Surgery of The Alimentary Tract Volume Two【2025|PDF下载-Epub版本|mobi电子书|kindle百度云盘下载】

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Chapter 5 THE PANCREAS863

ANATOMY863

EMBRYOLOGY AND HISTOLOGY871

PHYSIOLOGY872

GENERAL SURGICAL CONSIDERATIONS874

METHODS OF EXPOSING THE PANCREAS875

CONGENITAL MALFORMATIONS OF THE PANCREAS879

Pancreas Divisum879

Ectopic or Aberrant Pancreas879

Annular Pancreas881

Fibrocystic Pancreas883

PANCREATIC INJURIES883

Operative Treatment for penetrating and Nonpenetrating pancreatic Injuries887

Treatment of Operative Injuries of the Pancreas889

Incision for Biopsy889

Injury to the Tail and Body of the pancreas889

Injury to the Head of the Pancreas890

PANCREATITIS892

Acute Pancreatitis892

Nonsurgical Treatment896

Operative Treatment by Pancreatotomy and Drainage by the Transgastrocolic Route899

Chronic Pancreatitis900

Choledochal Sphincterotomy902

Dilation of the Sphincter of Oddi903

Choledochojejunostomy (Bowers)904

Other Sidetracking Operations905

Decompression procedures905

Pancreatolithotomy905

Sympathectomy907

Ligation of Pancreatic Duct916

Interlocking Mattress Ligation of Pancreas916

Other Operations for Pancreatitis and Pancreatic Lithiasis917

Results of Surgical Treatment of Chronic Relapsing Pancreatitis917

CYSTS OF THE PANCREAS AND THEIR EXTENSIONS918

Marsupialization of Pancreatic Cyst920

Excision of a Pancreatic Cyst922

Internal Drainage of Pancreatic Cysts923

Roux-en-Y Cystojejunostomy924

Partial Pancreatectomy Including Cyst in Resection925

PANCREATIC FISTULAS925

Excision of Pancreatic Fistula926

Internal Drainage of Pancreatic Fistula927

Excision of Tract Combined with Partial Pancreatectomy927

Excision of Tract Combined with Sphincterotomy928

ISLEI CELL TUMORS OF THE PANCREAS928

Excision of Islet Cell Tumor of Pancreas930

PAPTIAL PANCREATECTOMY:EXCISION OF THE TALL AND BODY OF THE PANCREAS934

CARCINOMA OF THE PANCREAS938

CARINOMA OF THE AMPULLA OF VATER939

PANCREATODUODENAL RESECTION940

One-Stage Pancreatoduodenal Resection (Trimble)943

Two-Stage Partial or Total Pancreatoduodenal Resection (Whipple)959

Two-Stage Partial or Total Pancreatoduodenal Resection (Cattell)961

Complication s Following Pancreatoduodenal Resection962

Results of Pancreatoduodenal Resection964

PALLIATIVE OPERATIONS FOR INOPERABLE CARCINOMA OF PANCREAS964

REFERENCES966

Chapter 6 THE SPLEEN969

ANATOMY969

PHYSIOLOGY970

ACCESSORY SPLEENS970

SPLENOSIS972

GENERAL SURGICAL CONSIDERATIONS972

INCISIONS973

EXPLORATORY PUNCTURE OF THE SPLEEN AND SPLENIC BIOPSY973

TOTAL SPLENECTOMY975

LIGATION OF SPLENIC ARTERY990

PARTIAL SPLENECTOMY990

SPLENOTOMY991

SURGICAL TREATMENT OF WOUNDS OF THE SPLEEN992

Abdominal Wounds of the Spleen992

Transthoracic Wounds of the Spleen995

SPLENOPEXY FOR SPLENOPTOSIS996

POSTOPERATIVE CARE IN OPOERATION UPON THE SPLEEN996

REFERENCES997

Chapter 7 THE SMALL INTESTINE (JEJUNAL AND ILEAL PORTIONS)999

ANATOMY999

PHYSIOLOGY1005

CONGENITAL ABNORMALITIES OF THE SMALL INTESTINE1011

DISEASES OF THE JEJUNOILEUM1017

Diverticulosis1017

Tumors1019

Primary Ulcer of the Jejunoileum1024

Primary Jejunal Ulcer1024

Primary Ileal Ulcer1025

GENERAL SURGICAL CONSIDERATIONS IN OPERATING UPON THE INTESTINES1026

ENTEROTOMY1032

REPAIR OF INTESTINAL WOUNDS AND PERFORATIONS1034

Repair of Wounds Due to Trauma1035

Repair of Ulcerative Perforations1039

ENTEROSTOMY1040

Jejunostomy1041

Temporary Jejunostomy1043

Permanent Jejunostomy1047

Jejunostomy Feeding1049

Ileostomy1051

Ileostomy with a Tube1054

Ileostomy without a Tube:Tangential Ileostomy1057

Ileostomy without a Tube:Double-Barrelled Ileostomy1059

Ileostomy without a Tube:Double-Barrelled Ileostomy with Separation of the Stomas1060

