Operative Techniques in Breast, Endocrine, and Oncologic Surgery

1. Cover - p. Cover 2. Title Page - p. Cover 3. Copyright - p. iv 4. Contributing Authors - p. v 5. Series Preface - p. xi 6. Preface - p. xiii 7. Contents - p. xv 8. Video Contents List - p. xix 9. SECTION I: Breast Surgery - p. 1 10. Chapter 1. Breast Cyst Aspiration - p. 1 11. Definition - p. 1 12. Differential Diagnosis - p. 1 13. Patient History and Physical Findings - p. 2 14. Imaging and Other Diagnostic Studies - p. 2 15. Nonoperative Management - p. 2 16. Surgical Management - p. 2 17. Preoperative Planning - p. 2 18. Positioning - p. 2 19. Postoperative Care - p. 6 20. Complications - p. 6 21. Chapter 2. Fine Needle Aspiration of a Breast Mass - p. 7 22. Definition - p. 7 23. Patient History and Physical Findings - p. 7 24. Imaging and Other Diagnostic Studies - p. 7 25. Differential Diagnosis - p. 7 26. Nonoperative Management - p. 7 27. Surgical Management - p. 7 28. Postoperative Care - p. 13 29. Outcomes - p. 13 30. Complications - p. 13 31. Chapter 3. Percutaneous Breast Core Needle Biopsy - p. 14 32. Definition - p. 14 33. Differential Diagnosis - p. 14 34. Patient History and Physical Findings - p. 14 35. Imaging and Other Diagnostic Studies - p. 14 36. NonOperative Management - p. 14 37. Surgical Management - p. 14 38. Postoperative Care - p. 20 39. Complications - p. 20 40. Chapter 4. Wire-Localized Breast Biopsy - p. 21 41. Definition - p. 21 42. Patient History and Physical Findings - p. 21 43. Imaging and Other Diagnostic Studies - p. 21 44. Surgical Management - p. 21 45. Postoperative Care - p. 27 46. Outcomes - p. 27 47. Complications - p. 27 48. Chapter 5. Subareolar Duct Excision - p. 29 49. Definition - p. 29 50. Anatomy - p. 29 51. Patient History and Physical Findings - p. 29 52. Imaging and Other Diagnostic Studies - p. 29 53. Differential Diagnosis - p. 30 54. Nonoperative Management - p. 30 55. Surgical Management - p. 30 56. Postoperative Care - p. 35 57. Outcomes - p. 35 58. Complications - p. 35 59. Chapter 6. Reflector Localized Breast Biopsy - p. 37 60. Definition - p. 37 61. Differential Diagnosis - p. 37 62. Patient History and Physical Findings - p. 37 63. Imaging and Other Diagnostic Studies - p. 37 64. Surgical Management - p. 38 65. Postoperative Care - p. 44 66. Outcomes - p. 44 67. Complications - p. 44 68. ACKNOWLEDGMENT - p. 44 69. Chapter 7. Magnetic Seed Localized Breast Biopsy - p. 45 70. Definition - p. 45 71. Indications - p. 45 72. Equipment - p. 45 73. Patient History and Physical Findings - p. 46 74. Imaging and Other Diagnostic Studies - p. 46 75. Surgical Management - p. 46 76. Postoperative Care - p. 50 77. Complications - p. 50 78. Chapter 8. Cryoablation of Breast Fibroadenomas - p. 51 79. Cryoablation Treatment for Breast Fibroadenomas - p. 51 80. Differential Diagnosis - p. 51 81. Patient History and Physical Findings - p. 51 82. Imaging and Other Diagnostic Studies - p. 52 83. Surgical Management - p. 52 84. Postoperative Care - p. 58 85. Outcomes - p. 59 86. Complications - p. 59 87. Chapter 9. Lumpectomy for Breast Cancer - p. 60 88. Definition - p. 60 89. Patient History and Physical Findings - p. 60 90. Imaging and Other Diagnostic Studies - p. 60 91. Surgical Management - p. 61 92. Postoperative Care - p. 67 93. Outcomes - p. 67 94. Complications - p. 68 95. Chapter 10. Parallelogram Mastopexy Lumpectomy - p. 69 96. Definition - p. 69 97. Patient History and Physical Examination - p. 69 98. Imaging and Other Diagnostic Studies - p. 69 99. Patient