Video Atlas of Pediatric Endosurgery (VAPE) (eBook)

A Step-By-Step Approach to Common Operations

Martin Lacher, Oliver J. Muensterer (Herausgeber)

eBook Download: PDF

2021 | 1st ed. 2021
XIV, 270 Seiten
Springer International Publishing (Verlag)
978-3-030-58043-8 (ISBN)

Infos

This book brings together state of the art endosurgical techniques on abdominal, gastrointestinal, colorectal and thoracic operations in children, as well as operations of upper urological tract. Each chapter is complemented by a corresponding video of the described procedure, featuring critical maneuvers, useful tips, and alternative approaches. The book itself summarizes each operation, containing illustrations about positioning in the operation theatre, the most important steps of the surgical procedures and the managing of possible complications. The videos are accessible through different devices including desktop or laptop computers, tablets, as well as smartphones, allowing both novice and experienced surgeons to review the procedures on the go, during rounds, or in the operating room. The book and accompanying videos are therefore an invaluable guide for pediatric surgeons as well as young surgeons at the start of their career.

Videos and more: Download the free Springer Nature More Media App - Scan dedicated images in this book  to stream videos or access and download supplementary material.

Martin Lacher received his medicine degree from the University of Cologne and successfully completed the United States Medical Licensing Exam (USMLE). From 2002-2010 he underwent surgical training in General Surgery and Pediatric Surgery. From 2010 to 2011 he successfully completed a Fellowship in Pediatric Endosurgery at the University of Alabama at Birmingham/USA.  In the years 2012-2015 he worked as a staff surgeon at the Department of Pediatric Surgery at Hannover Medical School. Since October 2015 he is surgeon in chief and director of the department of pediatric surgery at the University of Leipzig, Germany.  Martin Lacher is board certified for both Pediatric Surgery and General Surgery. He has participated in surgical missions in various countries including Vietnam, China, Tanzania and North Korea.  His research activities started with investigating genetic and non-genetic causes of inflammatory bowel diseases and Hirschsprung´s disease. Martin Lacher is chair of the research committee of the International Pediatric Endosurgery Group (IPEG). For his PhD thesis on the genetics of inflammatory bowel diseases he received the Richard Drachter award of the German Society for Pediatric Surgery in 2012. Martin Lacher is reviewer of a variety of surgical peer-reviewed journals, editorial board member of the European Journal of Pediatric Surgery and editor-in-chief of the European Journal of Pediatric Surgery Reports.

Oliver Muensterer received his medical degree from the University of Alicante, Spain and the the Ludwig-Maximilians-University of Munich, Germany in 1994. He trained in General surgery at the Washington Hospital Center in Washington, DC and completed a pediatric residency at Duke University in Durham, North Carolina. He complemented his pediatric surgery training at the von Hauner Children's Hospital in Munich with a fellowship in pediatric endosurgery at the University of Alabama at Birmingham, USA. He is board certified in pediatrics, pediatric surgery, and sports medicine. He served as a staff pediatric surgeon at the University of Leipzig from 2006-2008, before becoming assistant professor of pediatric surgery at the University of Alabama at Birmingham in 2008, and associated professor of pediatric surgery at the Weill Cornell Medical College in New York, USA in 2011. In 2014, he accepted the position of chairman and professor of pediatric surgery at the Johannes Gutenberg University of Mainz. Oliver Muensterer has a particular interest in pediatric foregut issues and pediatric trauma. His research focuses on esophageal atresia, Multiphoton microscopy for Hirschsprung disease and pediatric solid tumors, as well as telemedicine and other innovative techniques. He is an active ATLS instructor and examiner for the European Board of Pediatric Surgery. He participates in the activities of  several professional societies and serves on a variety of editorial boards.

