Lectures

General Surgery Anatomy

Esophagus
o 3 constrictions
15 cm. commencement. cricopharyngeal
sphincter
6th cervical vertebra
23cm. Crosses aortic arch and Left main bronchus
40 cm. LES. Pierces diaphragm.
o Ivor Lewis Esophagectomy
Def:
Pros:
Cons:
o Transhiatal esophagectomy
Def:
Pros:
Cons:
o Stomach
Body
Fundus
Antrum
o Blood supply
Right gastroepiploic artery.
Source: Gastroduodenal a.
o Source: Common hepatic a.
Vagotomy
o Types
Truncal
Selective
Highly selective
Preserves nerve of Latarjet
Pancreas
o Distal pancreatomy + Splenectomy
Spleen also removed (splenic artery courses superior
to pancreas)
Liver
o Cantile line
Approximates Liver hemispheres
Middle hepatic vein
o Ligaments
Right triangular ligmant
Left triangular ligament

o Pringle Maneuver
Clamps hepato-duodenal ligament (hepatic a.,
portal v., common bile duct)
Gallbladder (Cholecystectomy)
o Calot triangle
Cystic artery, cystic duct, common hepatic duct
Duodenum bleed
o Ligament of Treitz
Divides upper and lower GI bleed