With an emphasis on the “hows and whys” of contemporary surgery, Operative Techniques in Hepato-Pancreato-Biliary Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Drawn from the larger Operative Techniques in Surgery, Second Edition, this concise, stand-alone surgical atlas, overseen by editor-in-chief Mary T. Hawn and meticulously edited by Dr. Steven J. Hughes, focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results.
1. Introduction - p. 120 2. 17 Hepatic Neoplasm Ablation and Related Technology - p. 132 3. Definition - p. 132 4. Indications - p. 132 5. Contraindications - p. 133 6. Outcomes - p. 135 7. Complications - p. 136 8. 18 Catheter-Based Treatment of Hepatic Neoplasms - p. 138 9. Definition - p. 138 10. Differential Diagnosis - p. 138 11. Patient History and Physical Findings - p. 138 12. Imaging and Other Diagnostic Studies - p. 138 13. Surgical Management - p. 138 14. POSTOPERATIVE CARE - p. 144 15. Outcomes - p. 145 16. Complications - p. 145 17. 19 Segmental Hepatectomy - p. 146 18. Definition - p. 146 19. Patient History and Physical Findings - p. 146 20. Imaging and Other Diagnostic Studies - p. 146 21. Surgical Management - p. 146 22. POSTOPERATIVE CARE - p. 152 23. Outcomes - p. 152 24. Complications - p. 152 25. 20 Minimally Invasive Segmental Hepatic Resection - p. 153 26. Definition - p. 153 27. Rationale - p. 153 28. Approach - p. 153 29. Patient History and Physical Findings - p. 153 30. Preoperative Imaging - p. 153 31. Surgical Management - p. 153 32. 21 Right Hepatectomy - p. 160 33. Definition - p. 160 34. Patient History and Physical Findings - p. 160 35. Imaging and Other Diagnostic Studies - p. 160 36. Surgical Management - p. 160 37. POSTOPERATIVE CARE - p. 168 38. Outcomes - p. 168 39. Complications - p. 168 40. 22 Minimally Invasive Right Hepatectomy - p. 170 41. Definition - p. 170 42. Patient History and Physical Findings - p. 170 43. Imaging and Other Diagnostic Studies - p. 170 44. Surgical Management and Operative Technique - p. 171 45. POSTOPERATIVE CARE - p. 177 46. Outcomes - p. 177 47. Complications - p. 177 48. 23 Left Hepatectomy - p. 179 49. Definition - p. 179 50. Patient History and Physical Findings - p. 179 51. Imaging and Other Diagnostic Studies - p. 179 52. Surgical Management - p. 180 53. POSTOPERATIVE CARE - p. 185 54. Outcomes - p. 185 55. Complications - p. 185 56. Acknowledgment - p. 185 57. 24 Minimally Invasive Left Hepatic Lobectomy - p. 187 58. Definition - p. 187 59. Patient History and Physical Findings - p. 187 60. Imaging and Other Diagnostic Studies - p. 187 61. Surgical Management - p. 188 62. Postoperative Care - p. 194 63. Outcomes - p. 194 64. Complications - p. 194 65. 25 Robotic Liver Resection - p. 196 66. Definition - p. 196 67. Differential Diagnosis - p. 196 68. Patient History and Physical Findings - p. 196 69. Imaging and Other Diagnostic Studies - p. 196 70. Surgical Management - p. 197 71. Postoperative Care - p. 202 72. Outcomes - p. 202 73. Complications - p. 203 74. 26 Vena Cava Resection During Hepatectomy - p. 205 75. Definition - p. 205 76. Differential Diagnosis - p. 205 77. Medical History and Physical Examination - p. 205 78. Imaging and Other Laboratory Studies - p. 205 79. Surgical Management - p. 205 80. Postoperative Management - p. 212 81. Complications - p. 212 82. Outcomes - p. 212 83. 27 Right Hepatic Trisegmentectomy - p. 214 84. Definition - p. 214 85. Differential Diagnosis - p. 214 86. Patient History and Physical Findings - p. 214 87. Imaging and Other Diagnostic Studies - p. 214 88. Surgical Management - p. 215 89. Postoperative Care - p. 220 90. Outcomes - p. 220 91. Complications - p. 220 92. 28 Left Hepatic Trisectionectomy - p. 221 93. Definition - p. 221 94. Patient History and Physical Findings - p. 221 95. Imaging and Other Diagnostic Studies - p. 221 96. Surgical Management - p. 221 97. Postoperative Care - p. 228 98. Outcomes - p. 228 99. Complications - p. 228 100. 