Techniques in minimally invasive surgery / / Marco G. Patti [and three others]

• Pubblicazione: Cham, Switzerland : , : Springer, , [2021]; ©2021
• Descrizione fisica: 1 online resource (vii, 501 pages) : illustrations
• Disciplina: 617.05
• Soggetto topico: Endoscopic surgery; Cirurgia endoscòpica
• Soggetto genere / forma: Llibres electrònics
• Persona (resp. second.): PattiMarco G.
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Contents -- Part I: Foregut -- Chapter 1: Laparoscopic Fundoplication -- 1.1 Introduction -- 1.2 Clinical Presentation -- 1.3 Preoperative Work-up -- 1.4 Surgical Technique -- 1.4.1 Positioning of the Patient and Surgical Team -- 1.4.2 Trocar Placement -- 1.4.3 Division of the Gastrohepatic Ligament -- 1.4.4 Division of the Phrenoesophageal Membrane -- 1.4.5 Division of Short Gastric Vessels -- 1.4.6 Placement of Penrose Drain and Mediastinal Dissection -- 1.4.7 Closure of the Esophageal Hiatus -- 1.4.8 Fundoplication -- 1.4.9 Final Inspection -- 1.5 Postoperative Care -- References -- Chapter 2: Laparoscopic Heller Myotomy and Dor Fundoplication -- 2.1 Introduction -- 2.2 Clinical Presentation -- 2.3 Preoperative Evaluation -- 2.4 Technique -- 2.4.1 Position of the Patient -- 2.4.2 Placement of the Trocars -- 2.4.3 Division of the Gastro-hepatic Ligament and Identification of the Right Crus and Posterior Vagus Nerve -- 2.4.4 Division of Peritoneum and Phreno-esophageal Membrane Above the Esophagus and Identification of the Left Crus of the Diaphragm and Anterior Vagus Nerve -- 2.4.5 Division of the Short Gastric Vessels -- 2.4.6 Esophageal Myotomy -- 2.4.7 Dor Fundoplication -- 2.5 Postoperative Course -- References -- Chapter 3: Laparoscopic Paraesophageal Hernia Repair -- 3.1 Introduction -- 3.2 Clinical Presentation -- 3.3 Preoperative Work-up -- 3.4 Surgical Approach -- 3.5 Surgical Technique -- 3.5.1 Positioning of the Patient and Surgical Team -- 3.5.2 Trocar Placement -- 3.5.3 Dissection and Reduction of Stomach and Hernia Sac -- 3.5.4 Esophageal Mobilization and Lengthening -- 3.5.5 Closure of the Esophageal Hiatus -- 3.5.6 Fundoplication -- 3.6 Postoperative Care -- References -- Chapter 4: Robotic-Assisted Paraesophageal Hernia Repair -- 4.1 Introduction -- 4.2 Clinical Presentation -- 4.3 Preoperative Evaluation. ; 4.4 Technique -- 4.4.1 Patient Preparation -- 4.4.2 Operating Room Set-up -- 4.4.3 Patient Positioning -- 4.5 Post-operative Care -- 4.6 Follow-up -- References -- Chapter 5: Laparoscopic Gastrectomy: Partial and Total -- 5.1 Introduction -- 5.1.1 Clinical Presentation -- 5.1.2 Pre-Operative Evaluation -- 5.1.3 Indications for Surgery -- 5.2 Technique -- 5.2.1 Laparoscopic versus Open Approach -- 5.2.2 Patient Positioning -- 5.2.3 Trocar Placement and Operator Positioning -- 5.2.3.1 One Surgeon, One Assistant Approach -- 5.2.3.2 Two-Surgeon, One Camera Operator Approach -- 5.2.4 Lymphadenectomy -- 5.2.5 Gastric Mobilization and D1 Lymphadenectomy -- 5.2.6 Distal Specimen Division -- 5.2.7 D2 Dissection -- 5.2.8 Proximal Specimen Division -- 5.2.9 Specimen Retrieval -- 5.2.10 Reconstruction -- 5.2.10.1 Extracorporeal Reconstruction -- 5.2.10.2 Intracorporeal Reconstruction -- 5.2.11 Billroth II -- 5.2.12 Roux-en-Y: Jejunojejunostomy -- 5.2.13 Roux-en-Y: Proximal Anastomosis -- 5.2.14 Closure of Mesenteric Defects -- 5.3 Post-Operative Management -- 5.4 Conclusion -- References -- Chapter 6: Minimally Invasive Ivor Lewis Esophagectomy -- 6.1 Introduction -- 6.2 Clinical Presentation -- 6.3 Preoperative Workup -- 6.4 Surgical Technique and Operative Steps -- 6.4.1 Abdominal Phase -- 6.4.1.1 Position of the Patient and Trocar Placement -- 6.4.1.2 Celiac Lymphadenectomy -- 6.4.1.3 Mobilization of the Greater Curvature -- 6.4.1.4 Transhiatal Dissection -- 6.4.1.5 Creation of the Gastric Conduit -- 6.4.1.6 Creation of the Feeding Jejunostomy -- 6.4.2 Thoracic Phase -- 6.4.2.1 Positioning and Trocar Placement -- 6.4.2.2 Opening of the Anterior and Posterior Pleura -- 6.4.2.3 Circumferential Mobilization of the Esophagus, Identification of Airways, and Subcarinal Lymphadenectomy -- 6.4.2.4 Passage of the Orvil -- 6.4.2.5 Gastric Conduit Pullup. ; 6.4.2.6 Anastomosis -- 6.5 Postoperative Course -- 6.6 Conclusions -- References -- Chapter 7: Minimally Invasive Transhiatal Esophagectomy -- 7.1 Introduction -- 7.2 Indications/Contraindications -- 7.3 Preoperative Preparation -- 7.4 Operative Steps -- 7.4.1 Patient Positioning -- 7.4.2 Port Placement and Diagnostic Laparoscopy -- 7.4.3 Mobilization of the Greater Curve of the Proximal Stomach -- 7.4.4 Mobilization of the Gastroesophageal Junction -- 7.4.5 Mobilization of the Celiac, Hepatic, and Left Gastric Lymph Nodes (for Malignancy) -- 7.4.6 Mediastinal Dissection -- 7.4.7 Cervical Dissection -- 7.4.8 Kocher Maneuver and Completion of the Gastric Mobilization -- 7.4.9 Completion of the Esophageal Mobilization -- 7.4.10 Pyloromyotomy -- 7.4.11 Construction of the Gastric Conduit -- 7.4.12 Construction of the Esophagogastrostomy -- 7.4.13 Closure of the Hiatus -- 7.4.14 Placement of Feeding Jejunostomy Tube -- 7.5 Postoperative Management -- 7.6 Complications -- 7.7 Conclusions -- References -- Part II: Bariatric Surgery -- Chapter 8: Laparoscopic Roux-en-Y Gastric Bypass -- 8.1 Introduction -- 8.2 Clinical Presentation -- 8.3 Preoperative Work-up -- 8.4 Surgical Technique -- 8.4.1 Position of the Patient and Surgical Team -- 8.4.2 Pneumoperitoneum and Trocar Placement -- 8.4.3 Creation of the Gastric Pouch -- 8.4.4 Creation of the Biliopancreatic and Alimentary Limbs -- 8.4.5 Gastrojejunostomy -- 8.4.6 Jejuno-jejunostomy -- 8.4.7 Closure of Mesenteric and Petersen Defect -- 8.5 Final Inspection -- 8.6 Postoperative Care -- References -- Chapter 9: Laparoscopic Sleeve Gastrectomy -- 9.1 Introduction -- 9.2 Clinical Presentation -- 9.3 Preoperative Evaluation and Patient Selection -- 9.4 Surgical Technique -- 9.5 Postoperative Management and Long-Term Follow-Up -- 9.6 Conclusions -- References -- Chapter 10: Robotic/Laparoscopic Duodenal Switch. ; 10.1 Introduction -- 10.2 Clinical Presentation -- 10.3 Pre-Operatory Evaluation -- 10.4 Technique -- 10.4.1 Position of the Patient -- 10.4.2 Trocar Placement -- 10.4.3 Setup of the Robot -- 10.4.4 Overview of the Procedure -- 10.4.5 Sleeve Gastrectomy -- 10.4.6 Duodenal-Ileal Anastomosis -- 10.4.7 Ileo-Ileal Anastomosis -- 10.5 Post-Operative Course -- 10.6 Conclusions -- References -- Part III: Hepatobiliary -- Chapter 11: Laparoscopic Cholecystectomy -- 11.1 Introduction -- 11.2 Clinical Presentation -- 11.3 Preoperative Workup -- 11.3.1 Laboratory Tests -- 11.3.2 Imaging -- 11.4 Operative