical technique

for 42–44 – Fuchs’s surgical technique for 54

LC. See Laparoscopic cholecystectomy

(LC)

Left colectomy, for splenic ﬂexure

tumours 278–280

Left gastric artery injury, laparoscopic

repair of UDS 69

Left hemicolectomy

– for colon cancer

– intraoperative diﬃculties,

classiﬁcation of 265 – laparoscopic 264–265 – open technique 264

– Kalﬀ’s surgical technique and diﬃcult

situation 268–271

– Schiedeck’s surgical technique

– intraoperative diﬃculties 285–286 – operation technique 282–284 – patient preparation 282

Lindsetmo’s surgical technique, for

rectal cancer – abdominal cavity access 340 – abdominoperineal resection 339 – adipose patient 340–341 – conversion 339–340

– diﬃcult situations

341–342 – high anterior resection 335–337 – laparoscopic surgery,

contraindications to 335 – locally advanced tumours 339 – low anterior resection 337–338 – patient positioning 340 – port placement 340 – quality control 341 – technical tips 340

Index

441

L–P

Lithotomy 347 Liver cirrhosis, diagnosis of 270–271 Liver metastases 270, 395–396 Long-segment Barrett esophagus 38 Longo’s surgical technique, rectal

prolapse – external rectal prolapse 424 – POPS technique 425–426 – SIR procedure 424–425 – stapled hemorrhoidopexy

420–422

– STARR 422–424

Loop ileostomy, for sigmoid

diverticulitis 296, 298–300

Low anterior rectal resection

– in open technique

– anastomosis 305–306 – mesenteric inferior vessels

transection 304 – PME/TME 304–305 – protective stoma 306 – rectal transection 305 – sigmoid and descending colon

mobilisation 304

– laparoscopic technique 306–307 Low anterior resection syndrome 332 Lumbar discitis 417

M. gluteus maximus ﬂap 374–375 Massive gallbladder calciﬁcation,

porcelain gallbladder 181

MCDA. See Multi-criteria decision

analysis (MCDA) Medical therapy freedom 23–24 Mesenteric defect 240 Mesh complications 416 Mirizzi II 169 Mirizzi syndrome 181 Mittal’s surgical technique, for

intrathoracic stomach

– anti-reﬂux procedure 63–64 – crural closure 62–63 – diﬃcult situations handled in

– bleeding 64 – classiﬁcation of grading

– crus tearing with primary

closure 65

– inability to stomach

reduction 64 – short esophagus 64 – visceral injury 64–65

– gastrostomy tube placement with

endoscopy 64 – mediastinal dissection 62 – patient preparation 60 – preoperative workup 60 – reduction of hernia sac 61

Mixed hiatal hernia, Fuchs’s surgical

technique for 54

Morbus Bechterew deformities and

gibbus formation 168

Mortensen’s surgical technique, for rectal

cancer

– abdominal part, procedure

for 345–346 – abdominoperineal resection 345 – diﬃcult situations 347–349 – preparation 345 – procedure for perineal part 346–347

Mucinous rectal cancer 398 Multi-criteria decision analysis

(MCDA) 8–9

– alternative bariatric procedures, risk

assessment in 12–13 – bariatric surgery, risk assessment in

– alternative propensity

scores 15–16 – complications 13 – decision model 12–13 – gastric banding 12–13, 16 19 – gastric bypass 16, 18 – gastric sleeve 12–13 – gastric sleeve alternatives 16, 19 – inﬂuence scores and susceptibility

scores 14–15 – patient characteristic scores 14 – Roux-en-Y gastric bypass 12–13

Nathanson retractor, of gastric

bypass 90

Navez’s surgical technique, for common

bile duct stones

– intraoperative diﬃculties

191–192 – laparoscopic management of 190 – subtotal cholecystectomy with inside

approach 190–191 – technical diﬃculties 190

Neoadjuvant radiochemotherapy

(nRCT) 385 Neoadjuvant therapy, for GIST 111 Nerve injury, management of 341–342

Oesophageal transection 124 Oncologic gastric surgery. See Corcione’s

surgical technique, for gastric

oncology Open left hemicolectomy, for colon

cancer 264 Open right hemicolectomy, for colon

cancer

– approach 230 – exploration 230 – ileotransverse anastomosis 231 – right colon mobilisation 230 – vessels transection 231

Paraesophageal hernia

– Feussner’s surgical technique

of 50–51

– Fuchs’s surgical technique for 54 Partial mesorectal excision (PME) 316 Parvaiz’s surgical technique, rectal

cancer – equipment 353 – initial workup 352 – laparoscopic TME 352 – operative technique