Ileostomy without a Tube:Stone Method1062

Ileostomy without a Tube:Single-Barrelled Method1066

Complications after Ileostomy1072

Skin Grafting of Ileostomy Opening1075

Closure of Enterostomy Stomas1076

Closure of a Maydl Jejunostomy Stoma1076

Closure of a Tangential,Loop or Double-Barrelled Ileostomy Stoma1077

Closure of a Single-Barrelled Ileostomy Stoma1079

Closure by the Intraperitoneal Route1079

Summary of Enterostomy and Its Closure1080

CLOSURE OF FISTULAS OF SMALL INTESTINE1080

Closure of External Fistula1080

Closure of Internal Intestinal Fistula1089

Postoperative Care in Closure of Fecal Fistula1091

Comments on Closure of Fecal Fistula1092

PARTIAL ENTERECTOMY1092

ANASTOMOSIS OF THE INTESTINE1098

Lateral (Side-to-Side) Anastomosis after Enterectomy1099

End-to-End Anastomosis1107

End-to-Side Anastomosis1132

Closed Side-to-Side Anastomosis1135

Comparison of Intestinal Anastomosis1135

OPERATIONS FOR SHORT-CIRCUITING (EXCLUSION,BY-PASSING) A SEGNENT OF INTESTINE1137

Partial Short-Circuiting of a Segment of Small Intestine by Lateral Anastomosis between Its Limbs1137

Partial Exclusion of a Loop of Bowel1139

Complete (Bilateral) Exclusion of a Segment of Intestine1139

INTESTINAL OBSTRUCTION1140

Paralytic Ileus1143

Dynamic (Spastic) Ileus1145

Mechanical Intestinal Obstruction1146

Intestinal Obstruction from Adhesions1160

Plication of the Small Intestine for Adhesions (Noble)1163

Immediate Postoperative Obstruction1168

Intestinal Obstruction from External Hernia1172

Intestinal Obstruction from Internal Hernia1173

Obstruction of the Small Intestine by Foreign Bodies1173

Volvulus of the Small Intestine (Not Due to Malrotation)1173

Other Types of Mechanical Obstruction1176

Intestinal Obstruction Due to Mesenteric Vascular Occlusion1176

MALROTATION OF THE INTESTINE1181

First Stage of Midgut Rotation1181

Second Stage of Midgut Rotation1182

Third Stage of Midgut Rotation1186

Omphalocele Resulting form Failure of Rotation beyond the First Stage1186

One-Stage Operation1188

Two-Stage Operation (Gross)1191

Nonrotation Resulting from Failure in Second Stage1199

Operation for Duodenal Obstruction Caused by Nonrotation of the Midgut (Ladd)1200

Congenital Volvulus of Midgut Resulting from Abnormality of Second Stage1200

Malrotation during Second Stage of Midgut Rotation1207

Internal Hernia Resulting from Abnormality of Second Stage1209

Reversed Rotation1214

Subhepatic Cecum1215

Retrocecal Appendix1217

Mobile Cecum1217

CONGENITAL ATRESIA1218

CONGENITAL STENOSIS OF THE INTESTINE AND COLON1232

MECONIUM ILEUS1239

Surgical Lavage of Intestine through a Tube1241

Resection of Obstructed Segment of Ileum with End-to-End Anastomosis1242

Witzel Enterostomy1242

Mikulicz Resection with Ileocolostomy1242

Mikulicz Resection and Double Ileostomy1243

Results of Surgical Treatment by the Various Methods1244

Convalescent Care Following Surgical Treatment1245

DUPLICATIONS OF THE ALIMENTARY TRACT1246

Surgical Treatments1253

Duplications Arising in the Thorax1253

Duplications in the Thorax Arising from Intestine1254

Duplications of the Stomach1255

Duplications of the Duodenum1255

Duplication of the Intestine1256

Duplications of the Colon and Rectum1256

Results of Surgical Treatment1259

MESETERIC CYSTS1259

MULTIPLE CYSTIC DISEASE OF THE MESENTERY1262

OMENTAL CYSTS1262

MECKEL＇S DIVERTICULUM1263

INTUSSUSCEPTION IN INFANTS AND CHILDREN1271

Surgical Treatment1275

Reducible Intussusception1276

Irreducible or Gangrenous Intussusception1280

Recurring Intussusception1290

Results of Surgical Treatment1291

Nonsurgical Treatment1291

INTUSSUSCEPTION IN OLDER CHILDREN AND ADULTS1295

REGIONAL ENTERITIS (CROHN＇S DISEASE)1297

Surgical Treatment1306

Ileotransverse Colostomy with Transection of the Ileum1307

One-Stage Resection1308

Two-Stage Resections1309

Comments on Surgical Treatment1310

Recurrences1312

REFERENCES1314

Chapter 8 THE PERITONEUM,OMENTA AND MESENTERY1319

ANATOMY1319

OPERATIONS UPON THE PERITONEUM1321

Surgical Treatment of Peritonitis1321

Localized Peritonitis1321

Diffuse Suppurative Peritonitis1323

Prevention of Diffuse Peritonitis in Abdominal Injuries*1327+++Operations for Torsion(Volvulus)of the Omentum1329

