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Similar to the 1st edition, the 2nd edition of Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract provides different approaches for various organs of the gastrointestinal tract. This book provides an updated resource of advanced minimally invasive surgical techniques for patients with GI cancers. It is primarily designed to provide a step-by-step approach of surgical techniques, highlighting key learning points and potential operative pitfalls. The text is largely focused on minimally invasive surgical techniques (laparoscopic and robotic), with new chapters on innovations in gastric cancer surgery including middle gastrectomy, pylorus preserving gastrectomy, and sentinel lymph node dissection. In addition, the text also includes new chapters on single incision surgery for cancers of the GI tract, on advanced instrumentation for trans-anal procedures, and on refined robotic approaches to total mesorectal excision. Chapters are written by experts with extensive experience in new techniques, and are accompanied by companion videos in almost every chapter. The 2nd edition of Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract proves to be a valuable resource for surgeons at all levels of training that are interested in learning new techniques to improve patient satisfaction and cancer outcomes.
Colorectal Surgery has continued to experience tremendous growth in both the community and academic settings over the past few years. The recent increase in demand for colorectal specialists has been fueled by an overwhelming number of applications to fellowship training programs, resulting in some of the most coveted and competitive positions. Furthermore, the accumulation of experience, knowledge, and wisdom from pioneers in the field, combined with major recent technological advances, has transformed the clinical management of diseases of the colon and rectum. Colorectal Surgeons have embraced advances ranging from minimally invasive approaches for complex problems to novel training methods for future generations. Additionally, we have spearheaded innovations in the management of colorectal cancer, pelvic floor disorders, diverticulitis, inflammatory bowel disease, and anorectal conditions. Despite these improvements, there remains a seemingly never-ending mixture of complex patient disease processes and complications resulting from the care of these patients. Even in cases where the technical challenges were managed successfully, complications or poor function may result in dramatic life-long consequences, reduced quality of life, as well as having economic implications. The American Society of Colon and Rectal Surgeons (ASCRS) is the premiere professional organization of Colon and Rectal Surgeons. Three editions of the ASCRS Textbook of Colon and Rectal Surgery have been published and have proved to be extremely valuable for their wealth of general information and knowledge, providing not only background information, but also specifics regarding the more complex situations that surgeons who treat patients with colorectal disease experience on a regular basis. An ASCRS manual was produced in in 2009 and 2014, each accompanying their original textbooks. This has been formed by abstracting the textbook into a bullet format; all figures and most tables were retained. The 3rd edition of the Textbook (published by Springer) included completely new chapters and authors. This 3rd edition of the Manual is indicated to conform to the new edition of the Textbook and incorporate newer information in the field of colon and rectal surgery. This Manual will serve as a very useful resource for physicians and researchers dealing with diseases of the colon and rectum. It will provide a concise yet comprehensive summary of the current status of the field that will help guide education, patient management and stimulate investigative efforts. All chapters were written and abstracted by experts in their fields and will include the most up to date scientific and clinical information.
In this book, pioneers and distinguished masters of surgery describe novel minimally invasive colo- and anorectal procedures that have been developed in Asia but are of international applicability. The presented techniques are wide ranging in nature and relate to colon surgery, rectal surgery and the treatment of hemorrhoids, fistulas and chronic constipation. Each procedure is carefully described with the aid of high-quality color photographs and illustrations, drawing attention to many practical tips and tricks. In addition to the techniques themselves, state of the art technology is introduced that is now being applied clinically in China, Hong Kong, Asia-Pacific, and beyond. The book will enable readers both to grasp the concepts underlying these important new approaches and advances and to reproduce the techniques in their own surgical practice.
This text provides a clear, reproducible, step-by-step guide for each colorectal surgery operation. The format follows that of both a "how to" manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. Each chapter includes both operative technical details as well as perioperative "tips and tricks" that the authors utilize in the management of these complex surgical patients. In addition, it addresses the optimal "next step" in dealing with more challenging situations such as pregnancy, emergent surgery, the elderly, and the obese patient. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with color illustrations and diagrams to "personally" take the reader through the crucial steps of the procedure, as well as key points of patient care inherent to that topic. Additionally, where appropriate, links to online or downloadable videos will give the reader an up-front look into technical aspects of traditional straight laparoscopic and hand-assisted minimally invasive surgery, as well as NOTES, transanal, robotic, single incision colectomy and combined laparoscopic-endoscopic resection. Minimally Invasive Approaches to Colon and Rectal Disease: Technique and Best Practices will be of great utility to colorectal, general and oncologic surgeons who want to learn or improve their minimally invasive skills in colorectal surgery. Furthermore, this text will be of particular interest to the surgeons-in-training, and the general and colorectal surgeon who is often called upon to manage a variety of colorectal surgery conditions through a minimally invasive approach.