Inhalt

Foreword 6
Foreword 7
Preface 8
Contents 9
Part I: Foregut 13
1: Laparoscopic Nissen Fundoplication 14
1.1 Indications for Fundoplication 14
1.2 Preoperative Workup and Considerations 14
1.3 Anesthetic Considerations 15
1.4 Operative Technique 15
1.4.1 Equipment 15
1.4.2 Positioning 15
1.4.3 Trocar Placement 15
1.4.4 Operative Milestones 16
1.5 Postoperative Care 17
1.6 Pearls/Tips & Tricks
1.7 Pitfalls &  Ways to Avoid
References 18
2: Laparoscopic Toupet Fundoplication 19
2.1 Indications for Laparoscopic Approach to Toupet Fundoplication 19
2.2 Preoperative Workup and Considerations 19
2.3 Anesthetic Considerations 19
2.4 Operative Technique 20
2.4.1 Equipment 20
2.4.2 Positioning 20
2.4.3 Trocar Placement 20
2.4.4 Operative Milestones 20
2.5 Postoperative Care 21
2.6 Pearls/Tips &  Tricks
2.7 Pitfalls &  Ways to Avoid
References 22
3: Laparoscopic Thal Fundoplication 23
3.1 Indications for Laparoscopic Thal Fundoplication 23
3.2 Preoperative Workup and Considerations 23
3.3 Anesthetic Considerations 23
3.4 Operative technique. 24
3.4.1 Equipment 24
3.4.2 Positioning 24
3.4.3 Trocar Placement 25
3.4.4 Operative Milestones 25
3.5 Postoperative Care 27
3.6 Pearls/Tips &  Tricks
3.7 Pitfalls &  Ways to Avoid
References 27
4: Laparoscopic Heller Myotomy 28
4.1 Evidence on Outcome for Laparoscopic Heller Myotomy 28
4.2 Preoperative Workup and Considerations 28
4.3 Anesthetic Considerations 28
4.4 Operative Technique Equipment 28
4.5 Positioning 29
4.6 Trocar Placement 29
4.7 Operative Milestones 29
4.8 Postoperative Care 30
4.9 Pearls/Tips &  Tricks
4.10 Pitfalls &  Ways to Avoid
References 31
5: Foregut Duplication or Esophageal Duplication 32
5.1 Indications for Thoracoscopic Approach to Esophageal Duplication 32
5.2 Preoperative Workup and Considerations 32
5.3 Anesthetic Considerations 32
5.4 Operative Technique 33
5.4.1 Equipment 33
5.4.2 Positioning 33
5.4.3 Trocar Placement 33
5.4.4 Operative Milestones 33
5.5 Postoperative Care 34
5.6 Pearls/Tips & Tricks
5.7 Pitfalls & Ways to Avoid
References 35
6: Nutritional Access Procedures 36
6.1 Indications for Endoscopic and Laparoscopic Assisted Approach to Nutritional Access 36
6.2 Preoperative Workup and Considerations 36
6.3 Anesthetic Considerations 36
6.4 Operative Technique 36
6.4.1 Equipment 36
6.4.2 Positioning 37
6.4.3 Trocar Placement 38
6.4.4 Operative Milestones 38
6.5 Postoperative Care 41
6.6 Pearls/Tips &  Tricks
6.7 Pitfalls &  Ways to Avoid
References 41
7: Laparoscopic Pyloromyotomy 42
7.1 Indications for Laparoscopic Approach to Pyloromyotomy 42
7.2 Preoperative Workup and Considerations 42
7.3 Anesthetic Considerations 42
7.4 Operative Technique 42
7.4.1 Equipment 42
7.4.2 Positioning 42
7.4.3 Trocar Placement 43
7.4.4 Operative Milestones 43
7.5 Postoperative Care 44
7.6 Pearls/Tips &  Tricks
7.7 Pitfalls &  Ways to Avoid
References 45
8: Laparoscopic Duodenal Atresia Repair 46
8.1 Indications for Laparoscopic Approach to Congenital Duodenal Atresia 46
8.2 Preoperative Workup and Considerations 46
8.3 Anesthetic Considerations 46
8.4 Operative Technique 46
8.4.1 Equipment 46
8.4.2 Positioning 47
8.4.3 Trocar Placement 47
8.4.4 Operative Milestones 47
8.5 Postoperative Care 48
8.6 Pearls/Tips &  Tricks
8.7 Pitfalls &  Ways to Avoid
References 49
Part II: Small Intestine 50
9: Laparoscopic Approach to Malrotation 51
9.1 Indications for Laparoscopic Approach to Malrotation/Volvulus 51
