Abbreviations CT: computed tomography GIA: gastrointestinal anastomosis IVC: inferior vena cava SMA: superior mesenteric artery Extended multivisceral resections involving the liver contribute to the armamentarium of an experienced liver surgeon.1…
Patient Position and Incision For patient safety throughout a prolonged surgical procedure, careful positioning is required. We advocate the lithotomy position with open legs, thighs flexed at 15° on the…
Fig. 14.1 Thoracoabdominal approach to an upper (right) quadrant sarcoma. The oblique incision starts above the umbilicus and is extended through the 9th intercostal space. The diaphragm is opened. The…
Definition The retroperitoneal space, or area, or just “retroperitoneum” is the region or space behind the peritoneal cavity. To be more anatomically correct, the retroperitoneum is the area of the…
General Principles Multiorgan resections follow the general principles of all oncological surgery. The patient must be operable, which means that all co-morbidities (cardiopulmonary, renal, etc) must be carefully assessed to…
Patient Position and Exposure One must be prepared for a major surgical event with wide abdominal and pelvic exposure in order to achieve the greatest incidence of success. In most…
Advanced Colon Cancer A small but significant number of patients for whom a curative operation was planned have big bulky tumors that extend beyond the intestinal wall and adhere to…
Preoperative Preparation Once a thorough history is obtained, a physical exam is performed. Palpable supraclavicular or inguinal nodes or the presence of hepatomegaly or ascites may preclude further operative intervention….
