\(\dfrac{x\sqrt{x}+26\sqrt{x}-19}{x+2\sqrt{x}-3}-\dfrac{2\sqrt{x}}{\sqrt{x}-1}+\dfrac{\sqrt{x}-3}{\sqrt{x}+3}\\ =\dfrac{x\sqrt{x}+26\sqrt{x}-19}{\left(\sqrt{x}-1\right)\left(\sqrt{x}+3\right)}-\dfrac{2\sqrt{x}}{\sqrt{x}-1}+\dfrac{\sqrt{x}-3}{\sqrt{x}+3}\\ =\dfrac{x\sqrt{x}+26\sqrt{x}-19}{\left(\sqrt{x}-1\right)\left(\sqrt{x}+3\right)}-\dfrac{2\sqrt{x}\left(\sqrt{x}+3\right)}{\left(\sqrt{x}-1\right)\left(\sqrt{x}+3\right)}+\dfrac{\left(\sqrt{x}-3\right)\left(\sqrt{x}-1\right)}{\left(\sqrt{x}+3\right)\left(\sqrt{x}-1\right)}\\ =\dfrac{x\sqrt{x}+26\sqrt{x}-19-2x-6\sqrt{x}+x-\sqrt{x}-3\sqrt{x}+3}{\left(\sqrt{x}+3\right)\left(\sqrt{x}-1\right)}\\ =\dfrac{x\sqrt{x}-x+16\sqrt{x}-16}{\left(\sqrt{x}+3\right)\left(\sqrt{x}-1\right)}\)
\(=\dfrac{x\left(\sqrt{x}-1\right)+16\left(\sqrt{x}-1\right)}{\left(\sqrt{x}+3\right)\left(\sqrt{x}-1\right)}\\ =\dfrac{\left(\sqrt{x}-1\right)\left(x+16\right)}{\left(\sqrt{x}+3\right)\left(\sqrt{x}-1\right)}\\ =\dfrac{x+16}{\sqrt{x}+3}\)