Zollinger’s Atlas of Surgical Operations

586 Pages·2016·115.51 MB·English

by  Robert Zollinger

TEN TH ED I TI O N
Z O LLI N G ER ’S
AT LAS O F SU R G I C AL
O P ER AT I O N S
E. Ch ph E , MD, FACS
I m D R b M. Z g P S g D g h P
T Oh S U C g M c W x M c C
C mb , Oh
R b M. Z g , J ., MD, FACS
P Em , D p m S g , C W R
U Sch M c U H p
C c P S g , U A z C g M c
F m , I c S g , H M c Sch h P B B gh m H p

c , A z
Il l ust r at ions For EN H Edit ion By
M B
Il l ust r at ions For Pr evious Edit ions By
M B , J Sm h, C D ,
M C g, P F ch , W m O
N w Y k Ch c g S F c c L b L M M x c C
M N w D h S J S S g p S
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ISBN: 978-0-07-179756-6
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C O N T EN T S
P v s e c t io n v : s ma l l i n t e s t i n e , c o l o n ,
a n d r e c t u m
Asso i Edi o s vii
chapt er
43 I c p M ck ’ D c c m
44 R c Sm I
s e c t io n i : bas ic s
45 R c Sm I , S p
chapt er
46 E m , S p
1 S g c ch q 3
47 E m 6
2 A h
48 App c m 6
3 P p P p P p C
49 App c m , L p c p c 66
4 Amb S g
50 S g c A m L g I
51 L p I m
52 C m
s e c t io n i i : s u r g ic a l a n at o my
53 C C m 6
chapt er
54 C A m , S p
5 A B S pp h Upp Ab m V c
55 C c m , R gh
6 V L mph c S pp h Upp Ab m V c
56 C c m , R gh , L p c p c
7 A m h L g I
57 C c m , L , E - -E A m 6
8 A m h Ab m A I V C 6
58 C c m , L , L p c p c
9 T c c P m A m
59 Ab m p R c
60 C c m P c c c m 6
61 A R c R c gm : E - -E A m 6
s e c t io n i i i : g e n e r a l a bd o me n
62 A R c , S p
a n d t h o r ax
63 A R c R c gm :
chapt er
S - -E A m (B k )
10 L p m 3
64 I A m 3
11 H Op ch q
65 R c P p , P R p 36
L p c p c Acc
66 R bb B g Exc H m h
12 V N ch q
67 P c Ab c , F - -A , A F 6
13 D g c L p c p
68 Exc P S
14 Ch c Amb P D C h I 6
15 T c m I c
16 T c c p s e c t io n v i : g a l l bl a d d e r , bi l e
d u c t s , a n d l i v e r
chapt er
s e c t io n i v : e s o ph a g u s a n d s t o ma c h
69 Ch c c m , L p c p c 6
chapt er
70 Ch c c m , Op R g ch q 6
17 G m 6
71 C mm B D c Exp , Op 6
18 P c E c p c G m
72 C mm B D c Exp , ch q
19 C P —S bph c Ab c 6
73 Ch ch m
20 G j j m 6
74 Ch c c m , P Ch c c m
21 P p —G m 66
75 Ch c m 6
22 V g m 6
76 Ch ch j j m
23 V g m , S b ph gm c App ch
77 L c R c H m , K k
24 H m g c m , B h I M h
78 B p L , Op 6
25 H m g c m , B h I S p
79 A m R c h L
26 G c m , S b
80 L c R c H p c m (N m c)
27 G c m , S b —Om c m
81 R gh H p c m (S gm , 6, , ± S gm )
28 G c m , P M h
82 L H p c m (S gm , 3, ± S gm ) 6
29 G c m , H m M h
83 Ex R gh H p c m
30 H m g c m , B h II S p 6
(S gm , , 6, , ± S gm ) 3
31 G c m
32 G c m , S p
33 R x- -Y G j j m s e c t io n v : pa n c r e as a n d s pl e e n
34 F p c
chapt er
35 F p c , L p c p c
84 D g C P c h P c 3 6
36 E ph g M m , L p c p c 6
85 P c c j j m (P w–G b P c ) 3
37 R x- -Y G c B p , L p c p c
86 R c h h P c 3
38 S G c m , L p c p c 3
87 R c h h P c w h Sp c
39 T A j b G c B , L p c p c 3
P , L p c p c 33
40 E ph g c m h 3
88 P c c c m (Wh pp P c ) 33
41 E ph g c m , h c c
89 P c c m 3
42 P m m 6
90 Sp c m 3 6
91 Sp c m , L p c p c 36
92 Sp c C 366
iii
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iv
Contents
s e c t io n V : g e n i t o u r i n a r y 122 R c N ck D c 6
123 Z k ’ D c c m 6
chapt er
124 P c m , L L b c m
93 A G c g c P c O w 3 3
94 Ab m H c m 3
95 S p g c m —O ph c m 3
