Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2024 - Quick Hits 3
Jan 15, 2024
Prepare to boost your surgical knowledge with a deep dive into key topics. Explore esophageal anatomy and the best surgical approaches for various locations. Delve into the complexities of Zenker's diverticulum and esophageal cancer epidemiology. Get an overview of gastric blood supply and the critical roles of parietal cells. Discover fascinating insights on liver malignancies, choledochal cysts, and biliary dyskinesia diagnostics. Plus, learn signs of pancreatitis and the significance of gallbladder polyp sizes. Get ready to sharpen your skills!
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Esophageal Structure Matters Clinically
- The esophagus lacks serosa and has squamous epithelium with inner circular and outer longitudinal muscle layers.
- Upper third is striated muscle while the lower two-thirds are smooth muscle, affecting disease and repair approaches.
Which Side To Operate On The Esophagus
- For cervical esophageal access use a left-sided neck incision.
- For upper thoracic esophagus approach from the right and for lower thoracic esophagus return to the left.
Managing Zenker's Diverticulum
- Treat Zenker's diverticulum with cricopharyngeal myotomy or resection.
- Choose open repair if <3 cm or limited neck extension; endoscopic repair is preferred if >3 cm and neck extension allows.
