Minimal access, whenever feasible, in the performance of most general surgical procedures is now well established. However, many areas still need clari? cation. They range from indications and contraindications to the optimal route of access, as well as to choices to be made among the various procedures possible for any single surgical problem. This M- ual is unique in that unlike most manuals it is not so much a “how to” but more a “when to, ” the “how to” having been covered to a signi? cant extent in the two previous SAGES manuals. This work takes a series of common clinical scenarios and offers various, detailed, often contrasting approaches, commonly but not exclusively minimal access, discussing indications, limitations, and potential complications. In this age of evidence-based surgical practice, the reader will ? nd it refreshing to have abundant data and references to support or reject a particular approach or technique. With a cadre of surgeon authors skilled in open as well as minimal access surgery, including ? exible endoscopy, the student and practitioner of surgery is exposed to not only varying approaches to many common surgical conditions but also comes to appreciate how ? exibility and integration of various approaches can improve the outcome for the patient. The forty-six chapters can each constitute a stand-alone discussion.
Содержание
Access to the Abdomen.- Appendicitis During Pregnancy.- Stab Wound to the Abdomen.- Elective Laparoscopic Cholecystectomy.- Gallstone Pancreatitis.- Cholelithiasis with Choledocholithiasis.- Choice of Approach for Laparoscopic Common Duct Exploration.- Bleeding After Laparoscopic Cholecystectomy.- Cystic Duct Stump Leak After Cholecystectomy.- Medical Versus Surgical Management of Uncomplicated Gastroesophageal Reflux Disease.- Partial or Complete Fundoplication for Gastroesophageal Reflux Disease.- Barrett’s Esophagus with High-Grade Dysplasia.- Management of Gastroesophageal Reflux Disease in the Morbidly Obese.- Achalasia of the Esophagus.- Laparoscopic Management of Achalasia.- Preoperative Staging for Esophageal Carcinoma.- Esophageal Carcinoma.- Gastric Adenocarcinoma.- Feeding Tube Placement, Gastrostomy Versus Jejunostomy.- Percutaneous Versus Laparoscopic Feeding Tube Placement.- Bariatric Surgery: Choice of Operative Procedure.- Bariatric Surgery with Incidental Gallstones.- Uncomplicated Adhesive Small Bowel Obstruction.- Possible Appendicitis.- Acute (Retrocecal) Appendicitis.- Perforated Appendicitis.- Large Bowel Obstruction Due to Carcinoma of the Rectum.- Carcinoma of the Cecum.- Carcinoma of the Sigmoid Colon.- Low Anterior Resection for Carcinoma Below the Peritoneal Reflection.- Splenectomy for Massive Splenomegaly.- Insulinoma of Tail of Pancreas.- Preoperative Staging of Pancreatic Adenocarcinoma.- Living Related Donor Nephrectomy, Right Side.- Adrenal Incidentaloma.- Incidental Adrenal Mass with Suspicious Features.- Bilateral Pheochromocytomas.- Indirect Inguinal Hernia.- Bilateral Inguinal Hernias.- Infantile Hypertrophic Pyloric Stenosis.- Variceal Bleeding.- Laparoscopic or Endoscopic Management of Gastroesophageal Reflux Disease.- Screening Colonoscopy: Endoscopic or Virtual.- Sessile Right Colon Polyp.- Rectal Villous Adenoma.- Thoracoscopic Sympathectomy for Hyperhidrosis: A Lagniappe.
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