– anastomosis 359–361 – colonic mobilisation 353–356 – laparoscopic total mesorectal

excision 356–359 – loop ileostomy 361 – port placement 353 – postoperative care 361 – specimen extraction 359 – transverse colon mobilisation 356 – vascular pedicle, isolation and

ligation 354–355

– patient positioning 352–353 – patient preparation 352

Parvaiz’s surgical techniques, for splenic

ﬂexure tumours

– left colectomy

– advantages and

disadvantages 279 – anastomosis 279 – hepatic ﬂexure mobilisation 279 – left colon mobilisation 278–279 – set-up and port site 278 – transverse colon mobilisation 279

– right colectomy

– advantages and

disadvantages 277 – anastomosis 277 – left colon mobilisation 276–277 – right colon mobilisation 275–276 – transverse colon mobilisation 277

Pelvic lymph nodes, tumours in 339 Pelvic nerves preservation, autonomic

– case examples 393–399 – clinical examination 384 – hypogastric nerves 387–388 – imaging diagnostics

384–385 – inferior hypogastric plexus 388–390 – intraoperative diﬃculties 399–400 – intraoperative neuromonitoring

391–392 – medical history 384 – neoadjuvant radiochemotherapy 385 – pelvic neuroanatomy 385–386 – pelvic splanchnic nerves 388–390 – plexus mesentericus inferior

386–387 – postoperative aspects 392–393 – superior hypogastric plexus 387–388

442

Index

– surgery technique 385 – tumor inﬁltration 386

Pelvic organ prolapse suspension (POPS)

425–426 Pelvic splanchnic nerves 388–390 Peritoneal carcinomatosis 270 Plexus mesentericus inferior nerve

386–387 Pneumothora 114 Porcelain gallbladder 169 Portal hypertension 271 Pouch design 218 Pouch redo surgery, by Vestweber

219–221

– intraoperative ﬁndings 219–220 – resected parts 220 – stenosis, specimen with 220, 221

– villous area, specimen with 220, 221 Presacral bleeding 348 Protective ileostomy 325 Pseudo-short esophagus 38 Pylorus 115

Raut’s surgical technique, for

gastrointestinal stromal tumors (GISTs)

– diﬃcult situations handled in

– adherence to structure 114–115 – near gastroesophageal junction/

pylorus 115

– positive margins, pathological

ﬁndings 116

– reoperative gastric surgery 115 – goals of surgery 111 – intraoperative complications 114 – intraoperative diﬃculties 116 – open approach

– patient selection 113

– preparation 113

– technique 114 – patient selection 111–112 – preoperative considerations

– neoadjuvant therapy 111

– patient selection for surgery

110–111 – presentation 110 – staging and medical clearance 111

– preparation 112 – prognostic factors 110

– technique 112–113 Real short esophagus 38 Rectal cancer

– Anthuber’s surgical technique

310–313

– Büchler’s surgical techniques

316–321

– Fuerst’s surgical techniques

for 324–326

– Hohenberger’s surgical

technique 328–332

– intraoperative diﬃculties 307 – laparoscopic low anterior

resection 378–381

– Lindsetmo’s surgical technique

335–342

– low anterior resection

– in laparoscopic technique

306–307

– in open technique

304–306

– Mortensen’s surgical technique

for 344–349 – Parvaiz’s surgical technique 352–361 – rectum extirpation 307 – Sagar’s surgical technique 364–369 – Wexner’s surgical technique

for 378–381

Rectal ﬁstulae 207–208 Rectal prolapse

– external 424 – Fuchs’s surgical techniques

for 410–412 – intraoperative diﬃculties 407 – Jayne’s surgical technique for

415–417 – length of 406 – Longo’s surgical technique 420–426 – perineal and abdominal

approach 406 – previous pelvic and perineum

surgery 406 – special constellation 406 – with other pelvic ﬂoor disorders 406

Rectal resection

– abdominoperanal

intersphincteric 331–332 – anterior 329–330 – high anterior resection 335–337 – laparoscopic low anterior

resection 378–381 – low anterior 337–338

– in open technique

304–306

– laparoscopic technique

306–307 Recurrent rectal prolapse 417 Remnant gastrectomy (RG)

procedures 130–131

Right colectomy, for splenic ﬂexure

tumours 275–277

Right hemicolectomy

– for colon cancer

– by laparoscopic 232–233

– by open 230–231 – for ulcerative colitis 199 – Gainant’s surgical technique and

diﬃcult situations in 244–247

– Hohenberger’s surgical technique

and diﬃcult situations 251–253

Risk

– deﬁnition 8 – history 9

Risk assessment

– and decision analysis 8–9

– MCDA decision model, alternative

bariatric procedures 12, 13

– surgical risk factors 12

– in medicine

– colon and uterine cancer,

abdominal surgery for 8

– computer-aided decision-

making 10 – Monte Carlo simulation 11 – RAND appropriateness method 11

– risk communication 9–10

– standard risk matrix 8 Risk stratiﬁcation, in primary GIST 110 Roux-en-Y anastomosis