s e c t io n x i i : s k i n , s o f t t i s s u e , a n d br e as t
96 G c g c S m—R V g P c 3
chapt er
97 D g c ch q C c L —D
125 S L mph N D c , M m
C g 3
126 B A m I c 6
98 U I j R p 3
127 M R c M c m
99 D N ph c m , L p c p c 3 6
128 S L mph N D c , B
100 K p 3
129 Ax D c , B 6
130 Sk G
s e c t io n i x : h e r n i a
chapt er
s e c t io n x i i i : vas c u l a r
101 R p V H , L p c p c 3 6
chapt er
102 R p V H , Op C mp P S p
131 C E c m
103 R p Umb c H
132 V c Acc , A F
104 R p I c I g H 6
133 V Acc , P P c m , I J g V
105 R p I c I g H (Sh c )
134 V Acc , C V C h , S bc V
106 R p D c I g H (McV ) 6
135 R c Ab m A c A m
107 R p I g H w h M h (L ch )
136 A m B p
108 R p I g H w h M h (R k w R bb )
137 T mb mb c m , S p M c A 6
109 R p F m H 6
138 F m m B p
110 R p F m H w h M h
139 F m p p R c c 3
111 L p c p c A m h I g R g 3
140 S ph V S A B p
112 R p I g H , L p c p c b m
141 T mb mb c m , F m
P p ( APP) 3
142 I V C F I 6
113 R p I g H , L p c p c
143 E L Ab h G S ph
Ex p ( EP) 3
V S b Ph b c m
114 H c R p 36
144 Sh g P c P H p
s e c t io n x : e n d o c r i n e
s e c t io n x i v : e xt r e mi t i e s
115 T c m , S b
chapt er
116 P h c m
145 F c m
117 A c m , B
146 E ch m 6
118 A c m , L L p c p c 6
147 P c p Amp
119 A c m , R gh L p c p c
148 Amp , S p c 6
149 I c D g I c h H 6
s e c t io n x i : h e a d a n d n e c k 150 S 66
chapt er
I x 6
120 ch m 6
121 ch m , P c D 6
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P R EFAC E
S m 75 g , h A LAS w c c m p p ch q
c mm b g g . M mp m ch g h cc h p
c g p ch q g m m m
g . T w ch q w j f w h h wh wh
w c c c p c p c ch q h 1990 w c mm
gh m m g c c g p g m .
I h w 10 h mp mp m h b m . W h g g
A c E c xp wh h h p w p c h h b
c wh h m g c mp m x g c . N w g -
c p h b . T c gh p c h w h k h
p c c g g c g x mph c m , CAPD c h ,
c m , ch m , c , h p g h
ch q p c mp p p , p , b c h c c p . I -
w h c c mp x g p c m p c p c
ph g m m , g c m m b b , h ph g c m
h c c ph g c m . T c g c w c w m -
h mb c m , m m b p , ph b , h mb c m
h p m c . F w p c p c h - ph c m
k p .
A m j g z h cc w h h 18 A c E
wh p c xp h b ch c b m– ch p . T -
g z h m k p wh g m m . T
h h c h c c w p h 10 h . T
c c c p p c m c h gh p p c h b
m c w h g c mp m b 50 ch p x .
D g h p p h 10 h w c b p m B B
McG w H D S mp h D p m S g T Oh S U . I h
h , c p c g p g ch g h c ch h m c -
, c c b h w p mp m c c m k
c g . F h 10 h m c , M B , h p p w -
w k p h gh c w h c mp -g g ph c h w p c h g
p k k ch g wh ch k c ch b .
W h c H c S pp m b www.Zolling sA l s. om
p p cc m w h c p h h 70 h b
m cc g h A LAS. M w p c b w p c g
m ch g ch p g, p c p , m m m g -g p c .
O h w p m w w m b c g c . A -
, h p h h h p g m mp b h m ch c c c
h - z A LAS h c p c b g. T , h c p p ck w
q p c h p “ k h gh” p m
h b ck ch p g . T w c b 500 p g — z ch b h
m -1980 . A h p , h w m p c ch p g p -
c p q h p g p h (1) w — x mp , p / m c
h , (2) w b h c g mb g c p c — x mp , h c c/
p m p .
F h m , h h h p b h h m c p p p h
b , b h ch h c c H c S pp m h A LAS wh h
p g m . M h ch p p m p c z c m-
p x b c g g b h h p c c , q c
k h h x b k . I h c c m c h g m c
p m . T p g p c p xp -
c , p h p b h “ ” p . T m b p c g
wh xp p q pm ch p p b p c p c m
b .
m m c b c p ch p b h x ,
h m j p m c j . H w , h w w cc b
m m c / g c c ph c . W h c c H c S pp m
w h p m h h c g c ch q c g p .