Selection - p. 69 100. Postoperative Care - p. 72 101. Outcomes - p. 72 102. Complications - p. 72 103. Acknowledgments - p. 72 104. Chapter 11. Batwing Mastopexy Lumpectomy - p. 73 105. Definition - p. 73 106. Patient History and Physical Findings - p. 73 107. Imaging and Other Diagnostic Studies - p. 73 108. Surgical Management - p. 73 109. Postoperative Care - p. 76 110. Outcomes - p. 76 111. Complications - p. 76 112. Chapter 12. Donut Mastopexy Lumpectomy - p. 77 113. Definition - p. 77 114. Differential Diagnosis - p. 77 115. Patient History and Physical Findings - p. 77 116. Imaging and Other Diagnostic Studies - p. 77 117. Surgical Management - p. 77 118. Postoperative Care - p. 83 119. Complications - p. 83 120. Chapter 13. Reduction Mammoplasty Lumpectomy - p. 84 121. Definition - p. 84 122. Patient History and Physical Findings - p. 84 123. Imaging and Other Diagnostic Studies - p. 84 124. Multidisciplinary Approach - p. 84 125. Surgical Management - p. 84 126. Postoperative Care - p. 90 127. Complications - p. 90 128. Chapter 14. Techniques for Correcting Lumpectomy Defects - p. 92 129. Definition - p. 92 130. Patient History and Physical Findings - p. 92 131. Imaging and Other Diagnostic Studies - p. 92 132. Goals and Expectations - p. 93 133. Surgical Management - p. 93 134. Postoperative Care - p. 101 135. Complications and Considerations - p. 101 136. Acknowledgments - p. 101 137. Chapter 15. Cryoablation of Breast Cancer - p. 102 138. Definition - p. 102 139. Patient History and Physical Findings - p. 102 140. Imaging and Other Diagnostic Studies - p. 102 141. Chapter 16. Sentinel Lymph Node Biopsy for Breast Cancer - p. 107 142. Definition - p. 107 143. Patient History and Physical Findings - p. 107 144. Imaging and Other Diagnostic Studies - p. 107 145. Surgical Management - p. 107 146. Postoperative Care - p. 109 147. Outcomes - p. 109 148. Complications - p. 109 149. Chapter 17. Sentinel Lymph Node Surgery With Resection of the Index Biopsy-Proven Positive Node (Targeted Axillary Dissection) - p. 111 150. Definition - p. 111 151. Patient Selection - p. 111 152. Patient History and Physical Findings at Initial Breast Cancer Diagnosis - p. 111 153. Imaging and Other Diagnostic Studies Prior to Neoadjuvant Therapy - p. 112 154. Post-neoadjuvant Therapy Evaluation and Imaging - p. 112 155. Surgical Management - p. 113 156. Postoperative Care - p. 117 157. Chapter 18. Simple Mastectomy - p. 119 158. Definition - p. 119 159. Patient History and Physical Findings - p. 119 160. Imaging and Other Diagnostic Studies - p. 120 161. Surgical Management - p. 120 162. Postoperative Care - p. 128 163. Outcomes - p. 128 164. Complications - p. 128 165. Chapter 19. Skin-Sparing and Nipple/Areolar-Sparing Mastectomy - p. 129 166. Definition - p. 129 167. Anatomy - p. 129 168. Patient History and Physical Findings - p. 129 169. Preoperative Imaging and Other Diagnostic Studies for Operable Breast Cancer - p. 131 170. Surgical Management - p. 132 171. Postoperative Care - p. 136 172. Outcomes - p. 136 173. Complications - p. 136 174. Chapter 20. Modified Radical Mastectomy - p. 138 175. Definition - p. 138 176. Patient History and Physical Findings - p. 138 177. Imaging and Other Diagnostic Studies - p. 138 178. Surgical Management - p. 139 179. Postoperative Care - p. 147 180. Outcomes - p. 147 181. Complications - p. 147 182. SECTION II: Breast Reconstruction - p. 148 183. Chapter 21. Direct-to-Implant Breast Reconstruction - p. 148 184. Definition - p. 148 185. Anatomy - p. 148 