9.2 Preoperative Workup and Considerations 51
9.3 Anesthetic Considerations 51
9.4 Operative Technique 51
9.4.1 Equipment 51
9.4.2 Positioning 52
9.4.3 Trocar Placement 52
9.4.4 Operative Milestones 52
9.5 Postoperative Care 54
9.6 Pearls/Tips &  Tricks
9.7 Pitfalls &  How to Avoid
References 54
10: Laparoscopic Treatment of Intussusception 55
10.1 Indications for Laparoscopic Reduction of Ileocolic Intussusception 55
10.2 Preoperative Workup and Considerations 55
10.3 Anesthetic Considerations 55
10.4 Operative Technique 55
10.4.1 Equipment 55
10.4.2 Positioning 55
10.4.3 Trocar Placement 56
10.4.4 Operative Milestones 56
10.5 Postoperative Care 58
10.6 Pearls/Tips &  Tricks
10.7 Pitfalls &  Ways to Avoid
References 58
11: Laparoscopic Management in Crohn’s Disease: Ileocecal Resection 59
11.1 Indications for Laparoscopic Approach in Crohn’s Disease 59
11.2 Preoperative Workup and Considerations 59
11.3 Anesthetic Considerations 60
11.4 Operative Technique 60
11.4.1 Equipment 60
11.4.2 Positioning 60
11.4.3 Trocar Placement 60
11.4.4 Operative Milestones (Video 11.1) 60
11.5 Postoperative Care 62
11.6 Pearls/Tips & Tricks
11.7 Pitfalls & Ways to Avoid
References 63
Part III: Colorectal 64
12: Laparoscopic Appendicectomy 65
12.1 Indications for Laparoscopic Appendicectomy 65
12.2 Preoperative Workup and Considerations 65
12.3 Anaesthetic Considerations 65
12.4 Operative Technique 65
12.4.1 Equipment 65
12.4.2 Positioning 65
12.4.3 Trocar Placement 65
12.4.4 Operative Milestones 66
12.5 Postoperative Care 67
12.6 Pearls/Tips &  Tricks
12.7 Pitfalls &  Ways to Avoid
Reference 67
13: Single Incision Pediatric Endosurgical (SIPES) Appendectomy 68
13.1 Indications for SIPES Appendectomy 68
13.2 Preoperative Workup and Considerations 68
13.3 Anesthetic Considerations 68
13.4 Operative Technique 68
13.4.1 Equipment 68
13.4.2 Positioning 69
13.4.3 Trocar Placement 69
13.4.4 Operative Milestones 69
13.5 Postoperative Care 70
13.6 Pearls/Tips &  Tricks
13.7 Pitfalls &  Ways to Avoid
References 72
14: Single-Incision Pediatric Endosurgical (SIPES) Appendectomy using a Glove Port 73
14.1 Indications for Laparoscopic Approach to Acute Appendicitis 73
14.2 Preoperative Workup and Considerations 73
14.3 Anesthetic Considerations 73
14.4 Operative Technique 73
14.4.1 Equipment (Figure 14.1) 73
14.4.2 Positioning 73
14.4.3 Trocar Placement 74
14.4.4 Operative Milestones 74
14.5 Postoperative Care 75
14.6 Pearls/Tips &  Tricks
14.7 Pitfalls &  Ways to Avoid
References 76
15: Laparoscopic Management in Ulcerative Colitis: Staged Proctocolectomy with Ileal Pouch-Anal Anastomosis 78
15.1 Indications for Laparoscopic Approach to Ulcerative Colitis 78
15.2 Preoperative Workup and Considerations 78
15.3 Anesthetic Considerations 79
15.4 Operative Technique 79
15.4.1 Equipment 79
15.4.2 Positioning 79
15.4.3 Trocar Placement 79
15.4.3.1 Operative Milestones (Video 15.1) 80
15.5 Postoperative Care 83
15.6 Pearls/Tips & Tricks
15.7 Pitfalls & Ways to Avoid
References 84
16: Laparoscopic Approach in Anorectal Malformations 85
16.1 Indication for Laparoscopic Approach to Hirschsprung Disease 85
16.2 Preoperative Workup and Considerations 85
16.3 Anesthetic Considerations 85
16.4 Operative Technique 85
16.4.1 Equipment 85
16.4.2 Positioning 86
16.4.3 Trocar Placement 86
16.5 Operative Milestones (Milestones 16.1, 16.2, 16.3, 16.4, and 16.5) 87
