Howe, James R.

Endocrine and Neuroendocrine Surgery. - 1st ed. - 1 online resource (342 pages) - Springer Surgery Atlas Series . - Springer Surgery Atlas Series .

Intro -- Preface -- Acknowledgments -- Contents -- Contributors -- Part I: Parathyroid -- 1: Radioguided Parathyroidectomy -- 1.1 Introduction -- 1.2 Technique -- 1.3 Discussion -- 1.3.1 Sestamibi-Negative Patients -- 1.3.2 Ectopic Glands -- 1.3.3 Familial Primary Hyperparathyroidism -- 1.3.4 Secondary and Tertiary Hyperparathyroidism -- 1.3.5 Pediatric Patients -- 1.3.6 Reoperative Surgery -- 1.4 Summary -- Suggested Reading -- 2: Minimally Invasive Parathyroidectomy with Intraoperative PTH Testing -- 2.1 Introduction -- 2.2 Technique -- 2.2.1 Preoperative Imaging -- 2.2.2 Surgical Procedures -- 2.2.3 Measurement of PTH Levels -- 2.2.4 Closure and Postoperative Care -- 2.3 Discussion -- 2.3.1 Complex Findings on Preoperative Imaging -- 2.3.2 Failure of IOPTH to Fall Appropriately -- 2.3.3 Other Methods of MIP -- References -- 3: Subtotal Parathyroidectomy for Parathyroid Hyperplasia -- 3.1 Introduction -- 3.2 Techniques of Subtotal Parathyroidectomy -- 3.2.1 Positioning of the Patient and Skin Incision -- 3.2.2 Normal Parathyroid Anatomy -- 3.2.3 Fascial Layers -- 3.2.4 Exposure of Parathyroid Glands -- 3.2.5 Superior Glands -- 3.2.6 Inferior Glands -- 3.2.7 Supernumerary Glands -- 3.2.8 Subtotal Parathyroidectomy: Resection and Verification -- 3.3 Results and Conclusions -- References -- 4: Parathyroid Transplantation -- 4.1 Introduction -- 4.2 Surgical Technique -- 4.3 Results and Conclusions -- References -- 5: Mediastinal/Thoracoscopic Parathyroidectomy -- 5.1 Introduction -- 5.2 Preoperative Workup and Imaging -- 5.3 Intraoperative Localization and PTH Monitoring -- 5.4 Mediastinal Anatomy -- 5.5 Parathyroidectomy Using Video- Assisted Thoracoscopic Surgery (VATS) -- 5.6 Anterior Mediastinotomy (Chamberlain Procedure) -- 5.7 Complications -- References -- Part II: Thyroid. 6: Thyroid Lobectomy and Total Thyroidectomy -- 6.1 Indications for Surgery -- 6.2 Preoperative Work-Up -- 6.3 Preoperative Discussion and Consultation -- 6.4 Anesthesia -- 6.5 Position of the Patient and the Incision -- 6.6 Surgical Procedure -- 6.7 Wound Closure -- 6.8 Intraoperative Decisions -- 6.9 Postoperative Management -- References -- 7: Central Neck Dissection for Medullary Thyroid Carcinoma -- 7.1 Introduction -- 7.2 Preoperative Workup -- 7.3 Surgical Procedure -- 7.3.1 Positioning and Incision -- 7.3.2 Initial Dissection -- 7.3.3 Thyroidectomy and Tumor Specimen Mobilization -- 7.3.4 Contralateral Thyroidectomy and Node Dissection -- 7.3.5 Parathyroid Autotransplantation -- 7.3.6 Drains and Closure -- 7.4 Complications -- 7.5 Results and Conclusions -- References -- 8: Substernal Goiter -- 8.1 Introduction -- 8.2 Operative Technique -- 8.2.1 Cervical Approach -- 8.2.2 Mediastinal Extension -- 8.3 Complications of Substernal Goiter Surgery -- References -- 9: Modified Neck Dissection for Differentiated Thyroid Cancer -- 9.1 Introduction -- 9.2 Modified Neck Dissection for Lateral Cervical Lymphadenectomy -- 9.2.1 Incision Planning -- 9.2.2 Raising Skin Flaps -- 9.2.3 Selective Neck Dissection of Levels IIa, III, IV, and Vb -- 9.2.4 Comprehensive Neck Dissection of Levels I Through V -- 9.3 Discussion -- 9.4 Conclusions -- References -- Part III: Adrenal -- 10: Open Transabdominal Adrenalectomy for Malignant Neoplasms -- 10.1 Introduction -- 10.2 Surgical Technique -- 10.3 Results and Conclusions -- References -- 11: Posterior Adrenalectomy -- 11.1 Introduction -- 11.2 Needs and Indications -- 11.3 Surgical Technique -- 11.4 Results and Conclusions -- References -- 12: Laparoscopic Transabdominal Lateral Adrenalectomy -- 12.1 Introduction -- 12.2 Surgical Technique. 