Pediatric hepatobiliary surgery
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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "The key of the procedure is dissection of the cone-shaped fibrous remnant at the level of the liver surface, just anterior to the portal vein bifurcation. For best long-term results, the bilious scar tissue must be removed directly on the liver surface without injuring the actual liver. The dissection must be carried as much lateral as possible with typical limitations of right and left portal venous and hepatic artery branches as well as below the portal vein bifurcation. The completely exposed liver surface at the porta hepatis is then covere…
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Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns - "Trendelenburg positioning may also augment contrast delivery to the intrahepatic bile ducts if initial images are equivocal, and administration of intravenous glucagon may improve drainage of contrast into the duodenum if such flow is not initially evident"
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Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "The first ever cholecystectomy on record was performed on July 15, 1882, by Carl Johann August Langenbuch (1846–1901) at Lazarus Krankenhaus in Berlin [1]. Few years earlier, on July 15, 1867, John Stough Bobbs of Indianapolis had performed a cholecystostomy on a 30-year-old woman with ovarian cancer [2]. It was over 100 years later, in Germany again, that Erich Mühe of Boblingen performed the first laparoscopic (Fig. 37.1) cholecystectomy [3]. This was a turning point for minimal access approach in general surgery. Another major advance…
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Cotton Mather;1724 There is a Disease, which has been called, Morbus Regius, or, The Royal Disease; because it brings with it the Colour of Gold unto them that have it. But so poor a Recommendation will not make the Jaundice to be wished for.... The Excretion of the Bile into the Intestines, meets with some Obstruction, and so it Regurgitates and is Carried with the Blood all over the Body, whereby all the Parts, both the Solid and the Fluid, come to be tinged with a Yellow
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video 1
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