)f I Contents Gallbladder and Biliary Tract Cbolecystectomy :1 Common Duct Exploration J() Sph inctcroplasty, Including T ransampullary Common Duct Exploration l."i Side-to-Side Choledochociuodeno'lomy 28 Resection of a Benign Bile Duct Stricture Wit h it Mesenteric vein See Inferior mesentf7lC ~ Superior mesenteric \'ein Mesentery, Puestow procedure and Dl331 Mesoatrial shunt indications for , 298 technique for , 298-311 Mesocaval shunt direct indications for, 288 technique for 288-297 interposition indications for, 252-254 technique for, 254-265 Mesocolon, transverse, sutured to gastrojejunostomy, 466, 46i Metastases, colorectal to liver, 2, 200 Mikulicz pads, packing with massive liver trauma and, 246, 247 pancreatic abscess drainage and 452, \53 ~h.~'~l~ :a : ~ ~Co:~~a3 :-:::: )?, +49 Sri C2.!'cino:::la: !pi,-,{r.t llX41WII ()T o Pcor- ac:avai shunt end-t&->ide Z;;;_ T.6-281 Inter;x>sllioo '"w gnlft Z~ 286-2S:indications ior 2-;-4 276 side-ro-side.282-2" Porta hepatis O?eraToc ci:.-:~~;;r.:.~ Su also Cbolar:gxgra;>ie.commor dth ~ c.~lvratlor: ai1d 10 Operan c rraurr.4 Je:-ngn bile duct strictures anatom y of 152 clamping of in Pringle maneu\"er 2-1-4 and.~ Qyer· and.-o\"er stitch 338 339 drainage of cholecystectomy and .9 Portal hypertension, shunts and Su huno:i l Portal pressure, measurement 01 ~6 T:7 Portal vein, 152 hepatic lobectom y and p Packing hemostasis and, massive liver trauma and left , 170, 171 right , 182 , 183 246,247 ' pancreatic abscess drainage and, 452, 453 pancreaticoduodenectomy and, 388 389 portacaval shunt and Pain, abdominal pancreas divisum and, 366 pancreaticojejunostomy for end-to-side, 280, 281 side-t~-side, 282, 283 tri segment ectomy and, 192, 193 end-to-end,342 longitudinal,326 Portasystemic decompress ion , 266 See also Pancreas Shunt(s) drainage of, trauma and, 454- 461,462,467 exposure of, 326-328 insulinoma and, 436-439 Pott's scissors, septotom y with, 22 23 Pringle maneuver, 244, 245 hepatic vein injury and , 248 Pancreas divisum, accessory duct papillotomy Prosthesis for, 366-369 interposition "H" graft and , 274, 2ll6-2ir knitted, interposition mesocaval shunt and Pancreatectomy, distal for chronic pancreatitis, 350- 359 ninety-five percent, 362- 365 for tumor, 428-435 Pancreatic abscess, drainage of, 442- 453 Pancreatic duct dilata tion, 326- 329 Pancreaticoduodenectomy, 362 258-265 mesoatrial shunt and , 302- 305 Proximal cholangiocarcinoma palliation of, transhepatic stem ing and hepaticojejunostom y in, 84 -93 resection of, transhepatic stenting and hepaticojejunostomy in indications for, 386 technique for, 386-413 bilateral,58- 71 hepatic lobectomy and, 72- Pancreaticojejunostomy end-to-end indications for, 342 technique for, 342- 349 end-to-side, 406- 409 longitudinal in dications for, 326 technique for, 326- 341 Pseudocyst, pancreatic See Pancreatic pseudocyst Puestow procedure indications for , 326 technique for, 326- 34 Pump, Infusaid, for hepatic artery infusion 200-205 Pyloric exclusion, pancreatic drainage and tar Pancreatic pseudocyst, drainage of into duodenum, 384- 385 into Roux-en-Y jejunal loop, 370-379 into stomach, 380- 383 combined duodenal and pancreatic trauma, 462- 467 Pylorus-preserving Wh ipple procedure indications for , 386 technique for , 386-41 Pancreatitis, sphincteropiasty for See Sphincteroplasty Pancreatotomy, 328 Papillary neoplasms, 386 R Papillotomy, accessory duct, for pancreas divisum, 366-369 Radiotherapy, postoperat iR proximal Pediatric patients, direct mesocaval shunt for 288 ' Perforations, pancreatic, 454, 455 Periampullary carcinoma pancreaticoduodenectomy for, 366 unresectable, palliati';t jY~5SC5 for, Renal function l,e\'een shunt and 312 Rena l ,-ein_ leit distal splenorenal >hun! and 2,0 Retroperironeum distal S?ienorena1 5b1I!l1 ·n ~ -·fZ ~ Perironeal ca'.-1::; ::'YCc:iC ::.~:5 Pui:;cystic li';::: :" :::~-=alliatioo rio N-i'9 Small bo e! di\isioo Puesrm< procedure and 332, 333 c::ola::gE:~C::".o17la a1".d S-E-cil ~ :? - ~ 5.~~ Roux-en ·Y loo?~ 52 53 Caroli', dis""", and 136- 1&3 choledochal Cyst and 12 - 12~ const ru ction of -t.8 49 end· to-side jejunojejunostomY and 50, 51 hepaticojejunosromyand ben ign bilia ry stricture and, 54- 57 distal stricturing secondary to sclerosing cholangitis and , 114 proximal cholangiocarcinorn a and, 66- 71, 82-83, 90-93 sclerosing cholangitis and, 104 pancreaticojejunostomy and end·to·end,346 longitud inal,330-335 pancreatic pseudocyst drai nage into, 370-379,380 S Saline, hypertonic, as scolecidal agent, 212 Satinsky clamp interposit ion "H" graft and, 286, 287 interposition mesocaval shu nt and, 258, 259 Sclerosi ng cholangitis, 94- 107 di s tal strictu ring secondary to, hepaticojejunostomy for, 108-115 Sclerotherapy, 266, 274 Scolecidal agents, 212 Scoops, for biliary tree exploration, 12 , 13 Sepsis, acute pancreatitis and, 442 Septotomy , sphincteroplasty and, 22, 23 Shun t(s) Le Veen indications fOT, 312 technique for, 312-323 mesoatrial ind ications for, 298 technique for, 298-311 mesocaval direct, 288-297 in terposition, 252-265 place men t of, hepatic vein injury and, 248 po rtacaval end·to·side, 275, 276- 281 " H," 286- 287 ind ica tions fo r, 274, 276 side·to·side, 282- 285 splenorenal, distal, 266-273 Side·to·side choledochoduodenostomy, 28- 37 Side· to-side pancreaticojejunostomy , longitudinal 336- 341 Side-ta-side ponacayai shunt 2-; ~~:2 - :?~;:; 5ilastic cuff mesoatrial Jro5thesis c::: :=':':2 5!ias::t: :!a:1Shepatic Ji::~:-: S:t:::::-.£' :-2:-.:g:: Jili2ry s:r1c:'''::-': ;:-.:: ~ -.;: C.; ~ :::·S di3ec.x a::: =~~[...]... performance If one is perform ing a sphincteropla ty IDf':rly dislodge an impacted common duct stone, a larger incision i unnea:5S