186. Natural History - p. 149 187. Patient History and Physical Findings - p. 149 188. Differential Surgical Treatment Options - p. 149 189. Nonoperative Management - p. 149 190. Surgical Management - p. 149 191. Postoperative Care - p. 152 192. Outcomes - p. 152 193. Complications - p. 152 194. Chapter 22. Two-Stage Implant Breast Reconstruction - p. 154 195. Definition - p. 154 196. Patient History and Physical Findings - p. 154 197. Surgical Management - p. 154 198. Postoperative Care - p. 165 199. Outcomes - p. 166 200. Complications - p. 166 201. Chapter 23. Pedicled Latissimus Dorsi Flap for Breast Reconstruction After Mastectomy - p. 168 202. Definition - p. 168 203. Anatomy - p. 168 204. Patient History and Physical Findings - p. 168 205. Imaging and Other Diagnostic Studies - p. 169 206. Surgical Management - p. 169 207. Postoperative Care - p. 175 208. Outcomes - p. 176 209. Complications - p. 177 210. Chapter 24. Pedicled Transverse Rectus Abdominis Myocutaneous Flap Breast Reconstruction - p. 178 211. Definition - p. 178 212. Patient History and Physical Findings - p. 178 213. Surgical Management - p. 179 214. Postoperative Care - p. 183 215. Complications - p. 184 216. Outcomes - p. 184 217. Chapter 25. Deep Inferior Epigastric Perforator Flap Breast Reconstruction After Mastectomy - p. 186 218. Definition - p. 186 219. Anatomy - p. 186 220. Patient History and Physical Findings - p. 187 221. Imaging and Other Diagnostic Studies - p. 187 222. Surgical Management - p. 187 223. Postoperative Care - p. 194 224. Outcomes - p. 195 225. Complications - p. 195 226. Chapter 26. Nipple-Areolar Complex Reconstruction - p. 196 227. Definition - p. 196 228. Patient History and Physical Findings - p. 196 229. Surgical Management - p. 196 230. Postoperative Care - p. 201 231. Outcomes - p. 201 232. Complications - p. 201 233. SECTION III: Cutaneous Oncology - p. 202 234. Chapter 27. Excisional and Incisional Biopsies of Skin and Soft Tissue Lesions - p. 202 235. Definition - p. 202 236. Differential Diagnosis - p. 202 237. Patient History and Physical Findings - p. 202 238. Imaging and Other Diagnostic Studies - p. 203 239. Surgical Management - p. 203 240. Postoperative Care - p. 209 241. Complications - p. 209 242. Chapter 28. Wide Excision of Primary Cutaneous Melanoma - p. 211 243. Definition - p. 211 244. Differential Diagnosis - p. 211 245. Patient History and Physical Findings - p. 211 246. Imaging and Other Diagnostic Studies - p. 212 247. Surgical Management - p. 212 248. Postoperative Care - p. 222 249. Outcomes - p. 222 250. Complications - p. 222 251. Chapter 29. Advancement and Rotational Flaps - p. 223 252. Definition - p. 223 253. Patient History and Physical Findings - p. 224 254. Imaging and Other Diagnostic Studies - p. 224 255. Surgical Management - p. 224 256. Postoperative Care - p. 231 257. Complications - p. 231 258. Outcomes - p. 231 259. Chapter 30. Skin Grafts - p. 233 260. Definitions - p. 233 261. Patient History/Indications - p. 233 262. Imaging/Other Studies - p. 233 263. Surgical Management - p. 233 264. Postoperative Care - p. 238 265. Complications - p. 238 266. Chapter 31. Digit Amputations - p. 239 267. Definition - p. 239 268. Patient History and Physical Findings - p. 239 269. Imaging and Other Diagnostic Studies - p. 239 270. Surgical Management - p. 239 271. Postoperative Care - p. 244 272. Outcomes - p. 244 273. Complications - p. 244 274. Chapter 32. Resection of Head and Neck Melanoma - p. 246 275. Definition - p. 246 276. Differential Diagnosis - p. 