Colon Resection CRITICAL ELEMENTS Abdominal Exploration Extent of Bowel Mobilization and Resection Proximal Vascular Ligation and Regional Lymphadenectomy Multivisceral Resection Removal of Lymphadenopathy Beyond the Primary Distribution 1. ABDOMINAL EXPLORATION…
Introduction Colon cancer is a major public health problem in the United States and throughout the world. In 2013, more than 100,000 new patients in the United States were diagnosed…
Distal Pancreatectomy CRITICAL ELEMENTS Proximal Parenchymal Transection and Retroperitoneal Dissection Radical Lymphadenectomy Resection of Adjacent Organs, Superior Mesenteric Vein/Portal Vein, and/or Celiac Axis 1. PROXIMAL PARENCHYMAL TRANSECTION AND RETROPERITONEAL DISSECTION…
Pancreatoduodenectomy CRITICAL ELEMENTS Division of the Uncinate Process from the Superior Mesenteric Artery Radical Lymphadenectomy Resection and Reconstruction of the Superior Mesenteric Vein/Portal Vein to Obtain Negative Margins Resection to…
Pancreatic Surgery CRITICAL ELEMENTS Evaluation for Extrapancreatic Disease and Assessment of Locoregional Tumor Anatomy Pathologic Examination of the Surgical Specimen 1. EVALUATION FOR EXTRAPANCREATIC DISEASE AND ASSESSMENT OF LOCOREGIONAL TUMOR…
Introduction Localized pancreatic ductal adenocarcinoma (PDAC) was once considered a uniquely surgical problem. Staging of PDAC was routinely accomplished in the operating room; patients found to have technically removable tumors…
Pneumonectomy CRITICAL ELEMENTS Patient Selection Technical Aspects Avoidance of Intra- and Postoperative Complications 1. PATIENT SELECTION Recommendation: Proper preoperative evaluation with appropriate tests and imaging studies are essential to determine…
Segmentectomy CRITICAL ELEMENT Patient Selection for Segmentectomy Recommendation: Segmentectomy should be an option in only select node-negative patients and is dependent on being able to achieve an adequate parenchymal margin….
Minimally Invasive and Open Approaches to Mediastinal Nodal Assessment CRITICAL ELEMENT Lymph Node Dissection or Systematic Lymph Node Sampling in the Chest Recommendation: The proper technique enables surgeons to access…