29 Ex Vivo Hepatic Resection - p. 229 101. Definition - p. 229 102. Differential Diagnosis/Indications - p. 229 103. Patient History and Physical Findings - p. 229 104. Imaging and Other Diagnostic Studies - p. 229 105. Surgical Management - p. 230 106. Postoperative Care - p. 235 107. Complications - p. 235 108. 30 Surgical Management of Hepatic Trauma - p. 236 109. Definition - p. 236 110. Differential Diagnosis - p. 236 111. Patient History and Physical Findings - p. 236 112. Imaging and Other Diagnostic Studies - p. 236 113. Surgical Management - p. 237 114. POSTOPERATIVE CARE - p. 243 115. Outcomes - p. 243 116. Complications - p. 243 117. Section III Surgery of the Pancreas - p. 245 118. 31 Pancreaticoduodenectomy: Resection - p. 245 119. Definition - p. 245 120. Differential Diagnosis - p. 245 121. Patient History and Physical Findings - p. 245 122. Imaging and Other Diagnostic Studies - p. 245 123. Surgical Management - p. 247 124. Postoperative Care - p. 256 125. Outcomes - p. 256 126. Complications - p. 256 127. 32 Pancreaticoduodenectomy: Minimally Invasive Resection - p. 257 128. Definition - p. 257 129. Differential Diagnosis - p. 257 130. Patient History and Physical Findings - p. 257 131. Imaging and Other Diagnostic Studies - p. 257 132. Surgical Management - p. 257 133. Postoperative Care - p. 265 134. Outcomes - p. 265 135. Complications - p. 265 136. 33 Pancreaticoduodenectomy: Robotic-Assisted Resection - p. 266 137. Definition - p. 266 138. Differential Diagnosis - p. 266 139. Patient History and Physical Findings - p. 266 140. Imaging and Other Diagnostic Studies - p. 266 141. Surgical Management - p. 267 142. Postoperative Care - p. 271 143. Outcomes - p. 271 144. Complications - p. 271 145. 34 Pancreaticoduodenectomy: Pancreaticojejunostomy - p. 273 146. Definition - p. 273 147. Patient History and Physical Findings - p. 273 148. Postoperative Care - p. 283 149. Outcomes - p. 283 150. 35 Pancreaticoduodenectomy: Pancreaticogastrostomy - p. 284 151. Definition - p. 284 152. Differential Diagnosis - p. 284 153. Patient History and Physical Findings - p. 284 154. Surgical Management - p. 284 155. Postoperative Care - p. 288 156. Outcomes - p. 288 157. Complications - p. 288 158. 36 Laparoscopic and Robotic Pancreaticojejunostomy - p. 289 159. Definition - p. 289 160. Patient History and Physical Findings - p. 289 161. Surgical Management - p. 289 162. Postoperative Care - p. 297 163. Complications - p. 297 164. Outcomes - p. 297 165. 37 Portal Vein Resection and Reconstruction - p. 298 166. Definition - p. 298 167. Patient History and Physical Findings - p. 298 168. Imaging and Other Diagnostic Studies - p. 298 169. Preoperative Planning - p. 299 170. Postoperative Care - p. 309 171. Outcomes - p. 309 172. Complications - p. 309 173. 38 Open Distal Pancreatectomy - p. 311 174. Definition - p. 311 175. Patient History and Physical Findings - p. 311 176. Imaging and Other Diagnostic Studies - p. 311 177. Surgical Management - p. 312 178. Postoperative Care - p. 317 179. Outcomes - p. 317 180. Complications - p. 318 181. 39 Minimally Invasive Distal Pancreatectomy - p. 319 182. Definition - p. 319 183. Differential Diagnosis - p. 319 184. Patient History and Physical Findings - p. 319 185. Imaging and Other Diagnostic Studies - p. 319 186. Surgical Management - p. 319 187. Postoperative Care - p. 330 188. Outcomes - p. 330 189. Complications - p. 330 190. 40 Distal Pancreatectomy With Splenic Preservation - p. 332 191. Definition - p. 332 192. Differential Diagnosis - p. 332 193. Patient History and Physical Findings - p. 332 194. Imaging and Other Diagnostic Studies - p. 332 195. Surgical Management - p. 333 196. Postoperative Care - p. 338 197. Outcomes - p. 338 198. Complications - p. 338 199. 