246 277. Patient History and Physical Findings - p. 246 278. Imaging and Other Diagnostic Studies - p. 247 279. Surgical Management - p. 247 280. Postoperative Care - p. 256 281. Outcomes - p. 256 282. Complications - p. 256 283. Chapter 33. Sentinel Lymph Node Biopsy for Melanoma - p. 257 284. Definitions - p. 257 285. Clinical Importance - p. 257 286. Identifying the Appropriate Candidates - p. 258 287. Patient History and Physical Findings - p. 260 288. Preoperative Radiographic Studies - p. 260 289. Preoperative Lymphoscintigraphy - p. 261 290. Surgical Management - p. 263 291. Chapter 34. Axillary Lymph Node Dissection for Melanoma - p. 274 292. Definition - p. 274 293. Indications - p. 274 294. Patient History and Physical Findings - p. 274 295. Imaging and Other Diagnostic Studies - p. 275 296. Surgical Management - p. 275 297. Postoperative Care - p. 283 298. Outcomes - p. 283 299. Complications - p. 283 300. Chapter 35. Inguinal Lymph Node Dissection (Inguinofemoral and Ilioinguinal) for Metastatic Melanoma - p. 285 301. Definition - p. 285 302. Differential Diagnosis and Biopsy - p. 285 303. Indications for Inguinofemoral and Ilioinguinal Lymphadenectomy - p. 285 304. Imaging and Other Diagnostic Studies - p. 286 305. Neoadjuvant Therapy - p. 286 306. Surgical Management - p. 286 307. Postoperative Care - p. 294 308. Outcomes - p. 294 309. Complications and Relevant Management - p. 294 310. Chapter 36. Minimally Invasive Inguinal Lymph Node Dissection for Melanoma - p. 295 311. Definition - p. 295 312. Anatomy - p. 295 313. Natural History - p. 295 314. Patient History and Physical Findings - p. 295 315. Imaging and Other Diagnostic Studies - p. 295 316. Surgical Management - p. 297 317. Postoperative Care - p. 304 318. Outcomes - p. 304 319. Complications - p. 305 320. Acknowledgments - p. 305 321. Chapter 37. Selective Neck Dissection for Melanoma - p. 306 322. Definition - p. 306 323. Patient History and Physical Findings - p. 306 324. Imaging and Other Diagnostic Studies - p. 306 325. Surgical Management - p. 306 326. Postoperative Care - p. 313 327. Outcomes - p. 313 328. Complications - p. 313 329. Chapter 38. Popliteal Dissection - p. 314 330. Definition - p. 314 331. Patient History and Physical Findings - p. 314 332. Imaging and Other Diagnostic Studies - p. 314 333. Surgical Management - p. 315 334. Postoperative Care - p. 319 335. Outcomes - p. 319 336. Complications - p. 319 337. Chapter 39. Robotic Pelvic Node Dissection - p. 321 338. Definition - p. 321 339. Anatomy - p. 321 340. Indications - p. 321 341. Imaging and Other Diagnostic Studies - p. 322 342. Surgical Management - p. 322 343. Postoperative Care - p. 327 344. Complications - p. 327 345. Chapter 40. Epitrochlear Lymph Node Dissection - p. 328 346. Definition - p. 328 347. Patient History and Physical Findings - p. 328 348. Imaging and Other Diagnostic Studies - p. 328 349. Surgical Management - p. 328 350. Postoperative Care - p. 330 351. Data and Outcomes - p. 330 352. Complications - p. 331 353. Chapter 41. Intralesional Injection of Melanoma In-Transit Metastases - p. 332 354. Definition - p. 332 355. Differential Diagnosis - p. 332 356. Patient History and Physical Findings - p. 332 357. Imaging and Other Diagnostic Studies - p. 332 358. Surgical Management - p. 333 359. Postoperative Care - p. 336 360. Complications - p. 336 361. Chapter 42. Isolated Limb Infusion - p. 338 362. Definition - p. 338 363. Patient History and Physical Findings - p. 338 364. Imaging and Other Diagnostic Studies - p. 339 365. Surgical Management - p. 339 366. Postoperative Care - p. 342 367. Outcomes - p. 342 368. Complications - p. 343 369. Chapter 43. Isolated Limb Perfusion - p. 344 370. Definition - p. 344 371. Patient History and Physical Findings - p. 344 372. Imaging and Other Diagnostic Studies - p. 344 373. Surgical Management - p. 344 374. Postoperative Care - p. 351 375. Outcomes - p. 351 376. Complications - p. 352 377. Chapter 44. Principles of Extremity/Trunk Sarcoma Resection - p. 353 378. Definition - p. 353 379. Differential Diagnosis - p. 353 380. Patient History and Physical Findings - p. 353 381. Imaging and Other Diagnostic Studies - p. 353 382. Surgical Management - p. 353 383. Postoperative Care - p. 358 384. Complications - p. 358 385. Chapter 45. Principles of Retroperitoneal Sarcoma Resection - p. 359 386. Definition - p. 359 387. Differential Diagnosis - p. 360 388. Patient History and Physical Findings - p. 360 389. Imaging and Other Diagnostic Studies - p. 360 390. Surgical Management - p. 361 391. Postoperative Care - p. 364 392. Complications - p. 365 393. SECTION IV: Endocrine - p. 366 394. Chapter 46. Thyroidectomy - p. 366 395. Definition - p. 366 396. Anatomy - p. 366 397. Patient History and Physical Findings - p. 367 398. Imaging and Other Diagnostic Studies - p. 367 399. Surgical Management - p. 368 400. Postoperative Care - p. 374 401. Complications - p. 375 402. Acknowledgments - p. 375 403. Chapter 47. Thyroidectomy for Substernal Goiters - p. 376 404. Definition - p. 376 405. Patient History and Physical Findings - p. 376 406. Imaging and Other Diagnostic Studies - p. 376 407. Surgical Management - p. 376 408. Postoperative Care - p. 381 409. Complications - p. 381 410. Chapter 48. Subtotal Thyroidectomy for Graves Disease - p. 382 411. Definition - p. 382 412. Differential Diagnosis - p. 382 413. Patient History and Physical Findings - p. 382 414. Imaging and Other Diagnostic Studies - p. 383 415. Surgical Management - p. 383 416. Postoperative Care - p. 388 417. Outcomes - p. 388 418. Complications - p. 389 419. Chapter 49. Minimally Invasive Video-Assisted Thyroidectomy - p. 390 420. Definition - p. 390 421. Patient History and Physical Findings - p. 390 422. Imaging and Other Diagnostic Studies - p. 390 423. Postoperative Care - p. 396 424. Complications - p. 396 425. Chapter 50. Transoral Endoscopic Thyroidectomy and Parathyroidectomy - p. 398 426. Definition - p. 398 427. Patient History and Physical Findings - p. 398 428. Imaging and Other Diagnostic Studies - p. 398 429. Surgical Management - p. 398 430. Postoperative Care - p. 402 431. Complications - p. 402 432. Variations - p. 403 433. Chapter 51. Lymph Node Dissection in Thyroid Cancer - p. 404 434. Definition - p. 404 435. Patient History and Physical Findings - p. 404 436. Imaging and Other Diagnostic Studies - p. 404 437. Surgical Management - p. 404 438. Postoperative Care - p. 409 439. Outcomes - p. 409 440. Complications - p. 409 441. Chapter 52. Open Neck Exploration for Primary Hyperparathyroidism - p. 410 442. Definition - p. 410 443. Differential Diagnosis - p. 410 444. Patient History and Physical Findings - p. 410 445. Imaging and Other Diagnostic Studies - p. 411 446. Surgical Management - p. 412 447. Postoperative Care - p. 419 448. Outcomes - p. 419 449. Complications - p. 420 450. Chapter 53. Subtotal Parathyroidectomy or Total With Autologous Graft - p. 421 451. Definition - p. 421 452. Differential Diagnosis - p. 421 453. Patient History and Physical Findings - p. 421 