Technique -- 11.4.1 Step 1: Patient Positioning -- 11.4.2 Step 2: Insufflation and Port Placement -- 11.4.3 Step 3: Peritoneal Inspection -- 11.4.4 Step 4: Port Placement and Exposure -- 11.4.5 Step 5: Adhesion Release -- 11.4.6 Step 6: Visualizing Calot's Triangle -- 11.4.7 Step 7: Critical View of Safety -- 11.4.8 Step 8: Clip and Transect Cystic Duct and Cystic Artery -- 11.4.9 Step 9: Mobilization and Removal of Gallbladder off the Gallbladder Fossa -- 11.4.10 Step 10: Remove Gallbladder from the Peritoneal Space -- 11.4.11 Step 11: Close the Incisions -- 11.5 Indications to Convert to an Open Cholecystectomy -- 11.5.1 Complications -- 11.5.2 Postoperative Management -- References -- Chapter 12: Robotic Hepatectomy -- 12.1 Introduction -- 12.1.1 Clinical Presentation and Preoperative Evaluation -- 12.2 Technique and Steps of Operations -- 12.2.1 Patient Preparation and Positioning -- 12.2.2 Port and Instrument Placement -- 12.2.3 Liver Mobilization -- 12.2.4 Ultrasound Examination -- 12.2.5 Indocyanine Green Fluorescence -- 12.2.6 Parenchymal Transection -- 12.2.7 Inspection and Specimen Retrieval -- 12.2.8 Left Lateral Sectionectomy -- 12.2.9 Left Hepatectomy -- 12.2.10 Right Hepatectomy -- 12.2.11 Posterior Sectionectomy. ; 12.2.12 Parenchymal Sparing Resection -- 12.2.13 Real-Time Navigation -- 12.2.14 Conversion to Open Surgery -- 12.2.15 Postoperative Course -- 12.3 Conclusions -- References -- Chapter 13: Laparoscopic Hepatectomy -- 13.1 Introduction -- 13.2 Preoperative Assessment -- 13.3 Laparoscopic Right Hepatectomy -- 13.3.1 Patient Positioning -- 13.3.2 Trocar Insertion -- 13.3.3 Liver Mobilization and Intraoperative Anatomical Assessment -- 13.3.4 Hepatic Outflow Control -- 13.3.5 Hilar Dissection -- 13.3.6 Parenchymal Transection -- 13.3.7 Postoperative Considerations -- 13.4 Laparoscopic Left Hepatectomy -- 13.4.1 Patient Positioning -- 13.4.2 Trocar Insertion -- 13.4.3 Liver Mobilization and Intraoperative Anatomical Assessment -- 13.4.4 Hilar Dissection -- 13.4.5 Parenchymal Transection -- 13.4.6 Hepatic Outflow Control -- 13.4.7 Postoperative Considerations -- 13.5 Summary -- References -- Chapter 14: Laparoscopic-Assisted Ablation of Liver Tumors -- 14.1 Introduction -- 14.2 Clinical Presentation -- 14.3 Diagnostics -- 14.4 Ablation Technology -- 14.5 Preoperative Assessment -- 14.6 Technique -- 14.6.1 Patient Positioning and Port Placement -- 14.6.2 Laparoscopic Ultrasound -- 14.6.3 Microwave Ablation Procedure +/− Biopsy -- 14.7 Post-Operative Management -- 14.8 Conclusions -- References -- Chapter 15: Laparoscopic Whipple -- 15.1 Introduction -- 15.2 Clinical Presentation -- 15.3 Preoperative Evaluation -- 15.3.1 Magnetic Resonance Image (MRI) -- 15.3.2 Endoscopic Ultrasonography (EUS) -- 15.3.3 Endoscopic Retrograde Cholangiopancreatography (ERCP) and Duodenoscopy -- 15.4 Surgical Technique: Laparoscopic Pancreatoduodenectomy -- 15.4.1 Operative planning -- 15.5 Postoperative Course -- 15.6 Conclusions -- 15.7 References -- References -- Chapter 16: Robotic Pancreaticoduodenectomy -- 16.1 Introduction -- 16.2 Clinical Presentation. ; 16.3 Preoperative Evaluation.
• Titolo autorizzato: Techniques in minimally invasive surgery
• ISBN: 3-030-67940-3
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910483507603321
• Lo trovi qui: Univ. Federico II