Editor Josef E. Fischer, MD, FACS, DM(Hon) Lund, FRCS(E)(Hon) William V. McDermott Distinguished Professor of Surgery Harvard Medical School Christian R. Holmes Professor of Surgery and Chair Department of Surgery University of Cincinnati College of Medicine, Emeritus Chair, Department of Surgery Beth Israel Deaconess Medical Center, Emeritus Boston, Massachusetts Associate Editors E. Christopher Ellison, MD The Robert M. Zollinger Professor of Surgery The Ohio State University Columbus, Ohio Gilbert R. Upchurch Jr., MD Chief of Vascular and Endovascular Surgery William H. Muller, Jr. Professor of Surgery University of Virginia Charlottesville, Virginia Susan Galandiuk, MD Professor of Surgery Program Director, Section of Colon & Rectal Surgery Hiram C. Polk, Jr. MD Department of Surgery Director, Price Institute of Surgical Research University of Louisville Louisville, Kentucky Jon C. Gould, MD Chief of General Surgery Walker Chair in General Surgery Professor of Surgery Medical College of Wisconsin Milwaukee, Wisconsin V. Suzanne Klimberg, MD, PhD 2 Courtney M. Townsend, Jr., MD Distinguished Chair in Surgical Oncology Vice Chair of the Department of Surgery Chief of Surgical Oncology Medical Director for the University of Texas Medical Branch Cancer Institute Galveston, Texas Assistant Editors Peter Henke, MD Leland Ira Doan Professor of Surgery Section of Vascular Surgery Department of Surgery University of Michigan Ann Arbor, Michigan Steven N. Hochwald, MD, MBA Professor of Oncology Vice Chair and Chief of GI Surgery Roswell Park Cancer Institute Professor of Surgery University at Buffalo Buffalo, New York Gregory M. Tiao, MD Ryckman Chair of Pediatric Surgery Division Chief of Pediatric Surgery Director of Pediatric Liver Transplantation Cincinnati Children’s Hospital and Medical Center Professor of Surgery University of Cincinnati Cincinnati, Ohio Manuscript Editor Erica N. Slavin 3 FISCHER’S M A S T E R Y O F S U R G E R Y SEVENTH EDITION Volume 1-2 4 5 Acquisitions Editor: Keith Donnellan Development Editors: Brendan Huffman and Kristina Oberle Editorial Coordinators: Emily Buccieri and Tim Rinehart Strategic Marketing Manager: Dan Dressler Senior Production Project Manager: Alicia Jackson Senior Designer: Joan Wendt Senior Manufacturing Coordinator: Beth Welsh Prepress Vendor: Aptara, Inc. 7th edition Copyright © 2019 Wolters Kluwer. Copyright © 2012 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at [email protected], or via our website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in China Library of Congress Cataloging-in-Publication Data Names: Fischer, Josef E., 1937- editor. Title: Fischer’s mastery of surgery / editor, Josef E. Fischer ; associate editors, E. Christopher Ellison, Gilbert R. Upchurch Jr., Susan Galandiuk, Hiram C. Polk Jr., Jon C. Gould, V. Suzanne Klimberg ; assistant editors, Peter K. Henke, Steven N. Hochwald, Gregory M. Tiao. 6 Other titles: Mastery of surgery Description: Seventh edition. | Philadelphia : Wolters Kluwer, [2019] | Includes bibliographical references and index. Identifiers: LCCN 2017041639 | ISBN 9781469897189 Subjects: | MESH: Surgical Procedures, Operative Classification: LCC RD11 | NLM WO 500 | DDC 617–dc23 LC record available at https://lccn.loc.gov/2017041639 This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. LWW.com 7 To Karen Erich and Hallie Alexandra and Peter and The late Dr. Howard I. Down 8 COMMENTARY EDITORS Kirby I. Bland, MD, FACS Professor of Surgery and Chair Emeritus Distinguished Faculty Scholar, UAB School of Medicine Advisor to Director, UAB Comprehensive Cancer Center UAB Department of Surgery UAB University Hospital and The Kirklin Clinic Birmingham, Alabama Charles H. Cook, MD Associate Professor of Surgery Harvard Medical School Division Chief, Acute Care Surgery, Trauma, Surgical Critical Care Beth Israel Deaconess Medical Center Boston, Massachusetts A. Roshni Dasgupta, MD, MPH Pediatric Surgeon Division of Pediatric General and Thoracic Surgery Cincinnati Children’s Cincinnati, Ohio Katherine J. Deans, MD, MHSc Associate Professor of Surgery The Ohio State University Columbus, Ohio Karen Deveney, MD, FACS Professor of Surgery Emerita Vice-Chair of Surgical Education Department of Surgery Oregon Health and Science University Portland, Oregon Mary Dillhoff, MD, MS, FACS Assistant Professor of Surgery Division of Surgical Oncology 9 James Cancer Center The Ohio State University Columbus, Ohio R. Bruce Donoff, DMD, MD Dean and Walter C. Guralnick Distinguished Professor of Oral and Maxillofacial Surgery Harvard School of Dental Medicine Boston, Massachusetts E. Christopher Ellison, MD The Robert M. Zollinger Professor of Surgery The Ohio State University Columbus, Ohio Douglas B. Evans, MD Donald C. Ausman Family Foundation Professor in Surgery and Chair Department of Surgery Medical College of Wisconsin Milwaukee, Wisconsin Josef E. Fischer, MD, FACS, DM(Hon) Lund, FRCS(E)(Hon) William V. McDermott Distinguished Professor of Surgery Harvard Medical School Christian R. Holmes Professor of Surgery and Chair Department of Surgery University of Cincinnati College of Medicine, Emeritus Chair, Department of Surgery Beth Israel Deaconess Medical Center, Emeritus Boston, Massachusetts Susan Galandiuk, MD Professor of Surgery Program Director, Section of Colon & Rectal Surgery Hiram C. Polk, Jr. MD Department of Surgery Director, Price Institute of Surgical Research University of Louisville Louisville, Kentucky Ryan Gobble, MD Assistant Professor of Plastic Surgery University of Cincinnati College of Medicine 10