41 Enucleation of Pancreatic Neuroendocrine Tumor - p. 340 200. Definition - p. 340 201. Differential Diagnosis - p. 340 202. Patient History and Physical Findings - p. 340 203. Imaging and Other Diagnostic Studies - p. 340 204. Surgical Management - p. 341 205. Postoperative Care - p. 343 206. Outcomes - p. 343 207. Complications - p. 344 208. 42 Operative Treatment of Gastrinoma - p. 345 209. Definition - p. 345 210. Differential Diagnosis - p. 345 211. Patient History and Physical Findings - p. 345 212. Imaging and Other Diagnostic Studies - p. 345 213. Surgical Management - p. 347 214. Postoperative Care - p. 353 215. Outcomes - p. 353 216. Complications - p. 353 217. 43 Lateral Pancreaticojejunostomy With (Frey) or Without (Puestow) Resection of the Pancreatic Head - p. 355 218. Definition - p. 355 219. Differential Diagnosis - p. 355 220. Patient History and Physical Findings - p. 355 221. Imaging and Other Diagnostic Studies - p. 355 222. Surgical Management - p. 356 223. Postoperative Care - p. 360 224. Outcomes - p. 361 225. Complications - p. 361 226. 44 Enteric Drainage of Pancreatic Pseudocysts: Pancreatic Cyst Gastrostomy and Cyst Jejunostomy - p. 362 227. Definitions - p. 362 228. Differential Diagnosis - p. 364 229. Patient History and Physical Findings - p. 364 230. Imaging and Other Diagnostic Studies - p. 364 231. Surgical Management - p. 365 232. Postoperative Care - p. 371 233. Complications - p. 371 234. REFERENCE - p. 371 235. 45 Pancreatic Necrosectomy - p. 372 236. Definition - p. 372 237. Patient History and Physical Findings - p. 372 238. Imaging and Other Diagnostic Studies - p. 372 239. Surgical Management - p. 373 240. Postoperative Care - p. 379 241. Outcomes - p. 379 242. Complications - p. 380 243. 46 Laparoscopic Pancreatic Necrosectomy - p. 381 244. Definition - p. 381 245. Differential Diagnosis - p. 381 246. Patient History and Physical Findings - p. 381 247. Imaging and Other Diagnostic Studies - p. 381 248. Surgical Management - p. 382 249. Postoperative Care - p. 385 250. Outcomes - p. 385 251. Complications - p. 385 252. 47 Endoscopic Pancreatic Debridement and Drainage - p. 386 253. Definition - p. 386 254. Differential Diagnosis - p. 386 255. Patient History and Physical Findings - p. 386 256. Imaging and Other Diagnostic Studies - p. 387 257. Surgical (Endoscopic) Management - p. 387 258. Postoperative Care - p. 392 259. Outcomes - p. 392 260. 48 Pancreas: Drainage, Distal Pancreatectomy/Splenectomy - p. 394 261. Definitions - p. 394 262. Indications - p. 394 263. Patient History, Physical Findings, and Diagnosis - p. 394 264. Imaging and Other Diagnostic Studies - p. 394 265. Surgical Management - p. 395 266. POSTOPERATIVE CARE - p. 397 267. Complications - p. 397 268. Section IV Surgery of the Spleen - p. 398 269. 49 Elective Splenectomy (Open and Minimally Invasive Techniques) - p. 398 270. Definition - p. 398 271. Differential Diagnosis - p. 398 272. Patient History and Physical Findings - p. 398 273. Surgical Management - p. 399 274. Postoperative Care - p. 406 275. Outcomes - p. 406 276. Complications - p. 406 277. 50 Splenorrhaphy - p. 407 278. Definition - p. 407 279. Differential Diagnosis - p. 407 280. Patient History and Physical Findings - p. 407 281. Imaging and Other Diagnostic Studies - p. 407 282. Surgical Management - p. 408 283. Postoperative Care - p. 415 284. Outcomes - p. 415 285. Complications - p. 416 286. 51 Splenic Injury: Splenectomy and Splenorrhaphy - p. 417 287. Definition - p. 417 288. Differential Diagnosis - p. 417 289. Patient History and Physical Findings - p. 417 290. Imaging and Other Diagnostic Studies - p. 417 291. Surgical Management - p. 418 292. Index - p. 422
