c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Esophagogastrectomy: 31

A D V E R T I S E M E N T

   

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Stay sutures were placed in the edge of the diaphragm where the hiatus had been resected. The diaphragm was opened anteriorly another 3 cm to allow easy passage of the tumor and stomach into the chest.     

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Esophagogastrectomy: 32

A D V E R T I S E M E N T

   

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The duodenum was Kocherized (see Whipple procedure, frame 4) to mobilize the stomach cephalad to reach into the chest without tension.     

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Esophagogastrectomy: 33

A D V E R T I S E M E N T

   

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A longitudinal pyloromyotomy was made down to submucosa and the muscle layers were closed longitudinally (Heineke-Mikulicz, see upper GI bleed) to prevent gastric emptying problems post-op.     

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This page was last modified on 2/15/2006.