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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1367_Библиотеки_им_академика_М_И_Перельмана
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336 Index
steps, 313, 314
ventral hernia,
complications, 320
overview, 318
postoperative course,
318, 319
technique, 318
Hiatal hernia repair,
contraindications, 53
gastropexy, 54, 55
indications, 49–52
Nissen fundoplication, see Nissen
fundoplication
paraesophageal hernia repair,
approaches, 53
complications, 54
costs, 55
fundoplication, 54
outcomes, 54
steps, 53
types of hernias, 48
Hydrocephalus, ventriculoperitoneal
shunting, 326
I
indications, 186
overview, 186, 188
procedure, 186, 187
LeVeen shunt, placement, 324
Lichtenstein repair, hernia, 315
LIS, see Lateral internal
sphincterotomy
Liver, see Hepatectomy
Low anterior resection (LAR),
complications and management, 178
contraindications, 176
costs, 178
indications, 176
overview, 175, 176, 178
procedure, 176
Lymph node dissection,
esophagectomy, 10
M
McVay repair, hernia, 315
Meckel’s diverticulum, see Small bowel
resection
Mesh repair, hernia, 315
Ileal conduit, urinary diversion, 152–154
Infection,
percutaneous endoscopic
gastrostomy complication, 132
urinary tract infection following
urinary diversion, 156
J
Jejunostomy tubes, see Percutaneous
enterostomy tube placement
Jejunum interposition, esophageal
reconstruction, 12
L
LAR, see Low anterior resection
Lateral internal sphincterotomy (LIS),
alternative procedures, 187, 188
complications and management, 187
contraindications, 186
costs, 188
N
Nissen fundoplication,
complications, 41–43
contraindications, 38
fundoplication options, 38, 40, 41,
43, 47
hiatal hernia repair, 47
indications, 37
laparoscopic technique,
advantages over open
technique, 43
costs, 44
development, 33, 34
procedure, 39
outcomes, 41
postoperative care, 41
preoperative evaluation, 38
transabdominal approach, 33, 38
Nonsteroidal anti-inflammatory drugs
(NSAIDs), peptic ulcer disease, 83

Index 337
NSAIDs, see Nonsteroidal
anti-inflammatory drugs
O
Obesity,
comorbidity, 115
gastric bypass, see Bariatric surgery
medical treatment, 115
prevalence, 115
Orthotopic neobladder, urinary
diversion, 153, 155
P
Pancreaticojejunostomy,
costs, 242
Frey procedure, 241
Puestow procedure,
complications, 241
overview, 239, 240
technique, 240, 241
Roux-en-Y pancreaticojejunostomy,
241
Pancreatic pseudocyst,
clinical presentation, 249, 250
definition, 249
diagnosis, 250
differential diagnosis, 250, 251
drainage,
alternative procedures, 244
complications, 244, 251
cystoduodenostomy, 244, 253, 254
cystogastrostomy, 242, 244,
253, 254
cystojejunostomy, 244
endoscopic ultrasound,
254, 255
endoscopic versus open
surgery outcomes,
251, 252
external drainage, 242
indications and contraindications,
242, 251
overview, 242, 425
transmural drainage, 252–254
transpapillary cystic
drainage, 252
incidence, 249
regression, 251
Pancreatic resection,
alternative treatments, 238, 239
distal pancreatectomy,
complications, 232
en-bloc splenectomy, 232
indications and contraindications,
231, 232
overview, 231, 232
splenic-sparing procedure, 232
duodenum-sparing proximal
pancreatic resection,
Beger procedure, 236
complications, 236–238
costs, 239
Frey procedure, 237
indications and contraindications,
236
overview, 235, 236, 239
physiologic changes, 238
total pancreatectomy,
complications, 234, 235
indications and contraindications,
234
procedure, 234
overview, 233, 235
Whipple procedure,
complications, 230
costs, 230
indications and contraindications,
228, 229
overview, 228, 230, 231
pylorus-sparing procedure, 230
standard procedure, 229, 231
Peptic ulcer disease (PUD),
risk factors,
Helicobacter pylori infection, 75
nonsteroidal anti-inflammatory
drugs, 83
smoking, 83
surgical management,
complications,
early, 81, 82
late, 82
costs, 84
gastric outlet obstruction, 81