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With an emphasis on the “hows and whys” of contemporary surgery, Operative Techniques in Hepato-Pancreato-Biliary Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Drawn from the larger Operative Techniques in Surgery, Second Edition, this concise, stand-alone surgical atlas, overseen by editor-in-chief Mary T. Hawn and meticulously edited by Dr. Steven J. Hughes, focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results.
1. Introduction - p. 120 2. 17 Hepatic Neoplasm Ablation and Related Technology - p. 132 3. Definition - p. 132 4. Indications - p. 132 5. Contraindications - p. 133 6. Outcomes - p. 135 7. Complications - p. 136 8. 18 Catheter-Based Treatment of Hepatic Neoplasms - p. 138 9. Definition - p. 138 10. Differential Diagnosis - p. 138 11. Patient History and Physical Findings - p. 138 12. Imaging and Other Diagnostic Studies - p. 138 13. Surgical Management - p. 138 14. POSTOPERATIVE CARE - p. 144 15. Outcomes - p. 145 16. Complications - p. 145 17. 19 Segmental Hepatectomy - p. 146 18. Definition - p. 146 19. Patient History and Physical Findings - p. 146 20. Imaging and Other Diagnostic Studies - p. 146 21. Surgical Management - p. 146 22. POSTOPERATIVE CARE - p. 152 23. Outcomes - p. 152 24. Complications - p. 152 25. 20 Minimally Invasive Segmental Hepatic Resection - p. 153 26. Definition - p. 153 27. Rationale - p. 153 28. Approach - p. 153 29. Patient History and Physical Findings - p. 153 30. Preoperative Imaging - p. 153 31. Surgical Management - p. 153 32. 21 Right Hepatectomy - p. 160 33. Definition - p. 160 34. Patient History and Physical Findings - p. 160 35. Imaging and Other Diagnostic Studies - p. 160 36. Surgical Management - p. 160 37. POSTOPERATIVE CARE - p. 168 38. Outcomes - p. 168 39. Complications - p. 168 40. 22 Minimally Invasive Right Hepatectomy - p. 170 41. Definition - p. 170 42. Patient History and Physical Findings - p. 170 43. Imaging and Other Diagnostic Studies - p. 170 44. Surgical Management and Operative Technique - p. 171 45. POSTOPERATIVE CARE - p. 177 46. Outcomes - p. 177 47. Complications - p. 177 48. 23 Left Hepatectomy - p. 179 49. Definition - p. 179 50. Patient History and Physical Findings - p. 179 51. Imaging and Other Diagnostic Studies - p. 179 52. Surgical Management - p. 180 53. POSTOPERATIVE CARE - p. 185 54. Outcomes - p. 185 55. Complications - p. 185 56. Acknowledgment - p. 185 57. 24 Minimally Invasive Left Hepatic Lobectomy - p. 187 58. Definition - p. 187 59. Patient History and Physical Findings - p. 187 60. Imaging and Other Diagnostic Studies - p. 187 61. Surgical Management - p. 188 62. Postoperative Care - p. 194 63. Outcomes - p. 194 64. Complications - p. 194 65. 25 Robotic Liver Resection - p. 196 66. Definition - p. 196 67. Differential Diagnosis - p. 196 68. Patient History and Physical Findings - p. 196 69. Imaging and Other Diagnostic Studies - p. 196 70. Surgical Management - p. 197 71. Postoperative Care - p. 202 72. Outcomes - p. 202 73. Complications - p. 203 74. 26 Vena Cava Resection During Hepatectomy - p. 205 75. Definition - p. 205 76. Differential Diagnosis - p. 205 77. Medical History and Physical Examination - p. 205 78. Imaging and Other Laboratory Studies - p. 205 79. Surgical Management - p. 205 80. Postoperative Management - p. 212 81. Complications - p. 212 82. Outcomes - p. 212 83. 27 Right Hepatic Trisegmentectomy - p. 214 84. Definition - p. 214 85. Differential Diagnosis - p. 214 86. Patient History and Physical Findings - p. 214 87. Imaging and Other Diagnostic Studies - p. 214 88. Surgical Management - p. 215 89. Postoperative Care - p. 220 90. Outcomes - p. 220 91. Complications - p. 220 92. 28 Left Hepatic Trisectionectomy - p. 221 93. Definition - p. 221 94. Patient History and Physical Findings - p. 221 95. Imaging and Other Diagnostic Studies - p. 221 96. Surgical Management - p. 221 97. Postoperative Care - p. 228 98. Outcomes - p. 228 99. Complications - p. 228 100. 