16.6 Postoperative Care 88
16.7 Pearls/Tips &  Tricks
16.8 Pitfalls &  Ways to Avoid
References 89
17: Laparoscopic Approach to Hirschsprung Disease 90
17.1 Indication for Laparoscopic Approach to Hirschsprung Disease 90
17.2 Preoperative Workup and Considerations 90
17.3 Anesthetic Considerations 90
17.4 Operative Technique 91
17.4.1 Equipment 91
17.4.2 Positioning 91
17.4.3 Trocar Placement 91
17.4.4 Operative Milestones 91
17.5 Postoperative Care 94
17.6 Pearls/Tips &  Tricks
17.7 Pitfalls &  Ways to Avoid
References 94
Part IV: Hepatobiliary 95
18: Laparoscopic Cholecystectomy 96
18.1 Indications for Laparoscopic Approach to Cholecystectomy 96
18.2 Preoperative Workup and Considerations 96
18.3 Anesthetic Considerations 96
18.4 Operative Technique 96
18.4.1 Equipment 96
18.4.2 Positioning 96
18.4.3 Trocar Placement 97
18.4.4 Operative Milestones 97
18.5 Postoperative Care 99
18.6 Pearls/Tips &  Tricks
18.7 Pitfalls &  Ways to Avoid
References 99
19: Laparoscopic cholangiography and Liver Biopsy 100
19.1 Indications for Laparoscopic Approach to Liver Biopsy 100
19.2 Preoperative Workup and Considerations 100
19.3 Anesthetic Considerations 100
19.4 Operative Technique and Equipment 100
19.4.1 Equipment 100
19.4.2 Positioning 101
19.4.3 Trocar Placement 101
19.4.4 Operative Milestones 101
19.5 Postoperative Care 102
19.6 Pearls/Tips &  Tricks
19.7 Pitfalls &  How to Avoid
References 103
20: Laparoscopic Kasai Portoenterostomy for Biliary Atresia 104
20.1 Introduction 104
20.2 Preoperative Work-Up 104
20.3 Operative Technique 104
20.3.1 Equipment 104
20.3.2 Positioning and Trocar Placement 104
20.4 Operative Milestones 105
20.5 Postoperative Care 106
20.6 Comparison to Open Kasai Portoenterostomy 106
20.6.1 Meticulous Dissection and Precise Transection of the Biliary Remnant 106
20.7 Pearls/Tips &  Tricks
20.7.1 Do’s 106
20.8 Pitfalls & Ways to Avoid
References 107
21: Laparoscopic Resection of Choledochal Cyst with Hepaticojejunostomy 108
21.1 Indications for Laparoscopic Approach to Choledochal Cysts 108
21.2 Preoperative Workup and Considerations 108
21.3 Anesthetic Considerations 108
21.4 Operative Technique 108
21.4.1 Equipment 108
21.4.2 Positioning 109
21.4.3 Trocar Placement 109
21.4.4 Operative Milestones (Videos 21.1 and 21.2) 109
21.4.5 Hepaticojejunostomy (Video 21.1) 110
21.4.6 Hepaticoduodenostomy (Video 21.2) 113
21.5 Postoperative Care 113
21.6 Pearls/Tips & Tricks
21.7 Pitfalls & Ways to Avoid
References 114
22: Laparoscopic Splenectomy 115
22.1 Introduction 115
22.2 Important Anatomic Landmarks and Variations 115
22.3 Indications for Laparoscopic Splenectomy 115
22.4 Indications for Partial Splenectomy 115
22.5 Preoperative Workup and Considerations 115
22.6 Anesthetic Considerations 116
22.7 Operative Technique 116
22.7.1 Equipment 116
22.7.2 Positioning 116
22.7.3 Trocar Placement 116
22.7.4 Operative Milestones 116
22.8 Postoperative Care 118
22.9 Postoperative Complications 118
22.10 Pearls/Tips &  Tricks
22.11 Pitfalls &  Ways to Avoid
References 119
23: Single Incision Pediatric Endosurgical (SIPES) Splenectomy 120
23.1 Indications for Laparoscopic Approach to Splenectomy 120
23.2 Preoperative Workup and Considerations 120
23.3 Anesthetic Considerations 121
23.4 Operative Technique 121
23.4.1 Equipment 121
23.4.2 Positioning 121
23.4.3 Trocar Placement 121
23.4.4 Operative Milestones 122