338 Index
giant peptic ulcer, 84
hemorrhage, 79, 80
historical perspective,
antrectomy, 78
gastrojejunostomy, 75, 76
pyloroplasty, 76
subtotal gastrectomy, 75, 76
vagotomy, 76, 78, 79
perforation, 80
recurrent ulcers, 82, 83
stress gastritis, 84
Zollinger Ellison syndrome, 83
Percutaneous enterostomy tube
placement,
costs, 137
enteral feeding advantages, 123
options, 123
percutaneous endoscopic
gastrostomy,
advantages and disadvantages,
126, 129, 130
complications,
aspiration pneumonia, 130, 131
fistula, 133
gastroparesis, 131
granulation tissue, 133
hemorrhage, 132
infection, 132
peristomal leak, 131
peritonitis, 132
pneumoperitoneum, 131
tube migration, 132, 133
tube obstruction, 131, 132
contraindications, 124, 125
indications, 123, 124
introducer method, 125, 126
pull method, 125
push method, 125
tube removal, 133, 134
percutaneous jejunostomy,
endoscopic placement, 134, 135
indications, 134, 135
laparoscopic jejunostomy, 135–137
Roux-en-Y jejunostomy, 135
Witzel jejunostomy, 135
radiological gastrostomy, 126, 129
surgical gastrostomy,
closed technique, 128, 129
complications, 129
Stamm gastrostomy, 127
Witzel gastrostomy, 128
Peristomal leak, percutaneous
endoscopic gastrostomy
complication, 131
Peritoneal shunts,
continuous ambulatory peritoneal
dialysis catheter placement,
complications, 328, 329
open versus percutaneous method,
328
costs, 329
peritoneovenous shunts,
alternatives, 326
complications, 325, 326
Denver shunt, 324, 325
LeVeen shunt, 324
physiology, 323
ventriculoperitoneal shunting,
complications, 326, 327
indications, 326
technique, 326
Peritonitis, percutaneous endoscopic
gastrostomy complication, 132
Pneumoperitoneum, percutaneous
endoscopic gastrostomy
complication, 131
Portal hypertension,
complications, 283
definition, 283
gastroesophageal varices course in
cirrhosis, 283, 284
pathogenesis, 297
shunting, see Portasystemic
venous shunt;
Transjugular intrahepatic portosystemic
shunt
Portasystemic venous shunt,
complications,
ascites, 290
hepatic encephalopathy, 290
mortality, 289
rates, 290

Index 339
variceal hemorrhage, 290, 291
contraindications, 286
costs, 294
distal splenorenal shunt, 287
indications,
elective, 285, 286
emergent, 285
meso-caval shunt, 287, 289
outcomes by shunt type, 291, 292
partial shunts, 284, 285
porta-caval shunt, 279
preoperative evaluation
and preparation, 286, 287
sclerotherapy alternative, 292
selective shunts, 285
total shunts, 284
transjugular intrahepatic
portosystemic shunt,
see Transjugular intrahepatic
portosystemic shunt
Postvagotomy diarrhea syndrome,
postgastrectomy management, 112
Preperitoneal repair, hernia, 315
PUD, see Peptic ulcer disease
R
Rectal prolapse,
pathophysiology, 183
surgery,
alternative procedure, 184, 185
complications and management,
184, 185
costs, 185
indications and contraindications,
183, 184
overview, 183, 186
procedure, 184
Rectal surgery, see Abdomino-perineal
resection; Hemorrhoids; Lateral
internal sphincterotomy; Low
anterior resection; Rectal prolapse;
Total proctocolectomy with endileostomy; Total proctocolectomy
with ileo-anal anastomosis
Roux-en-Y gastric bypass (RYGB),
complications, 117–120
contraindications, 116
costs, 122
indications, 116
laparoscopy, 121
outcomes, 120, 121
postoperative care, 120
technique, 117
Roux-en-Y jejunal limb, see Biliary-
enteric anastomosis
Roux-en-Y jejunostomy, tube placement,
135
Roux-en-Y reconstruction,
complications, 106
contraindications, 105
gastric reservoir reconstruction,
106, 107
indications, 105
principles, 105
RYGB, see Roux-en-Y gastric bypass
S
SBS, see Short bowel syndrome
Short bowel syndrome (SBS),
cholelithiasis, 146
definition, 146
management, 146, 147
pathophysiology, 146
Shouldice repair, hernia, 315
Small bowel resection,
anastomosis requirements, 147
anatomy, 141
complications,
fistula, 147, 148
obstruction, 148
short bowel syndrome, 146, 147
contraindications, 142, 143
costs, 148
indications,
Crohn’s disease, 141, 142, 148
ischemia, 141, 142
Meckel’s diverticulum, 142
tumors, 142
physiological changes, 145, 146
Small stomach syndrome, post-
gastrectomy management, 112
Stomach cancer, see Gastric cancer

