Bariatric/Thoracic Final Flashcards
A laparoscopic sleeve gastrectomy is considered to be both a restrictive and malabsortive procedure. TRUE OR FALSE
FALSE
During a laparoscopic sleeve gastrectomy, the stomach is reduced to what percentage of its original size?
15%
The Rawlins study was designed to determine the ______
Tissue thickness trends along the staple line and examines what factors might predispose to thicker tissue
The purpose of a surgical anastomosis is to:
Join together two hollow organs, usually to restore continuity after resection, or to bypass an unresectable disease process
The pylorus controls the emptying from the stomach into the
DUODENUM
An important step during a sleeve gastrectomy process is to mobilize the _____ prior to transecting the stomach
GREATER CURVATURE
The liver is almost always retracted to access the operating site during gastric bypass, sleeve gastrectomy or adjustable gastric band procedures. TRUE OR FALSE
TRUE
The surgical goals of surgeon when creating the gastric sleeve during a sleeve gastrectomy are to: (select all that apply)
Maintain appropriate compression to ensure uniform, leak free, hemostatic staple lines
Achieve good, consistent staple lines in a wide range of tissue thickness
Provide appropriate size gastric sleeve
ETHICON provides a comprehensive portfolio of bariatric resources to support engagement with healthcare professionals and patients at every stage of their journey from sustaining a health lifestyle post-operatively. TRUE OR FALSE
TRUE
During a sleeve gastrectomy procedure, surgeons typically encounter the thickest tissue during first firings in the area of the ______
PYLORUS
In a gastric bypass procedure, prior to diving the jejunum, the surgeon measures from which landmark to identify where to perform the proximal line or transection?
LIGAMENT OF TREITZ
For adults, the World Health Organization (WHO) defines obesity as a BMI greater than or equal to _____
30
During a laparoscopic sleeve gastrectomy, some surgeons use buttressing material/staple line reinforcement on the staple line, some oversee the staple line and some don’t use any. TRUE OR FALS
TRUE
During a sleeve gastrectomy, what portions of the stomach are removed? Select all that apply
ANTRUM, FUNDUS, BODY/GREATER CURVATURE OF THE STOMACH
Select the types of anastomosis performed in a gastric bypass roux-en-Y procedure: select all that apply
GASTROJEJUNOSTOMY
JEJUNOJEJUNOSTOMY
In a gastric bypass procedure, either a circular stapler or an Endo cutter can be used to create gastrojejunostomy. TRUE OR FALSE
TRUE
BMI stands for Body Mass Index. TRUE OR FALSE
TRUE
Obesity dramatically increases the risk of:
ALL OF THE ABOVE
Laparoscopic gastric bypass in the surgical treatment for what condition?
Morbid obesity
In gastric bypass and sleeve gastrectomy procedures a portion of the stomach is removed. TRUE OR FALSE
FALSE
What are common comorbidities of morbid obesity? (Select all that apply)
HYPERTENSION
TYPE 2 DIABETES
SLEEP APNEA
The short gastric arteries supply blood to the upper part of the greater curvature and the fundus of the Stomach. TRUE OR FALSE
TRUE
Some key features to VATS approach with wedge resection are _______ chance for infection and wound dehiscence, resulting in _______ recovery by the patient.
REDUCED, FASTER
The trachea divides into one left and one right breathing tube, and these are termed:
MAINSTEM BRONCHI
The _____ is the largest artery in the body and receives blood from the ______
AORTA, LEFT VENTRICLE
Which of the following statements about the pleura and the pleura cavity is FALSE?
THE LUNGS ARE CONTAINED WITHIN A SINGLE PLEURAL CAVITY
Blood is reoxygynated in the _______
ALVEOLAR SACS
The function of the pulmonary veins is to transport ________
OXYGENATED BLOOD FROM THE LUNGS TO THE HEART
In a lobectomy, once the portion of the lung with the tumor has been removed, the surgeon removes the ______ that receive drainage from the lung.
LYMPH NODES
A wedge resection is performed only for diagnostic, never for therapeutic reasons. TRUE OR FALSE
FALSE
During a wedge resection, the surgeon does not encounter any major vessels. TRUE OR FALSE
TRUE
The right and left pleural cavities are separated by the ________
MEDIASTINUM
What are the four structures that enter and leave the hilus or the lung?
BRONCHUS, PULMONARY ARTERY, SUPERIOR AND INFERIOR PULMONARY VEIN
The leading cause of lung cancer is obesity. TRUE OR FALSE
FALSE
The pulmonary ________ Cary ________ blood away from the heart to the lungs and the pulmonary _____ take _____ blood from the lungs back to the heart.
ARTERIES, DEOXYGENATED, VEINS, OXYGENATED
Pneumothorax is the presence of air or gas in the cavity between the lungs and the chest wall, causing collapse of the lung. TRUE OR FALSE
TRUE
The muscle that separates your chest (thorax or thoracic cavity) from your abdomen:
DIAPHRAM
The lungs are dived into five separate functional lobes; _____ in the right lung and _____ in the left
3; 2
The _____ pumps de-oxygenated blood to the lungs and the _____ receives oxygen-rich blood from the lungs.
RIGHT VENTRICLE, LEFT ATRIUM
Select the correct order of procedure steps for a lobectomy:
ADHESION TAKEDOWN, EXPOSE THE HILUS, LIGATE AND TRANSECT PULMONARY VEIN, LIGATE AND TRANSECT PULMONARY ARTERY BRANCHES, LIGATE AND TRANSECT LOBAR BRONCHUS