– for gastric carcinoma 151–153

– gastrojejunal anastomosis 160

– Roux-en-Y esophagojejunostomy

139–141

Roux-en-Y gastric bypass (RYGB) 12–13, 93

S-Foregut-surgery. See also Single-

access-laparoscopy and Foregut-

surgery – S-gastric resection 83–85 – S-gastric ulcer repair 85–86 – S-Nissen fundoplication, in

Foregut-surgery 82–83

Saad’s laparoscopic right

hemicolectomy – colon specimen extraction 258–260 – intracorporeal anastomosis

(ileotransversostomy) 257, 259

– intraoperative diﬃculties

classiﬁcation 260 – operation technique 256–258 – patient preparation 256

Sagar’s surgical technique, rectal cancer

– composite abdomino-sacral resection

– abdominal phase

364–365 – preoperative evaluation 364 – preoperative radiotherapy 364 – preparation 364 – S2/S3 junction, tumour

extension 366–367 – sacrectomy phase 365–366

– diﬃcult situations handled in 369 – surgical approach 367–369

Schiedeck’s left hemicolectomy

– intraoperative diﬃculties 285–286 – operation technique

– colonic mesentery dissection 283 – sigmoid colon mobilisation 282 –

splenic ﬂexure mobilisation 282 – transverse colon dissection 284

– patient preparation 282

Short esophagus 54, 64

Index

443

R–U

Short gastric vessels 37–38 Short-segment Barrett esophagus 38 Sigmoid diverticulitis

– anastomosis, testing of 290–291 – colon mobilization 290 – distal line resection 290 – Izbicki’s surgical techniques for

– Hartmann’s procedure 296–298 – laparoscopic sigmoid

resection 297–298 – loop ileostomy 296, 298 – open Hartmann’s procedure 300 – open loop ileostomy 299–300 – open resection, of sigmoid

colon 298–299 – operational tactics 296 – timing of intervention 296

– proximal colon, palpably normal 290 – surgical approach 290, 291 – technical diﬃculties during

– intestinal continuity

reestablishment 291–293 – primary surgery 290

Sigmoid ﬁstulae 207–208 Single-access-laparoscopy and

Foregut-surgery

– classiﬁcation of patients, in

intraoperative diﬃculty 87 – curved grasping forceps 86–87 – curved reusable instruments 81–82 – ﬁnal scar length 83 – laparoscopic instruments 80 – patient and team positioning 80–81 – S-gastric resection 83–85 – S-gastric ulcer repair 85–86 – S-Nissen fundoplication

82–83 – umbilical access 80–81

Single-incision laparoscopic surgery

(SILS) 212 Single-port incisions 212 Small bowel injury 341 Small bowel obstructions (SBO)

240, 416 Small bowel, tumours in 339 Small gastric fundus, in laparoscopic

antireﬂux surgery 75–76 Soft intraperitoneal rectosuspension

(SIR) 424–425 Soper’s surgical technique, for

upside-down stomach (UDS)

– complications of 70 – evaluation of 68 – follow-up 70 – laparoscopic repair

– distal esophagus

mobilization 68–69 – esophageal dilator 69 – esophageal hiatus dissection 68 – gastric fundus 69 – gastrocolic and gastrosplenic

omentums division 68

– hernia sac resection 69 – orogastric tube positioning 68 – patient positioning 68 – pitfalls and recovery 69–70

– post-operative regimen 70 Sphincter preservation 328 Splenic ﬂexure 198–199 Splenic ﬂexure tumours, Parvaiz’s

surgical techniques – intraoperative challenges 279–280 – left colectomy 278–280 – right colectomy 275–277 – risk classiﬁcation 279

Splenic injury 269 Stapled ileocolic anastomosis 239 Stapled transanal rectal resection

(STARR) technique 422–424

Stapled/handsewn anastomosis 240 Stefanidis’s surgical techniques, for

gastroesophageal reﬂux disease

(GERD) – gastric bypass, after fundoplication

failure 90

– operative technique

– accessory left hepatic artery 91 – gastric pouch 92 – mesenteric defects closure 92 – Nathanson retractor 90 – peritoneal cavity 90 – Stamm/Witzel technique 92