23.5 Postoperative Care 124
23.6 Pearls/Tips &  Tricks
23.7 Pitfalls &  Ways to Avoid
References 125
24: Laparoscopic Partial Splenectomy 127
24.1 Indications for Laparoscopic Partial Splenectomy 127
24.2 Preoperative Workup and Considerations 127
24.3 Anesthetic Considerations 127
24.4 Operative Technique 127
24.4.1 Equipment 127
24.4.2 Positioning 128
24.4.3 Trocar Placement 128
24.4.4 Operative Milestones 128
24.5 Postoperative Care 129
24.6 Pearls/Tips &  Tricks
24.7 Pitfalls &  Ways to Avoid
References 130
Part V: Oncology 131
25: General Oncologic Endosurgical Procedures 132
25.1 Introduction 132
25.2 Indications for Oncologic Endosurgical Procedures 132
25.3 Preoperative Workup and Considerations 133
25.4 Anesthetic Considerations 133
25.5 Operative Technique 133
25.5.1 Equipment 133
25.5.2 Positioning 133
25.5.3 Trocar Placement 134
25.5.4 Operative Milestones 134
25.6 Postoperative Care 136
25.7 Pearls/Tips & Tricks
25.8 Pitfalls & Ways to Avoid
References 137
26: Laparoscopic Adrenalectomy 138
26.1 Indications for Laparoscopic Adrenalectomy 138
26.2 Preoperative Workup and Considerations 138
26.3 Anesthetic Considerations 138
26.4 Operative Technique 138
26.4.1 Equipment 138
26.4.2 Positioning 139
26.4.3 Trocar Placement 139
26.4.4 Operative Milestones 139
26.5 Postoperative Care 140
26.6 Pearls/Tips &  Tricks
References 141
27: Ovarian Procedures: Laparoscopic Ovarian Preserving Cystectomy and Laparoscopic Detorsion 142
27.1 Indications for Laparoscopic Approach to Ovarian Torsion and Benign Ovarian Masses 142
27.2 Preoperative Workup and Considerations 142
27.3 Anaesthetic Considerations 142
27.4 Operative Technique 143
27.4.1 Equipment 143
27.4.2 Positioning 143
27.4.3 Trocar Placement 144
27.4.4 Operative Milestones 144
27.5 Postoperative Care 144
27.6 Pearls/Tips &  Tricks
27.7 Pitfalls &  Ways to Avoid
References 145
28: Laparoscopic-Assisted Mobilization and Resection of a Sacrococcygeal Teratoma 146
28.1 The Sacrococcygeal Teratoma and Indications for a Laparoscopic Approach 146
28.2 Preoperative Workup and Considerations 146
28.3 Anesthetic Considerations 146
28.4 Operative Technique 147
28.4.1 Equipment 147
28.4.2 Positioning 148
28.4.3 Trocar Placement 148
28.4.4 Operative Milestones 150
28.5 Final Tumor Resection via Posterior Sacrococcygeal Approach 151
28.6 Postoperative Care 151
28.7 Pearls/Tips &  Tricks
28.8 Pitfalls &  Ways to Avoid
References 152
Part VI: Hernias 153
29: Laparoscopic Herniorrhaphy 154
29.1 Indications for Laparoscopic Approach to Inguinal Hernia 154
29.2 Preoperative Workup and Considerations 154
29.3 Anesthetic Considerations 154
29.4 Operative Technique 154
29.4.1 Equipment 154
29.4.2 Positioning 154
29.4.3 Trocar Placement 155
29.4.4 Operative Milestones (Video 29.1) 155
29.5 Postoperative Care 157
29.6 Pearls/Tips &  Tricks
29.7 Pitfalls &  Ways to Avoid
References 157
30: Laparoscopic Epigastric Hernia Repair 159
30.1 Indications for the Laparoscopic Approach to Epigastric Hernia 159
30.2 Preoperative Workup and Considerations 159
30.3 Anesthetic Considerations 159
30.4 Operative Technique 159
30.4.1 Equipment 159
30.4.2 Positioning 160
30.4.3 Trocar Placement 160
30.4.4 Operative Milestones 160
30.5 Postoperative Care 162
30.6 Pearls/Tips &  Tricks
30.7 Pitfalls &  Ways to Avoid
References 162
Part VII: Urology 163
31: Laparoscopic Pyeloplasty 164