29 Ex Vivo Hepatic Resection - p. 229 101. Definition - p. 229 102. Differential Diagnosis/Indications - p. 229 103. Patient History and Physical Findings - p. 229 104. Imaging and Other Diagnostic Studies - p. 229 105. Surgical Management - p. 230 106. Postoperative Care - p. 235 107. Complications - p. 235 108. 30 Surgical Management of Hepatic Trauma - p. 236 109. Definition - p. 236 110. Differential Diagnosis - p. 236 111. Patient History and Physical Findings - p. 236 112. Imaging and Other Diagnostic Studies - p. 236 113. Surgical Management - p. 237 114. POSTOPERATIVE CARE - p. 243 115. Outcomes - p. 243 116. Complications - p. 243 117. Section III Surgery of the Pancreas - p. 245 118. 31 Pancreaticoduodenectomy: Resection - p. 245 119. Definition - p. 245 120. Differential Diagnosis - p. 245 121. Patient History and Physical Findings - p. 245 122. Imaging and Other Diagnostic Studies - p. 245 123. Surgical Management - p. 247 124. Postoperative Care - p. 256 125. Outcomes - p. 256 126. Complications - p. 256 127. 32 Pancreaticoduodenectomy: Minimally Invasive Resection - p. 257 128. Definition - p. 257 129. Differential Diagnosis - p. 257 130. Patient History and Physical Findings - p. 257 131. Imaging and Other Diagnostic Studies - p. 257 132. Surgical Management - p. 257 133. Postoperative Care - p. 265 134. Outcomes - p. 265 135. Complications - p. 265 136. 33 Pancreaticoduodenectomy: Robotic-Assisted Resection - p. 266 137. Definition - p. 266 138. Differential Diagnosis - p. 266 139. Patient History and Physical Findings - p. 266 140. Imaging and Other Diagnostic Studies - p. 266 141. Surgical Management - p. 267 142. Postoperative Care - p. 271 143. Outcomes - p. 271 144. Complications - p. 271 145. 34 Pancreaticoduodenectomy: Pancreaticojejunostomy - p. 273 146. Definition - p. 273 147. Patient History and Physical Findings - p. 273 148. Postoperative Care - p. 283 149. Outcomes - p. 283 150. 35 Pancreaticoduodenectomy: Pancreaticogastrostomy - p. 284 151. Definition - p. 284 152. Differential Diagnosis - p. 284 153. Patient History and Physical Findings - p. 284 154. Surgical Management - p. 284 155. Postoperative Care - p. 288 156. Outcomes - p. 288 157. Complications - p. 288 158. 36 Laparoscopic and Robotic Pancreaticojejunostomy - p. 289 159. Definition - p. 289 160. Patient History and Physical Findings - p. 289 161. Surgical Management - p. 289 162. Postoperative Care - p. 297 163. Complications - p. 297 164. Outcomes - p. 297 165. 37 Portal Vein Resection and Reconstruction - p. 298 166. Definition - p. 298 167. Patient History and Physical Findings - p. 298 168. Imaging and Other Diagnostic Studies - p. 298 169. Preoperative Planning - p. 299 170. Postoperative Care - p. 309 171. Outcomes - p. 309 172. Complications - p. 309 173. 38 Open Distal Pancreatectomy - p. 311 174. Definition - p. 311 175. Patient History and Physical Findings - p. 311 176. Imaging and Other Diagnostic Studies - p. 311 177. Surgical Management - p. 312 178. Postoperative Care - p. 317 179. Outcomes - p. 317 180. Complications - p. 318 181. 39 Minimally Invasive Distal Pancreatectomy - p. 319 182. Definition - p. 319 183. Differential Diagnosis - p. 319 184. Patient History and Physical Findings - p. 319 185. Imaging and Other Diagnostic Studies - p. 319 186. Surgical Management - p. 319 187. Postoperative Care - p. 330 188. Outcomes - p. 330 189. Complications - p. 330 190. 40 Distal Pancreatectomy With Splenic Preservation - p. 332 191. Definition - p. 332 192. Differential Diagnosis - p. 332 193. Patient History and Physical Findings - p. 332 194. Imaging and Other Diagnostic Studies - p. 332 195. Surgical Management - p. 333 196. Postoperative Care - p. 338 197. Outcomes - p. 338 198. Complications - p. 338 199. 