340 Index
T
TIPS, see Transjugular intrahepatic
portosystemic shunt
Total proctocolectomy with end-
ileostomy (TPC),
alternative procedures, 181
complications and management, 181
contraindications, 182
costs, 181
indications, 180
overview, 180, 181
procedure, 180, 181
Total proctocolectomy with ileo-anal
anastomosis (TPC-IPAA),
alternative procedures, 182, 183
complications and management, 182
contraindications, 182
costs, 183
indications, 182
overview, 181–183
TPC, see Total proctocolectomy
with end-ileostomy
TPC-IPAA, see Total proctocolectomy
with ileo-anal anastomosis
Transjugular intrahepatic portosystemic
shunt (TIPS),
advanced techniques, 301–303
alternatives, 306
complications, 305
contraindications, 199
costs, 294, 307
disadvantages, 293, 294
indications,
ascites, 298
Budd-Chiari syndrome, 299
hepatorenal syndrome, 299
pleural effusion, 299
surgical shunting comparison, 292
transplantation bridge, 299
variceal bleeding, 298
outcomes, 306, 326
overview, 297, 298, 307
postoperative care, 306
preoperative testing and
preparation, 303, 304
requirements, 198
technique, 300, 301
U
Ulcer, see Peptic ulcer disease
Ultrasound,
esophagectomy preoperative
evaluation, 5–7
gall bladder, 216–218
pancreatic pseudocyst,
drainage with endoscopic
ultrasound, 254, 255
imaging, 250
Urinary diversion,
bowel segments used, 151
complications and management,
anastomotic strictures, 156, 157
calculi, 157
metabolic derangements,
155, 156
urinary tract infection, 156
continent urinary diversions,
153
contraindications, 152
historical perspective, 152
ileal conduit, 152–154
indications, 151, 152
orthotopic neobladders, 153, 155
V
VBG, see Vertical banded gastroplasty
Ventral hernia repair,
complications, 320
overview, 318
postoperative course, 318, 319
technique, 318
Vertical banded gastroplasty (VBG),
complications, 117–120
contraindications, 116
costs, 122
indications, 116
laparoscopy, 121
outcomes, 120, 121
postoperative care, 120
technique, 117

Index 341
Vitamin deficiency,
bariatric surgery, 118–120
small bowel resection, 145, 146
W
Whipple procedure,
complications, 230
costs, 230
228, 229
overview, 228, 230, 231
pylorus-sparing procedure, 230
standard procedure, 229, 230
Witzel jejunostomy, tube
placement, 135
Z
Zenker’s diverticulum,
botulinum toxin therapy, 18, 19
clinical presentation, 17
cricopharyngeal lysis management,
19, 20
evaluation, 18
pathophysiology, 17
surgery,
complications, 21, 22
costs, 22
endoscopy, 20, 21
open technique, 19
Zollinger Ellison syndrome, surgical
management, 83

342 Index
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