31.1 Indications for Laparoscopic Approach to Ureteropelvic Junction Obstruction 164
31.2 Preoperative Workup and Considerations 164
31.3 Anesthetic Considerations 164
31.4 Operative Technique 164
31.4.1 Equipment 164
31.4.2 Positioning 165
31.4.3 Trocar Placement 165
31.4.4 Operative Milestones 166
31.5 Postoperative Care 168
31.6 Pearls/Tips & Tricks
31.7 Pitfalls & Ways to Avoid
References 168
32: Laparoscopic Transperitoneal Simple Nephrectomy 169
32.1 Indications for Laparoscopic Simple Nephrectomy 169
32.2 Preoperative Workup and Considerations 169
32.3 Anesthetic Considerations 169
32.4 Operative Technique 169
32.4.1 Equipment 169
32.4.2 Positioning 169
32.4.3 Trocar Placement 170
32.4.4 Operative Milestones 170
32.5 Postoperative Care 172
32.6 Pearls/Tips & Tricks
32.7 Pitfalls & Ways to Avoid
References 172
33: Laparoscopic Transperitoneal Heminephrectomy 173
33.1 Indications for Laparoscopic Heminephrectomy 173
33.2 Preoperative Workup and Considerations 173
33.3 Anesthetic Considerations 173
33.4 Operative Technique 173
33.4.1 Equipment 173
33.4.2 Positioning 173
33.4.3 Trocar Placement 174
33.4.4 Operative Milestones (Upper Pole LHN) 174
33.5 Postoperative Care 176
33.6 Pearls/Tips & Tricks
33.7 Pitfalls & Ways to Avoid
References 176
34: Extravesical Ureteral Reimplantation (Lich-Gregoir) 177
34.1 Indications for Robot-assisted Approach to Vesico-ureteral Reflux 177
34.2 Preoperative Workup and Considerations 177
34.3 Anesthetic Considerations 177
34.4 Operative Technique 177
34.4.1 Equipment 177
34.4.2 Positioning 178
34.4.3 Trocar Placement 178
34.4.4 Operative Milestones 178
34.5 Postoperative Care 178
34.6 Pearls/Tips & Tricks
34.7 Pitfalls & Ways to Avoid
References 180
35: Laparoscopic Varicocelectomy 181
35.1 Indications for Laparoscopic Approach to Varicocelectomy 181
35.2 Preoperative Workup and Considerations 181
35.3 Anesthetic Considerations 181
35.4 Operative Technique (Palomo Procedure) 181
35.4.1 Equipment 181
35.4.1.1 Conventional Technique 181
35.4.1.2 SIPES (Single-incision Pediatric Endosurgical) Technique 181
35.4.2 Positioning 181
35.4.3 Trocar Placement 182
35.4.3.1 Single Incision Pediatric Endosurgery (SIPES) 182
35.4.4 Operative Milestones 182
35.5 Postoperative Care 183
35.6 Pearls/Tips & Tricks
35.7 Pitfalls & Ways to Avoid
References 184
36: Laparoscopic Orchidopexy 185
36.1 Indications for a Laparoscopic Approach to Cryptorchidism 185
36.2 Preoperative Workup and Considerations 185
36.3 Anesthetic Considerations 185
36.4 Operative Technique 185
36.4.1 Equipment 185
36.4.2 Positioning 185
36.4.3 Trocar Placement 186
36.4.4 Operative Milestones 186
36.5 Postoperative Care 187
36.6 Pearls/Tips & Tricks
36.7 Pitfalls & Methods to Avoid
References 188
37: Laparoscopic Management of Intra-abdominal Testis (Shehata Technique) 189
37.1 Indications for Laparoscopic Approach to Intra-abdominal Testis (Shehata Technique) 189
37.2 Preoperative Workup and Considerations 189
37.3 Anesthetic Considerations 189
37.4 Operative Technique 189
37.4.1 Equipment 189
37.4.2 Positioning 189
37.4.3 Trocar Placement 189
37.4.4 Operative Milestones 190
37.4.4.1 First Stage 190
Division of the Gubernaculum 190
The Measuring Test and Decision Making 190
Mobilization and Fixation 190
37.4.4.2 Postoperative Care and Waiting Period 191
37.4.4.3 Second Stage 191
Assessment and Division of the Fixation Stitch 191
Delivery in the Scrotum 192
37.4.4.4 Postoperative Care 192