This book addresses all aspects of endoscopy from scope and tower basics to the more advanced interventional procedures like endoscopic retrograde cholangiopancreatography, per-oral esophageal myotomy, and percutaneous endoscopic gastrostomy. It covers a broad range of topics in order to remain relevant to the surgical subspecialist, the community general surgeon, the surgical fellow interested in endolumenal and transluminal procedures, and the surgical resident interested in the very basics of endoscopy. The table of contents is intentionally designed to mirror the Flexible Endoscopy curriculum currently being implemented for all minimally invasive, advanced GI and surgical endoscopy fellowships. The chapters are broken up into five parts. The first part introduces the SAGES Masters Program, followed by parts that cover flexible endoscopy basics, flexible endoscopy procedures, and finally bariatric flexible endoscopy. Written by experts and thought leaders in their fields, The SAGES Manual of Flexible Endoscopy serves as a valuable resource for surgeons of all training and skill levels to better grasp an overview of modern endoscopy practice.
This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias. Individual steps in diagnosis and treatment are described by experts in the field, but this clinical expertise is also integrated with the best available external evidence from systematic research as encapsulated in statements, recommendations, and guidelines. The reader will thus not only learn how to perform techniques systematically and reproducibly but also come to understand which of the procedures have been scientifically validated by studies, reviews, and meta-analyses and which have simply developed empirically. The descriptions of technique are supplemented by detailed guidance on such aspects as indications, anesthesia, aftercare and pain management, and the prevention and management of complications. Where appropriate, careful comparisons are made of competing repair options, including open techniques. In summary, this book will help practicing surgeons to standardize their operative technique so as to reflect current scientific knowledge and thereby improve the quality of laparoscopic/endoscopic hernia surgery.
Owing to the alterations in visceral anatomy, many endoscopists, and especially trainees, experience difficulties when performing endoscopic surveys or procedures in patients who have previously undergone surgery to the digestive tract. In this richly illustrated book, an expert in the field provides a detailed overview of endoscopic follow-up of gastrointestinal (esophageal, gastric, and colorectal) anastomosis. Both normal appearances and pathological conditions involving complications are fully covered. The methodology, timing, protocols, and role of diagnostic endoscopy are first discussed. Endoscopic treatments for the resolution of different clinical problems related to recurrences, stenoses, dehiscences, and fistulas are then evaluated step by step with the aid of high-quality images. Regardless of level of experience, endoscopists and gastroenterologists will find Endoscopic Follow-up of Digestive Anastomosis to be an invaluable source of information and aid to treatment in this important area, which too often receives insufficiently detailed attention. "
During the past decade, the medical and surgical treatment of ulcerative colitis has undergone dramatic advances, including the widespread use of immunomodulators, biological drugs, and restorative proctocolectomy. In order to correctly balance the risks and benefits of medical therapies and surgical procedures, there is a need for improved diagnosis of colonic disease, acute complications, extraintestinal manifestations, and early and delayed postoperative complications. Cross-sectional imaging techniques are therefore playing an increasing role in the assessment of ulcerative colitis and provide an essential complement to clinical data and endoscopy. This practical, illustrated volume on the role of cross-sectional imaging is aimed at radiologists, gastroenterologists, and surgeons who are engaged or interested in the diagnosis and care of patients with inflammatory bowel disease, particularly ulcerative colitis. After an overview of diagnostic imaging techniques, state-of-the-art assessment of colorectal inflammatory disease with CT colonography using water enema is discussed, followed by description of the plain radiographic and CT findings in patients with acute exacerbations and surgical complications. Subsequent chapters review the diagnostic findings and role of cross-sectional imaging in the assessment of sclerosing cholangitis (with emphasis on MR cholangiopancreatography), vascular complications (particularly portal and mesenteric thrombosis), associated neoplasms, such as colorectal cancer and abdominal desmoids, and perianal inflammatory disease. Normal postoperative appearances and early and delayed complications in patients treated with proctocolectomy and ileal pouch-anal anastomosis are also comprehensively reviewed. "
This text will provide a comprehensive, state-of-the art review of endoscopy in the management of the obese patient. It will serve as a valuable resource for clinicians, surgeons, endoscopists and researchers with an interest in endoscopy in the role of obesity care. The book will review how endoscopy plays a crucial role in the preoperative evaluation of a patient undergoing a surgical or endoluminal intervention, how intra-operative endoscopy allows evaluation of the newly reconstructed gastrointestinal tract and how post bariatric surgery complications can be managed. Endoscopic evaluation of normal and abnormal surgical anatomy will also be covered. A section dedicated to current and future endoluminal therapies, with a focus on safety, efficacy and technique, will also be thoroughly reviewed. This text will serve as a very useful resource for endoscopy in both a surgical and gastroenterology practice. Training, credentialing and the implementation of EBTs into ones practice, endoscopy suite and hospital will also be discussed.