12.2.1 Laparoscopic Right Adrenalectomy -- 12.2.2 Laparoscopic Left Adrenalectomy -- 12.3 Postoperative Management -- 12.4 Complications -- References -- 13: Posterior Retroperitoneoscopic Adrenalectomy -- 13.1 Introduction -- 13.2 Surgical Technique -- 13.2.1 Patient Positioning and Trocar Placement -- 13.2.2 Creation of Working Space and Identification of Critical Landmarks -- 13.2.3 Adrenal Gland Dissection: Operative Strategy -- 13.2.4 Identification and Division of the Adrenal Vein -- 13.3 Robot-Assisted Retroperitoneoscopic Adrenalectomy (RAPRA) -- 13.4 Results and Conclusions -- References -- Part IV: Stomach and Duodenum -- 14: Surgery for Duodenal and Gastric Neuroendocrine Tumors -- 14.1 Duodenal Neuroendocrine Tumors -- 14.1.1 Introduction -- 14.1.2 Surgery -- 14.2 Gastric Neuroendocrine Tumors (Carcinoid Tumors) -- 14.2.1 Introduction -- 14.2.2 Treatment and Surgery -- 14.2.2.1 Surveillance and Local Resection -- 14.2.2.2 Operative Technique for Subtotal or Total Gastrectomy with D2 Lymph Node Dissection -- Suggested Reading -- Part V: Pancreas -- 15: Pancreaticoduodenectomy for Neuroendocrine Tumors -- 15.1 Introduction -- 15.2 Surgical Technique -- 15.2.1 Step 1: Exposure of the Infrapancreatic Superior Mesenteric Vein (SMV) -- 15.2.2 Step 2: Extended Kocher Maneuver -- 15.2.3 Step 3: Dissection of the Porta Hepatis, Hepatic Artery Exposure, Cholecystectomy, and Bile Duct Transection -- 15.2.4 Step 4: Transection of the Gastric Antrum (or the Duodenum, if Pylorus Preservation Is Planned) -- 15.2.5 Step 5: Transection of the Jejunum -- 15.2.6 Step 6: Transection of the Pancreas and Completion of the Retroperitoneal Dissection -- 15.2.7 Step 7: Vascular Resection and Reconstruction -- 15.2.8 Step 8: SMV Reconstruction When Tumor Involvement Is Limited to the SMV -- 15.2.9 Step 9: Pancreatic Reconstruction. 15.2.10 Step 10: Biliary Reconstruction -- 15.2.11 Step 11: Gastric or Duodenal Reconstruction -- 15.3 Results and Conclusions -- References -- 16: Open Distal Pancreatectomy -- 16.1 Introduction -- 16.2 Procedure -- 16.2.1 Step 1: Incision -- 16.2.2 Step 2: Isolation of the Splenic Artery and Identification of the Portal Vein -- 16.2.3 Step 3: Exposure of the Lesser Sac and Division of the Short Gastric Vascular Arcade -- 16.2.4 Step 4: Dropping the Splenic Flexure of the Colon -- 16.2.5 Step 5: Dissection of the Pancreatic Body and Exposure of the Superior Mesenteric Vein -- 16.2.6 Step 6: Developing the Portal Vein Canal and Portosplenic Confluence. -- 16.2.7 Step 7: Transection of the Pancreatic Neck and Ligation of the Vasculature -- 16.2.8 Step 8: Retrograde Removal of the Distal Pancreas and Spleen -- 16.2.9 Step 9: Final Considerations -- 16.2.10 Technical Variations -- 16.3 Discussion -- References -- 17: Laparoscopic Distal Pancreatectomy -- 17.1 Introduction -- 17.2 Laparoscopic Distal Pancreatectomy with Splenectomy -- 17.2.1 Patient Positioning and Port Placement -- 17.2.2 Dissection of Peripancreatic Structures -- 17.2.3 Division of the Pancreas and Vascular Structures -- 17.3 Laparoscopic Distal Pancreatectomy with Splenic Preservation -- 17.4 Hand-Assisted Laparoscopic Distal Pancreatectomy -- 17.5 Pearls and Pitfalls -- 17.6 Results and Conclusions -- References -- 18: Pancreatic Enucleation -- 18.1 Introduction -- 18.2 Indications -- 18.3 Diagnostic Imaging -- 18.4 Patient Preparation -- 18.5 Operative Technique -- 18.5.1 Open Pancreatic Enucleation -- 18.5.1.1 Exposure of the Pancreas (Body and Tail) -- 18.5.1.2 Exposure of the Pancreas (Head and Uncinate) -- 18.5.1.3 Mobilization of the Pancreas -- 18.5.1.4 Bimanual Palpation and Ultrasound -- 18.5.1.5 Enucleation of Pancreatic Tumor. 18.5.2 Laparoscopic Pancreatic Enucleation -- 18.5.2.1 Positioning and Port Placement -- 18.5.2.2 Exposure and Mobilization of the Pancreas -- 18.5.2.3 Enucleation -- 18.6 Results -- 18.7 Conclusions -- References -- Part VI: Other Neuroendocrine -- 19: Small Bowel Resection and Lymphadenectomy for Jejunoileal Neuroendocrine Tumors -- 19.1 Introduction -- 19.2 Operative Technique -- 19.2.1 Approach -- 19.2.2 Exploring the Abdomen -- 19.2.3 Small Bowel Resection and Lymphadenectomy -- 19.2.4 Special Considerations for Lymphadenectomy -- 19.2.5 Other Considerations -- 19.3 Complications -- 19.4 Results -- References -- 20: Liver Surgery for Neuroendocrine Tumors -- 20.1 Introduction -- 20.2 Radiofrequency Ablation and Microwave Ablation -- 20.3 Irreversible Electroporation -- 20.4 Tumor Enucleation -- 20.5 Segmental and Lobar Resections -- 20.6 Central Hepatectomy: Surgical Technique -- 20.7 Discussion -- References -- 21: Wide Excision and Sentinel Node Mapping for Merkel Cell Carcinoma -- 21.1 Introduction -- 21.2 Operative Details -- 21.2.1 Wide Local Excision -- 21.2.2 Local Flaps -- 21.2.3 Sentinel Lymph Node Biopsy -- 21.3 Results and Follow-Up -- References.

ISBN: 9783662540671

Subjects--Topical Terms:
Endoscopic surgery.

Index Terms--Genre/Form:
Electronic books.

LC Class. No.: RC648-665.2

Dewey Class. No.: 616.4