– trocar positioning 90–91 – postoperative course 93 – preoperative assessment 90 – special or unusual situations handled

in 90 Stenosis, intestinal 213–215 Stoma closure 399 Strictureplasties, intestinal

stenosis 213–215

Stricturing disease, in Crohn’s

disease 208–209

Subacute perforation with abscess

formation – ileocolic anastomosis 205–206 – ileocolic Crohn’s mass 205 – retroperitoneal abscess, drainage

of 204

Subtotal cholecystectomy 179

– with gallbladder and inside

approach 190–191

Subtotal distal gastrectomy, for gastric

carcinoma 153–154

Subtotal gastrectomy

– in gastric cancer 160 – in GIST 99

Subtotal gastric resection 141–142 Superior hypogastric plexus nerve

387–388

Superior mesenteric vessels injury 246 Surgeons

– classiﬁcations and staging 28–29 – diﬃcult situations handled by 30–32

– guidelines on deﬁnitions 30–31 – sceptic thoughts of deﬁnitions 30 – systematic lymphadenectomy 29

Surgical standards 5

– documentation 25 – enlightenment 25 – legal framework 22–23 – medical therapy, freedom of 23–24 – new treatment/outsider

methods 24–25

– policies and guidelines 23 Symptomatic cholecystolithiasis 168 Synchronous liver metastasis 339

T4 tumors 240–241

– during Kalﬀ’s left hemicolectomy 270 Total gastrectomy

– in gastric cancer 158–160

– in GIST 99 Total mesorectal excision (TME) 316

– autonomic nerve-sparing 324 Transanal endoscopic applicator

(TEA) 411

Transhiatal extended gastrectomy

138–141

Type III paraesophageal hernia. See

Upside-down stomach (UDS)

Ulcerative colitis (UC) 217

– abdominal drains after

operations 222 – acute, toxic 225 – diﬃcult situations 225–226 – Greenstein’s surgical technique for

– hand-assisted laparoscopic

surgery 196 – laparoscopic technique 197–200 – preoperative strategy and

planning 196

– hemorrhagic, acute 225 – history 217

Unilateral M. gluteus maximus ﬂap

374–375

Upper abdominal adhesions, in

laparoscopic antireﬂux surgery 75

Upside-down stomach

(UDS). See also Paraesophageal hernia

– Soper’s surgical technique for

– complications of 70 – crural defect, closures of 69 – distal esophagus

mobilization 68–69 – esophageal dilator 69 – esophageal hiatus dissection 68 – follow-up 70 – gastric fundus 69

444

Index

– gastrocolic and gastrosplenic

omentums division 68 – hernia sac resection 69 – insertion of laparoscope 68 – orogastric tube positioning 68 – patient positioning 68 – pitfalls and recovery 69–70 – post-operative regimen 70

Upside-down stomach surgery 38

– cardioesophageal junction

mobilization 39 – fundopexy/fundoplication 40 – hernia sac opening and removal 39 – hiatoplasty 39–40 – stomach repositioning 39

Ureteral injury 348

– during Kalﬀ’s left hemicolectomy 269 – during right hemicolectomy 246 – management of 341

Urethral closure 398 Urethral injury 348 Urinary bladder, tumours in 339 Uterus impairment 313

V-point and retroesophageal fat pad,

in esophagus 37

Vaginal injury, management of 342

Vagus nerve/gastrotomy, during hernia

sac resection in UDS 69 Vascular injury 416 Vestweber’s surgical technique, for

Crohn’s disease

– anastomosis, suturing technique

for 213

– bowel and enteric ﬁstulae,

conglomeration of 222

– bowel with connective tissue

infection 223 – cancer and ulcerative colitis 221 – diﬃcult situations handled

in 222–226 – ﬁstulae, abdominal 217–221 – intestinal anastomosis 213 – single-port incisions 212 – stenosis, intestinal 213–215 – ulcerative colitis 217, 222 225–226

Video-assisted thoracoscopic surgery

(VATS) lobectomy, for lung cancer 24

VRAM (vertical rectus abdominis

muscle) ﬂap 375

Watson’s surgical techniques

– laparoscopic antireﬂux surgery

– fundoplication construction

73–74

– intraoperative diﬃcult

situations 74–75 – operating room setup 72 – operative technique 72–73 – preoperative workup 72

– personal experiences 76–77

Weitz’s surgical technique,

rectal cancer – anus suturing 373 – bilateral M. gluteus maximus

ﬂap 375 – inferior mesenteric artery 372 – low anterior rectum

resection 372 – preoperative preparation 372 – unilateral M. gluteus maximus

ﬂap 374–375 – ventral preparation 373 – VRAM (vertical rectus abdominis

muscle) ﬂap 375

Wexner’s surgical technique, rectal

cancer 378–381

Wound infection 347–348

<<< < Предыдущая 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 4142 / 4242

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