BLUEPRINTS SURGERY Third Edition Seth J. Karp, MD Instructor in Surgery Johns Hopkins University School of Medicine Baltimore, Maryland James P.G. Morris, MD Thoracic and General Surgeon The Permanente Medical Group South San Francisco Kaiser Hospital South San Francisco, California David |. Soybel, MD Associate Professor of Surgery Harvard Medical School Associate Director Partners Healthcare Office of Graduate Medical Education Division of General/Gastrointestinal Surgery Brigham and Women's Hospital Boston, Massachusetts (, Blackwell 4 Publishing© 2004 by Blackwell Publishing Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5018, USA Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK Blackwell Science Asia Pty Ltd, 550 Swanston Street, Carlton South, Victoria 3053, Australia All rights reserved. No part of this publication may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without permission in writing from the publisher, except by a reviewer who may quote brief passages in a review. 03 04 050554321 ISBN: 1-4051-0332-9 Library of Congress Cataloging-in-Publication Data Karp, Seth J. Blueprints surgery / Seth J. Karp, James P. G, Morris, Divid 1. Soybel; contributors, Evan Stuart Garfien, Patrick J. Javid, Subroto Paul. — 3rd ed p.jm. — (Blueprints) Rev. ed. of Blueprints in surgery. 2nd ed. 2001 Includes index. ISBN 1-4051-0332-9 1. Surgery—Outlines, syllabi, etc [DNLM: 1. Surgical Procedures, Operative-Examination Questions. Wo 18.2 K18b 2003] I. Morris, lames, 1964— IL. Soybel, David I. (11. Karp, Seth J Blueprints in surgery. IV. Title. V. Series. RD37.3 -K37 2003 617°.91'0076—de21 2003001497 A catalogue record for this title is available from the British Library Acquisitions: Nancy Anastasi Duffy Development: Selene Steneck Production: Jennifer Kowalewski Cover design: Hannus Design Associates: Interior design: Mary McKeon Typesetter: SNP Best-set Typesetter Ltd., Hong Kong Printed and bound by Capital City Press, in Berlin, VT For further information on Blackwell Publishing, visit our website: www blackwellpublishing.com Notice: ‘The indications and desages of all drugs in this book have been recommended in the medical literature tnd conform to the practices of the general community, The medications described do not necessarily have spe- Cifle approval by the Food and Drug Administration for use in the diseases and dosages for which they are recommended. The package insert fer each drug should be consulted for use and dosage as approved by the FDA. Because standards for usage change, itis advisable to keep abreast of revised recommendations, particu larly those concerning new drugsTable of Contents Contributors Reviewers . Preface .. Dedications Abbreviations . TV Attetios 2... eee ceeeeeteeeees 2 Breast ...............002e 3 Colon . a ee i 4 Pituitary, Adrenal, and Multiple Endocrine Neoplasias 5 Esophagus . 6 7 8 Gallbladder . Heart .. Hernias .. a 9 Kidneys and Bladder ..........0.0..2. 10° Liver 11° Lung . . 12 Male Genitourinary System 13 Neurosurgery .. 14 Organ Transplantation 15 Pancreas. ; 16 Parathyroid Gland .. 17 Skin Cancer - 18 Small Intestine - 19 Stomach and Duodenum 20 Spleen ............ -110 21° Thyroid Gland .... 14 22. Trauma 2.120 Questions .....2e.c22. - 126 Answers. vee 134 Index ... be eeeeee 140