A D . C g c w h g c h c h m, m h
w h m . N w m . D . E. Ch ph E h b c m h w p c p h
wh w c h A LAS. D . E h h h Z-E m . H h R b
M. Z g P h D p m S g h Oh S U M c C .
H h cc p h p m p b h A LAS m g b ck C mb
v
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vi
Preface
h OSU D p m S g , wh D . Z g S h A LAS 40 .
F , h c , D . Z g ’ p p p h x w k m
w ch h M c H g C w h h OSU P H h Sc -
c L b wh h m c g b .
E. Ch ph E , MD
R b M. Z g , J ., MD
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ASSO C I AT E ED I T O R S
Do n M. Agn s , MD, FACS Sus n Mof -B u , MD, P D, FACS
Skin, Sof issue, and Breast General Abdomen and T orax
Associate Pro essor o Clinical Surgery Associate Pro essor o Surgery
T e Ohio State University Chie Quality and Patient Sa ety O cer
College o Medicine and Wexner Medical Center Associate Dean, Clinical Af airs or Quality and Patient Sa ety
C mb , OH T e Ohio State University College o Medicine and Wexner Medical Center
C mb , OH
P. M k Blooms on, MD, FACS
Gall Bladder, Bile Ducts, Liver, and Pancreas P Mus ll , II, MD, FACS
F . M , FL Pancreas
Esophagus and Stomach
J m s H. Bo ml , IV, MD
Associate Pro essor o Surgery
Extremities
Monte ore Medical Center/Albert Einstein College o Medicine
G g w , X
B x, NY
Willi m B. F , MD, FACS
B dl y J. N dl m n, MD, FACS
Skin, Sof issue, and Breast
Esophagus and Stomach
Pro essor o Surgery
Associate Pro essor o Clinical Surgery
Dr. Arthur G. & Mildred C. James-Richard J.
Medical Director, Comprehensive Weight Management and Bariatric
Solove Chair in Surgical Oncology
Surgery Center
T e James Cancer Center Chair in Surgical Oncology
Director, Center or Minimally Invasive Surgery
Director, T e Ste anie Spielman Comprehensive Breast Center
T e Ohio State University College o Medicine and the Wexner Medical Center
T e Ohio State University College o Medicine and Wexner Medical Center
C mb , OH
C mb , OH
Ron ld P. P ll i , MD, FACS
J f y M. Fowl , MD, FACS
Genitourinary
Genitourinary
ransplantation
Gynecologic Procedures
Associate Pro essor o Surgery
Vice Chair and Pro essor
Director, Kidney ransplantation
John G. Boutselis M.D. Chair in Gynecology
T e Ohio State University College o Medicine and Wexner Medical Center
T e Ohio State University College o Medicine and Wexner Medical Center
C mb , OH
H , OH
Kyl A. P y, MD, FACS
Al n E. H zm n, MD, FACS
Esophagus and Stomach
Small Intestine, Colon, and Rectal
Associate Pro essor o Surgery
Assistant Pro essor o Clinical Surgery
T e Ohio State University College o Medicine and Wexner Medical Center
Director, General Surgery Residency Program
C mb , OH
T e Ohio State University College o Medicine and Wexner Medical Center
C mb , OH Jo n E. P y, MD, FACS
Endocrine
J f y W. H z y, MD, FACS
Head and Neck
Hernia
Associate Pro essor o Clinical Surgery
Associate Pro essor o Surgery
T e Ohio State University College o Medicine and Wexner Medical Center
Director, Division o General and Gastrointestinal Surgery
C mb , OH
T e Ohio State University College o Medicine and Wexner Medical Center
C mb , OH J n E. S , MD, FACS
Vascular Procedures
Rob S. D. Higgins, MD, MSHA, FACS
Associate Pro essor o Clinical Surgery
T oracic Surgery
T e Ohio State University College o Medicine and Wexner Medical Center
ransplantation
C mb , OH
T e William Stewart Halsted Pro essor
Chair and Surgeon-in-Chie P i k S. V o, MD, FACS
Johns Hopkins University School o Medicine Department o Surgery Vascular Procedures
B m , MD Luther M. Keith Pro essor o Surgery
Division Director, Vascular Diseases & Surgery
L y M. Jon s, MD, FACS
T e Ohio State University College o Medicine and Wexner Medical Center
Skin and Sof issue
C mb , OH
Pro essor o Clinical Surgery
T e American Electric Power Foundation Chair in Burn Care
COORDINATING EDITOR
T e Ohio State University College o Medicine and Wexner Medical Center
C mb , OH D nnis E. M i s
Publications Editor
G go y J. Low , MD
Department o Surgery
Genitourinary
T e Ohio State University College o Medicine and Wexner Medical Center
Ureter Repair
C mb , OH
C mb , OH
W. S o M lvin, MD, FACS
Esophagus and Stomach
Pro essor o Surgery
Vice Chairman or Clinical Surgery
Division Chie , General Surgery
Director, Advanced GI Surgery
Monte ore Medical Center/Albert Einstein College o Medicine
B x, NY
vii
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