37.5 Pearls/Tips &  Tricks
37.6 Pitfalls &  Ways to Avoid
Selected References 192
38: Two Stage Laparoscopic Assisted Fowler-Stephens Orchidopexy 194
38.1 Indications 194
38.2 Preoperative Workup and Considerations 194
38.3 Anesthetic Considerations 194
38.4 Operative Technique 194
38.4.1 Equipment 194
38.4.2 Positioning 194
38.4.3 Trocar Placement 195
38.4.4 Operative Milestones (Video 38.1) 195
38.5 Postoperative Care 196
38.6 Pearls/Tips &  Tricks
38.7 Pitfalls &  Ways to Avoid
References 198
Part VIII: Thorax 199
39: Thoracoscopic Tracheoesophageal Fistula and Esophageal Atresia Repair 200
39.1 Indications for Thoracoscopic Approach to Tracheoesophageal Fistula and Esophageal Atresia 200
39.2 Preoperative Workup and Considerations 200
39.3 Anesthetic Considerations 200
39.4 Operative Technique 200
39.4.1 Equipment 200
39.4.2 Positioning 201
39.4.3 Trocar Placement 201
39.4.4 Operative Milestones 202
39.5 Postoperative Care 203
39.6 Pearls/Tips &  Tricks
39.7 Pitfalls &  Ways to Avoid
References 204
40: Thoracoscopic Technique Using Internal Traction Sutures for Long-Gap Esophageal Atresia Repair 205
40.1 Indications for Thoracoscopic Approach to Long-Gap Esophageal Atresia 205
40.2 Preoperative Workup and Considerations 205
40.3 Anesthetic Considerations 205
40.4 Operative Technique 206
40.4.1 Equipment 206
40.4.2 Positioning 206
40.4.3 Trocar Placement and Preparation of the Operative Field 206
40.4.4 Operative Milestones 206
40.5 Postoperative Care 208
40.6 Pearls/Tips &  Tricks
40.7 Pitfalls &  Ways to Avoid
References 208
41: Thoracoscopic Tracheoesophageal H-Type Fistula Repair 209
41.1 Indications for the Thoracoscopic Approach to Tracheoesophageal H-type Fistula 209
41.2 Preoperative Workup and Considerations 209
41.3 Anesthetic Considerations 209
41.4 Operative technique 209
41.4.1 Equipment 209
41.4.2 Positioning 210
41.4.3 Trocar Placement 210
41.4.4 Operative Milestones 210
41.5 Postoperative Care 211
41.6 Pearls/Tips &  Tricks
41.7 Pitfalls &  Ways to Avoid
References 212
42: Thoracoscopic Lung Biopsy 213
42.1 Indications for Thoracoscopic Lung Biopsy 213
42.2 Preoperative Workup and Considerations 213
42.3 Anesthetic Considerations 213
42.4 Operative Technique 213
42.4.1 Equipment 213
42.4.2 Positioning 213
42.4.3 Trocar Placement 214
42.4.4 Operative Milestones 214
42.5 Postoperative Care 215
42.6 Pearls/Tips &  Tricks
42.7 Pitfalls &  Ways to Avoid
References 216
43: Thoracoscopic Lung Resection 217
43.1 Indications for Thoracoscopic Approach to Lung Resection 217
43.2 Preoperative Workup and Considerations 217
43.3 Anesthetic Considerations 217
43.4 Operative Technique 217
43.4.1 Equipment 217
43.4.2 Positioning 218
43.4.3 Trocar Placement 218
43.4.4 Operative Milestones 218
43.4.4.1 Lower Lobectomy 218
43.4.4.2 Middle Lobectomy 219
43.4.4.3 Upper Lobectomy 220
43.5 Postoperative Care 220
43.6 Pearls/Tips &  Tricks
43.7 Pitfalls &  Ways to Avoid
Reference 220
44: Treatment for Spontaneous Pneumothorax 221
44.1 Introduction 221
44.2 Indications for Thoracoscopic Approach to Treat Spontaneous Pneumothorax 221
44.3 Preoperative Workup and Considerations 221
44.4 Operative Technique 222
44.4.1 Equipment 222
44.4.2 Positioning 222
44.4.3 Trocar Placement 222
44.4.4 Operative Milestones 222
44.5 Postoperative Care 224
44.6 Pearls/Tips &  Tricks
44.7 Pitfalls &  Ways to Avoid
References 224