454. Imaging and Other Diagnostic Studies - p. 421 455. Surgical Management - p. 422 456. Postoperative Care - p. 431 457. Outcomes - p. 431 458. Complications - p. 431 459. Chapter 54. Minimally Invasive Parathyroidectomy - p. 433 460. Definition - p. 433 461. Diagnosis and Indications for Surgery - p. 433 462. Imaging and Other Diagnostic Studies - p. 433 463. Surgical Management - p. 434 464. Postoperative Care - p. 437 465. Outcomes - p. 437 466. Complications - p. 437 467. Chapter 55. Endoscopic Parathyroidectomy by Lateral Approach - p. 438 468. Definition - p. 438 469. Differential Diagnosis - p. 438 470. Patient History and Physical Findings - p. 438 471. Imaging and Other Diagnostic Studies - p. 439 472. Surgical Management - p. 441 473. Postoperative Care - p. 447 474. Outcomes - p. 447 475. Complications - p. 448 476. Chapter 56. Reoperative Parathyroidectomy - p. 449 477. Definitions - p. 449 478. Patient History and Physical Findings - p. 449 479. Imaging and Other Diagnostic Studies - p. 449 480. Surgical Management - p. 449 481. Postoperative Care - p. 456 482. Outcomes - p. 456 483. Complications - p. 456 484. Chapter 57. Adrenalectomy: Open Anterior - p. 457 485. Definition - p. 457 486. Differential Diagnosis - p. 457 487. Patient History and Physical Findings - p. 457 488. Imaging and Other Diagnostic Studies - p. 457 489. Surgical Management - p. 458 490. Postoperative Care - p. 465 491. Outcomes - p. 465 492. Complications - p. 465 493. Chapter 58. Adrenalectomy: Open Thoracoabdominal - p. 467 494. Definition - p. 467 495. Differential Diagnosis - p. 467 496. Patient History and Physical Findings - p. 467 497. Imaging and Other Diagnostic Studies - p. 467 498. Surgical Management - p. 468 499. Postoperative Care - p. 474 500. Outcomes - p. 474 501. Complications - p. 474 502. Chapter 59. Adrenalectomy: Open Posterior - p. 475 503. Definition - p. 475 504. Differential Diagnosis - p. 475 505. Patient History and Physical Findings - p. 475 506. Imaging and Other Diagnostic Studies - p. 475 507. Surgical Management - p. 475 508. Postoperative Care - p. 479 509. Outcomes - p. 480 510. Complications - p. 480 511. Chapter 60. Laparoscopic Retroperitoneal Adrenalectomy - p. 481 512. Definition - p. 481 513. Surgical Management - p. 481 514. Postoperative Management - p. 485 515. Complications - p. 485 516. Results - p. 485 517. Chapter 61. Laparoscopic Adrenalectomy—Lateral Approach - p. 487 518. Definition - p. 487 519. Anatomy - p. 487 520. Pathogenesis - p. 487 521. Natural History - p. 487 522. Patient History and Physical Findings - p. 487 523. Imaging and Other Diagnostic Studies - p. 488 524. Nonoperative Management - p. 489 525. Surgical Management - p. 489 526. Postoperative Care - p. 492 527. Outcomes - p. 493 528. Complications - p. 493 529. Chapter 62. Insulinomas - p. 494 530. Definition - p. 494 531. Anatomy - p. 494 532. Natural History - p. 494 533. Laboratory Diagnosis - p. 494 534. Differential Diagnosis - p. 495 535. Imaging - p. 495 536. Nonoperative Management - p. 496 537. Postoperative Management After Insulinoma Resection - p. 501 538. Outcomes and Alternative Treatment to Surgery for Treatment of Insulinoma - p. 501 539. Chapter 63. Surgery for Glucagonoma - p. 503 540. Definition - p. 503 541. Patient History and Physical Findings - p. 503 542. Diagnosis - p. 503 543. Imaging and Other Diagnostic Studies - p. 503 544. Surgical Management - p. 504 545. Postoperative Care - p. 510 546. Outcomes - p. 510 547. Complications - p. 510 548. Index - p. I-1