OPERATIONS ON THE GREAT OMENTUM1328

Omental Grafting1328

Partial or Complete Excision of the Great Omentum1329

Operations for Torsion(Volvulus)of the Omentum1329

Omentopexy for Cirrhosis of the Liver1330

Removal of Cysts of the Omentum1330

OPERATIONS UPON THE MESENTERY1331

REFERENCES1331

Chapter 9 THE COLON1333

ANATOMY1333

PHYSIOLOGY1349

DEVELOPMENTAL ANOMALIES OF THE COLON1352

DISEASES OF THE APPENDIX1352

Appendicitis1352

Acute Appendicitis1353

Chronic and Chronically Recurring Appendicitis1359

Appendiceal Abscess1359

Other Lesions of the Appendix1360

OPERATIONS UPON THE APPENDIX1361

Appendectomy1361

Drainage of Appendiceal Abscess1371

Drainage of Pelvic Abscess1373

Appendicostomy1374

INJURIES OF THE COLON1376

Surgical Treatment1378

FOREIGN BODIES1385

FECAL IMPACTION1386

TUMORS OF THE COLON1387

Benign Tumors1387

Polyps or Multiple Polyps of the Colon1388

Diffuse Familial (Multiple) Polyposis of the Colon1393

Endometrioma (Adenomyoma)1398

Other Benign Tumors of the Colon1403

Malignant Tumors1404

DIVERTICULA OF THE COLON1416

DIVERTICULA OF CECUM1434

PERSISTENT COLONIC FISTULAS1435

Internal Persistent Colonic Fistula1435

External Persistent Fecal Fistula1436

NONSPECIFIC (IDIOPATHIC) ULCERATIVE COLITIS1439

Pelvic Autonomic Neurectomy for Ulcerative Colitis1461

CONGENITAL MEGACOLON (HIRSCHSPRUNG＇S DISEASE)1462

Surgical Treatment1469

One-Stage Abdominoperineal Resection of Rectosigmoid (Swenson)1470

Colostomy for Congenital Megacolon1477

Partial Colectomy for Congenital Megacolon1480

Lumbar Sympathectomy1480

Paravertebral Sympathetic Block1487

VOLVULUS OF THE SIGMOID1489

VOLVULUS OF THE CECUM1497

Operation for Volvulus of Cecum1498

GENERAL CONSIDERATIONS IN OPERATIONS UPON THE COLON1498

COLOTOMY1500

COLOPEXY1502

COLOSTOMY1503

Temporary Tube Colostomies1507

Tangential Colostomy1509

Double-Barrelled Colostomies1512

Loop Colostomy1512

Spur Colostomy1521

Terminal Single-Barrelled Colostomy1530

Complications after Colostomy1533

Comments on Colostomy1538

Care of Bowel and Stoma Following Permanent Colostomy1540

Intraperitoneal Closure of a Colostomy Stoma1542

OPERATIONS FOR SHORT-CIRCUITING THE COLON1545

RESECTION OF THE COLON1549

Resection of the Right Colon1551

One-Stage Resection of Right Colon1553

Two-Stage Resection of Right Colon1562

Three-Stage Resection of Right Colon1565

Mikulicz Exteriorization Resection (Lahey Modification)1566

Comments on Resection of Right Colon1569

Resection of the Transverse Colon1570

One-Stage Resection with Primary Anastomosis1570

Multiple-Stage Resection of Transverse Colon1577

Obstructive Resection of Transverse Colon (Rankin)1578

Resection of the Descending Colon and Sigmoid1581

One-Stage Resection with Primary End-to-End Anastomosis1581

Three-Stage Resection of Sigmoid (Schloffer)1585

Mikulicz-Paul Resection of Sigmoid1585

Other Methods1587

Resection of Short Segment of Colon1588

Colectomy1589

One-Stage Colectomy with Ileostomy1590

One-Stage Subtotal Colectomy with Ileorectotomy1593

One-Stage Subtotal Colectomy with Ileostomy1596

Total Colectomy with Anal Ileostomy and Preservation of Anal Sphincter (Ravitch)1596

Two-Stage Total Colectomy with Permanent Ileostomy1610

Two-Stage Subtotal Colectomy1615

Three-Stage Total Colectomy with Ileostomy1617

Four-Stage Total Colectomy1622

Comments on Segmental,Partial,Subtotal and Total Colectomy1625

REFERENCES1629