41 Enucleation of Pancreatic Neuroendocrine Tumor - p. 340 200. Definition - p. 340 201. Differential Diagnosis - p. 340 202. Patient History and Physical Findings - p. 340 203. Imaging and Other Diagnostic Studies - p. 340 204. Surgical Management - p. 341 205. Postoperative Care - p. 343 206. Outcomes - p. 343 207. Complications - p. 344 208. 42 Operative Treatment of Gastrinoma - p. 345 209. Definition - p. 345 210. Differential Diagnosis - p. 345 211. Patient History and Physical Findings - p. 345 212. Imaging and Other Diagnostic Studies - p. 345 213. Surgical Management - p. 347 214. Postoperative Care - p. 353 215. Outcomes - p. 353 216. Complications - p. 353 217. 43 Lateral Pancreaticojejunostomy With (Frey) or Without (Puestow) Resection of the Pancreatic Head - p. 355 218. Definition - p. 355 219. Differential Diagnosis - p. 355 220. Patient History and Physical Findings - p. 355 221. Imaging and Other Diagnostic Studies - p. 355 222. Surgical Management - p. 356 223. Postoperative Care - p. 360 224. Outcomes - p. 361 225. Complications - p. 361 226. 44 Enteric Drainage of Pancreatic Pseudocysts: Pancreatic Cyst Gastrostomy and Cyst Jejunostomy - p. 362 227. Definitions - p. 362 228. Differential Diagnosis - p. 364 229. Patient History and Physical Findings - p. 364 230. Imaging and Other Diagnostic Studies - p. 364 231. Surgical Management - p. 365 232. Postoperative Care - p. 371 233. Complications - p. 371 234. REFERENCE - p. 371 235. 45 Pancreatic Necrosectomy - p. 372 236. Definition - p. 372 237. Patient History and Physical Findings - p. 372 238. Imaging and Other Diagnostic Studies - p. 372 239. Surgical Management - p. 373 240. Postoperative Care - p. 379 241. Outcomes - p. 379 242. Complications - p. 380 243. 46 Laparoscopic Pancreatic Necrosectomy - p. 381 244. Definition - p. 381 245. Differential Diagnosis - p. 381 246. Patient History and Physical Findings - p. 381 247. Imaging and Other Diagnostic Studies - p. 381 248. Surgical Management - p. 382 249. Postoperative Care - p. 385 250. Outcomes - p. 385 251. Complications - p. 385 252. 47 Endoscopic Pancreatic Debridement and Drainage - p. 386 253. Definition - p. 386 254. Differential Diagnosis - p. 386 255. Patient History and Physical Findings - p. 386 256. Imaging and Other Diagnostic Studies - p. 387 257. Surgical (Endoscopic) Management - p. 387 258. Postoperative Care - p. 392 259. Outcomes - p. 392 260. 48 Pancreas: Drainage, Distal Pancreatectomy/Splenectomy - p. 394 261. Definitions - p. 394 262. Indications - p. 394 263. Patient History, Physical Findings, and Diagnosis - p. 394 264. Imaging and Other Diagnostic Studies - p. 394 265. Surgical Management - p. 395 266. POSTOPERATIVE CARE - p. 397 267. Complications - p. 397 268. Section IV Surgery of the Spleen - p. 398 269. 49 Elective Splenectomy (Open and Minimally Invasive Techniques) - p. 398 270. Definition - p. 398 271. Differential Diagnosis - p. 398 272. Patient History and Physical Findings - p. 398 273. Surgical Management - p. 399 274. Postoperative Care - p. 406 275. Outcomes - p. 406 276. Complications - p. 406 277. 50 Splenorrhaphy - p. 407 278. Definition - p. 407 279. Differential Diagnosis - p. 407 280. Patient History and Physical Findings - p. 407 281. Imaging and Other Diagnostic Studies - p. 407 282. Surgical Management - p. 408 283. Postoperative Care - p. 415 284. Outcomes - p. 415 285. Complications - p. 416 286. 51 Splenic Injury: Splenectomy and Splenorrhaphy - p. 417 287. Definition - p. 417 288. Differential Diagnosis - p. 417 289. Patient History and Physical Findings - p. 417 290. Imaging and Other Diagnostic Studies - p. 417 291. Surgical Management - p. 418 292. Index - p. 422
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