SURGERY ON PANCREAS AND SPLEEN

Question 1

pancreas is located near the ____, distal ____

Answer 1

duodenum, liver
stomach

Question 2

indication of sx in pancreas

Answer 2

pancreatitis and trauma
pancreatic tumors - most common

Question 3

pancreatic sx must be the last resort

Answer 3

true

Question 4

aside from ultrasound and blood test this diagnostic test can also be done

Answer 4

cPLi (canine pancreatic lipase immunoreactivity test)

Question 5

best option for pancreatic tumors

Answer 5

surgery

Question 6

critical part in total pancreatectomy surgery

Answer 6

removal of right pancreatic limb and pancreatic head

Question 7

experimentally, total pacreatectomy is described for dogs only

Answer 7

true

Question 8

right lobe is near what organ

Answer 8

duodenum

Question 9

left lobe is near what organ

Answer 9

spleen

Question 10

incision approach for pancreatic sx

Answer 10

cranial ventral midline

Question 11

pancreatic surgery is for sample collection for tests

Answer 11

biopsy - partial pancreatectomy

Question 12

term for surgical removal
Portion or whole pancreas

Answer 12

pancreatectomy

Question 13

technique for improving vascularization/healing

Answer 13

omentalization

Question 14

most traditional way for pancreatic biopsy

Answer 14

punch

Question 15

tool used for punch biopsy

Answer 15

trucut needles

Question 16

guides to Pancreas location then get FNAB (Fine Needle Aspiration Biopsies)

Answer 16

ultrasound

Question 17

in laparoscopy, make ___ small inision (___cm) around ___ abdomen

Answer 17

2-3
3-5
lateral

1 incision for endoscope,
the other 2 or 3,to insert for prosthetics → act as your hand for manipulation

Question 18

Partial or complete removal of pancreatic tissue

Answer 18

pancreatectomies

Question 19

pancreatectomies’ indication

Answer 19

Insulin-secreting or gastrin-secreting tumor
Pancreatic adenocarcinoma
Abnormal growths or tumors that causes the pancreas to malfunction causing more harm

Question 20

result when pancreas are overly manipulated

Answer 20

inflammation

Question 21

Guillotine method is efficient on removing the whole limb of pancreas

Answer 21

false

Question 22

omentalization is done often on ___ lesion and cyst that are not ___

Answer 22

localized
neoplastic

Question 23

omentalization Ix

Answer 23

Large pancreatic abscess or cyst
ectomy not feasible

Question 24

suture pattern for omentalization

Answer 24

s. interrupted

Question 25

suture material for pancreatic sx

Answer 25

mono nonabsorb

Question 26

drug given for pancreatitis

Answer 26

octreotide 1-2 ug/kg

Question 27

pancreatic sx complication

Answer 27

pancreatitis EPI DM MOF

Question 28

suturing of a ruptured spleen

Answer 28

splenorraphy

Question 29

Spleen sx Ix

Answer 29

Splenomegaly splenectomy splenorraphy

Question 30

location of spleen

Answer 30

cranial left abdomen

Question 31

2 types of Splenic Disease

Answer 31

diffuse/symmetric splenomegaly focal splenomegaly

Question 32

Ix for total splenectomy

Answer 32

Life threatening hemorrhage or disease

Question 33

Splenectomy may be performed by double ligating the ___ distal to the branches that supply the left limb of the pancreas.

Answer 33

splenic artery

Question 34

splenic artery is cranial to the pancreas

Answer 34

distal

Question 35

Use __ to divide the spleen

Answer 35

forceps

Question 36

suture pattern in closing spleen cut surface

Answer 36

Abs suture + cont. Pattern ( 2 rows) Simple cont. - enough Alt: 2 rows of mattress sutures, overlapping

Question 37

Bcoz of extensive inflammatory changes, it is most often not feasible to excise the pancreatic tissue without traumatizing the shared ___and__ vasculature, so ___y and ____y are necessary

Answer 37

pancreatic , duodenal pancreaticoduodenectomy cholecystojejunostomy

Question 38

One of the most common procedure for internal organ lesions and abdomen

Answer 38

omentalization

Question 39

Ix of gullotine technique

Answer 39

lesions that are focal and near to extremities

Question 40

why do guillotine before transecting

Answer 40

to arrest bleeding first

Question 41

type of feeding tube If there is too much pancreatitis

Answer 41

jejunostomy FT

Question 42

why mono non absorb

Answer 42

The exocrine discharges of the pancreas, lalo pag may inflammation, will melt absorbable

Question 43

most common surgery on spleen

Answer 43

splenorrhapy

Question 44

If the spleen is bleeding for a long while, the surrounding mesentery stomach or pancreas will have signs of __

Answer 44

blood clots and congestion

Question 45

spleen with craters, plaques (whitish to blackish)

Answer 45

spleen is significantly damaged

Question 46

suture for closing the pinaghiwaan ng spleen

Answer 46

simp cont absorb