Surgical Anatomy for Mastery of Open Operations-1판

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In today’s surgical environment, open operations have declined in frequency, but the
need for a practical, superbly
illustrated reference in this area is still great. Ideal for both trainee and experienced
surgeons, Surgical Anatomy
and Mastery of Open Operations: A Multimedia Curriculum for Training Residents achieves
this goal with expert coverage
of essential open procedures, both common and uncommon. In print and on video, this “go
to” resource includes
clinical highlights, practical tips, and detailed illustrations.

◦ Organizes dozens of procedures according to common anatomic categories, with step-
by-step descriptions, high-
quality illustrations, and over 70 accompanying videos.

◦ Provides details and nuances about proper exposure, as well as technical information
essential to performing open
operations safely and efficiently.

◦ Covers once-common operations that are still essential in the modern surgeon’s
repertoire, such as common bile duct
exploration, choledochoduodenostomy, splenectomy, and partial gastric resections.

◦ Includes operations which have been demonstrated to be associated with better patient
outcomes, such as total
mesorectal excision.

◦ Covers pulmonary resections; thyroidectomy, oophorectomy, and hysterectomy; and a
wealth of vascular exposures which
are necessary to treat vascular injury and disease.

◦ Compiles the expertise and knowledge of experienced contributing and reviewing
surgeons, as well as an anatomist and
medical illustrator, to highlight Dr. Jensen’s work with residents in the hands-on
surgical anatomy lab at the
University of North Dakota.

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Chapter 1. Head and Neck 1

1. Parotid Gland and Facial Nerve (Parotidectomy) 2

2. Submandibular Gand (Submandibular Gland Excision) 6

3. Emergency and Permanent Surgical Airways (Chicothyrotomy. Tracheostomy) 8

4. Thyroid and Parathyroids (Thyroidectomy Parathyroidectomy) 11

5. Node-Bearing Areas of the Neck (Radical Neck Dissection) 16

6. Deep Cervical Spaces Network of Cervical Spaces 25

7. Carotid Artery (Carotid Endarterectomyl) 26

8. Axillary Artery (Exposure for Axillary Artery Bypass) 28

9. Base of the Neck Subclavian Artery and Vein 30


Chapter 2. Breast and Neurovascular System of the Upper Extremity 34

1. Breast (Mastectomy) 35

2. Axilla (Axillary Node Dissection) 36

3. Lipper Extremity (Vascular Access) 39

4. Wrist and Hand (Carpal Tunnel Release) 44


Chapter 3. Thorax 48

1. Diaphragm, Vagus, and Phrenic Nerves (First Section Diaphragm incisions) 49

2. Pericardium (Pericardictomy. Open Cardiac Massage, Pericardial Window) 52

3. Heart and Mediastinal Lymph Node Stations (Cardiac Anatomy for General Surgeons
Tracheoinnominate Fistula, Nadal
Stations for Cancer Resections) 54

4. Left Upper Lobe (Left Upper Lobectomy) 59

5. Left Lower Lobe (Left Lower Lobectomy) 64

6. Right Upper Lobe (Right Upper Lobectomy) 66

7. Right Middle Lobe (Right Middle Lobectomy) 69

8. Right Lower Lobe (Right Lower Lobectomy) 71

9. Diaphragm Vagus, and Phrenic Nerves (Last Section) 73

10. Thoracic Sympathetic Trunk (Thoracic Sympathectomy) 75

11. Thoracic Splanchnic Nerves (Splanchnicectomy) 76

12. Esophagus, Thoracic Duct, Recurrent Laryngeal Nerves, and Vagus Nerves 77


Chapter 4. Abdominal Wall 79

1. Inguinal Region: Groin Hernia 80

2. Spigelian Hernia:Lateral Ventral Heria 88

3. Umbilical Hemia 90

4. Obturator Hemia 92

5. Uncommon Hernias 93


Chapter 5. Small and Large Intestine 95

1. Omentum (Omental Mobazation, mentectomy) 96

2. Appendix (Appendectomy) 97

3. Right Colon (Right Hemicolectomy) 99

4. Left Colon (Left Hemicolectomy) 102

5. Superor Mesenteric Artery (Roux-en-Y Procedure) 105

6. Rectum (Total Mesorectal Excision, TME) 109


Chapter 6. Stomach, Duodenum, and Esophagus 114

1. Vagus Nenes (Truncal and Highly Selective Vagotomy) 115

2. Esophageal Hiatus (Nissen Fundoplication) 118

3. Greater Curvature of the stomach and Short Gastric Vessels (Mobilization for
Esophagectomy or Fundoplication) 122

4. Distal Esophagus (Heller Myctomy) 124

5. Pylorus (Pyloromyctomy. Pyloroplasty, Bleeding Ulcer, Ladd Bands) 126

6. Duodenal Segment (Ligament of Treitz/SMA Syndrome) 134

7. Gastrotomy and Gastrostomes 136

8. Esophagus (Transhiatal Esophagectomy) 138

9. Gastric Resection (Antrectomy, Hem Subtotal,Complete) 142


Chapter 7. Liver, Biliary System, Pancreas, and Spleen 146

1. Gallbladder (Cholecystectomy) 147

2. Common Bile Duct (Common Bile Duct Exploration Transsphincter Stent) 150

3. Choledochoduodenostomy 153

4. Right Hepatic Lobectomy 155

5. Left Hepatic Lobectomy 160

6. Ampolla of Vater (Sphincteroplasty) 162

7. Pancreaticoduodenectomy (Whipple Procedure) 165

8. Splenectomy 170

9. Distal Pancreatectory (With/Without Splenectomy) 173


Chapter 8. Kidney, Adrenal, Ureters, and Bladder 175

1. Left Adrenal (Left Adrenalectomy) 176

2. Right Adrenal Gland (Right Adrenalectomy) 178

3. Left Kidney (Left Radical Nephrectomy) 179

4. Right Kidney (Right Radical Nephrectomy) 181

5. Meal Conduit for Urinary Diversion 182



Chapter 9. Pelvis 186

1. Obturator Canal and Hernia (see Chapter for Obturator Hernia) 187

2. Rectum (see Chapter 5 for TME) 187

3. Bladder and Ureters (see Chapter 8) 187

4. Uterus and Ovaries (Hysterectomy and Bilateral salpingo-Bophorectomy) 187

5. Urinary Diversion (see Chapter 8) 192

6. Testicles (Orchiectomy) 192


Chapter 10. Aorta, Iliac Arteries, and Blood Supply to the Lower Extremity (Vascular
Exposure) 195

1. Ascending Aorta, Aortic Arch and Descending Thoracic Aorta 196

2. Descending Thoracic Aorta 196

3. Abdominal Aorta 199

4. Common External and internal liac Arteries 199

5. Common Superficial and Deep Femoral Arteries 201

6. Above Knee Popliteal Artery 205

7. Below Knee Popliteal Artery 206

8. Proximal Anterior Tibial Artery 208

9. Distal Anterior Tibial Artery 209

10. Praximal Posterior al Artery 211

11. Distal Posterior Tibial Artery 215

12. Peroneal Artery 215

13. Saphenous Vein 215

14. Fasciotomy 219


Works Consulted 221


Index 225