45: Pulmonary Sequestrations 225
45.1 Indications for Thoracoscopic Approach to Pulmonary Sequestrations 225
45.2 Preoperative Workup and Considerations 225
45.3 Anesthetic Considerations 225
45.4 Operative Technique 226
45.4.1 Equipment 226
45.4.2 Positioning 226
45.4.3 Trocar Placement 226
45.4.4 Operative Milestones 226
45.5 Postoperative Care 227
45.6 Pearls/Tips & Tricks
45.7 Pitfalls & Ways to Avoid
References 227
46: Video-Assisted Thoracoscopic Approach for Mediastinal Mass (VATS) 228
46.1 Indications for Video-Assisted Thoracoscopic Approach to Mediastinal Mass 228
46.2 Preoperative Workup and Considerations 228
46.3 Anesthetic Considerations 228
46.4 Operative Technique 229
46.4.1 Equipment 229
46.4.2 Positioning 229
46.4.3 Trocar Placement 229
46.4.4 Operative Milestones 230
46.5 Postoperative Care 231
46.6 Pearls/Tips & Tricks
46.7 Pitfalls & Ways to Avoid
References 232
47: Thoracoscopic Thymectomy 233
47.1 Introduction 233
47.2 Important Anatomic Landmarks 233
47.3 Indications for Thoracoscopic Approach to Thymus 233
47.4 Preoperative Workup and Anaesthetic Consideration 233
47.5 Operative Technique 234
47.5.1 Equipment 234
47.5.2 Positioning 234
47.5.3 Trocar Placement 235
47.6 Operative Milestones 235
47.7 Postoperative Care 236
47.8 Postoperative Complications 236
47.9 Pearls/Tips &  Tricks
47.10 Pitfalls &  Ways to Avoid
References 237
48: Thoracoscopic and Laparoscopic Approaches to Congenital Diaphragmatic Hernia (CDH) 238
48.1 Indications for Minimally Invasive Approach for Congenital Diaphragmatic Hernia 238
48.2 Preoperative Workup and Considerations 238
48.3 Selection of the Operative Approach 238
48.4 Anesthetic Considerations 238
48.5 Operative Technique 238
48.5.1 Equipment 238
48.6 Thoracoscopic Approach 239
48.6.1 Positioning 239
48.6.2 Trocar Placement 239
48.6.3 Milestones 239
48.7 Laparoscopic Approach 240
48.7.1 Positioning 240
48.7.2 Trocar Placement 240
48.7.3 Milestones 241
48.8 Postoperative Care 242
48.9 Pearls/Tips &  Tricks
48.10 Pitfalls &  Ways to Avoid
References 242
49: Minimally Invasive Repair of Pectus Excavatum (MIRPE) 243
49.1 Indications for Minimally Invasive Repair 243
49.2 Preoperative Workup and Considerations 243
49.3 Anesthetic Considerations 244
49.4 Operative Technique 244
49.4.1 Equipment 244
49.4.2 Positioning 244
49.4.3 Marking the Chest 244
49.4.4 Trocar Placement 244
49.4.5 Operative Milestones 245
49.5 Postoperative Care 247
49.6 Pearls/Tips & Tricks
49.7 Pitfalls & Ways to Avoid
References 247
50: Thoracoscopic Sympathotomy with Sympathicolysis (TS) for Primary Palmar Hyperhidrosis (PPH) in Children 248
50.1 Indications for Thoracoscopic Approach to Primary Palmar Hyperhidrosis 248
50.2 Preoperative Workup and Considerations 248
50.3 Anesthetic Considerations 248
50.4 Operative Technique 248
50.4.1 Equipment 248
50.5 Positioning 249
50.6 Trocar Placement 249
50.7 Operative Milestones 249
50.8 Postoperative Care 250
50.9 Pearls/Tips &  Tricks
50.10 Pitfalls &  Ways to Avoid
References 251

Produkt-Details

• Erscheint lt. Verlag: 19.8.2021
• Zusatzinfo: XIV, 270 p. 337 illus., 333 illus. in color.
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Innere Medizin
• Schlagworte: children • Colorectal Surgery • Gastrointestinal surgery • Intra-abdominal Organs • Thoracic Surgery • upper urological tract
• ISBN-10: 3-030-58043-1 / 3030580431
• ISBN-13: 978-3-030-58043-8 / 9783030580438