This operation primer provides excellent photographic step-by-step guidance to this surgical procedure. It has been designed to describe the operation in the simplest manner possible without over-simplifying the complexities involved. Nodal points are at the core of the operation primer, describing the key surgical steps in detail. This surgical guidebook provides essential reference material for surgeons wishing to improve and update their knowledge in this specific area. The operation primer Laparoscopic Sleeve Gastrectomy is specially created for surgeons wishing to familiarize themselves with minimally invasive stomach-restrictive surgical techniques. The worldwide use of laparoscopic sleeve gastrectomy (vertical sleeve gastrectomy) is consistently increasing in popularity. This type of surgery can be safely integrated into obesity and metabolic treatment programs resulting in weight loss, reduction in co-morbidities and increased quality of life. This operation primer is an excellent teaching tool, accurately describing the steps of this standardized technique in a manner suitable for both beginners and experienced surgeons. It provides a detailed overview of patient preparation, key surgical steps and common pitfalls of Laparoscopic Sleeve Gastrectomy. This operation primer will provide surgeons with a reliable and systematic approach to performing Laparoscopic Sleeve Gastrectomy.
This text provides a comprehensive review of the ethical issues involved with the development, evaluation, and introduction of new treatments of gastrointestinal diseases. How several landmark surgical innovations were developed are described to show the challenges faced, and the ethical dilemmas these innovators dealt with. The challenges of dealing with regulatory issues, and how to work with industry partners, and investors when working on a new therapy is described. Once a new technology has been brought to the market, standards need to be developed regarding the training, credentialing and adoption of the new technology. There are insufficient standards of how to balance the desire to provide patients the latest therapy with the obligation that patients receive informed consent about the new technology, and the relationship that the physician may have had with product development. The book describes the national perspective of paying for new technology, and provides one insurance company's approach to the introduction of innovative therapy. The Sages Manual Ethics of Surgical Innovation will be a resource for surgeons, researchers and health policy personnel to understand the ethical issues related to the development, introduction and adoption of innovative therapies for gastrointestinal diseases. Although the context for discussion is the application of innovation to gastrointestinal disease, the ethical issues are applicable to any discussion of innovative medical or procedural therapies.
This book provides a guide to the management of patients with Crohn's disease and ulcerative colitis. The indications for surgery within inflammatory bowel disease are covered, as well as new biologic medications and the effects they have on the immune system. Details on how these drugs should be managed to avoid complications and ensure patient safety are also included. Mastery of IBD Surgery sets out to cover surgical responses to inflammatory bowel disease from a multidisciplinary perspective and aims to help all surgeons and medical professionals working in this area. This book is relevant to colorectal surgeons, gastrointestinal surgeons, and gastroenterologists.
This text captures the global standards of bariatric surgery practice at a time of change, excitement, and lots of controversy. The text sheds the light on best practices globally by providing a reliable reference to guide the practicing physician anywhere in the world, and from whatever specialty (surgeon, gastroenterologist or endoscopist) to navigate through the many current options of therapy in this rapidly changing field. The text provides high definition illustrations of these techniques to go with the didactic chapters written by the thought leaders in the field. In addition to the technical part, an important part of the book focuses on quality and outcome measures. The rapid growth and innovations impose the need for strict guidelines and quality control. Thought leaders who created the concept of "Centers of Excellence" shed light on outcome measures and different ways to monitor quality. This will appeal to administrators and different ancillary service providers. The medical section plays a major role as combination therapy seems to be the future. An entire section is dedicated to medical weight management with discussions of the dietary and psychological component of care. The text also provides a dedicated discussion of the metabolic aspect of bariatric surgery, cosmetic surgery and issues of training future surgeons. Thease features differentiate the book from others that only discuss the surgical component, and will broaden the level of interest to all who are involved in the management of this complex disease.
This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.
The increasing prevalence of obesity in many countries means that it should now be considered a pandemic. It is widely recognized that obesity increases the risk of a variety of life-threatening conditions, including heart disease, diabetes, and hypertension. Bariatric surgery is often the most effective way to treat such morbid obesity. Nevertheless, while various bariatric procedures have been proposed, to date standards have been lacking. In this book, leading experts from around the world discuss all aspects of bariatric surgery and present their own favored versions of surgical procedures with the aid of informative illustrations. Technical nuances are carefully described, and detailed attention is devoted to potential complications and how to avoid them. The expertise of the authors and the range of techniques considered guarantee that both trainees in bariatric surgery and experienced surgeons will find this book to be an invaluable source of information and guidance in their daily work.
This book provides essential information on the status quo and changing profile of Hirschsprung's disease and allied disorders. Hirschsprung's disease is a common cause of neonatal intestinal obstruction and one of the most important and most fascinating diseases in pediatric surgery throughout the world. Currently, the diagnosis and treatment of Hirschsprung's disease and allied disorders are in a state of constant development. Written by expert pediatric surgeons, Hirschsprung's Disease and the Allied Disorders presents state-of-the-art information, such as new genetic evidence, and historical operative techniques that were less invasive and resulted in fewer follow-up operations. It offers a highly informative guide that will greatly benefit all readers engaged in pediatric medicine, pediatric surgeons, and the medical staff of NICUs around the globe.
This book provides essential reference material to surgeons wishing to familiarize themselves with a transanal operation procedure for obstruction defecation syndrome (ODS). It provides excellent photographic step-by-step guidance to the surgical procedure.
This, the 4th edition of Schein's Common Sense Emergency Abdominal Surgery, builds on the reputation of the three previous editions. Already a worldwide benchmark, translated into half a dozen languages, this book guides surgical trainees logically through the minefields of assessment and management of acute surgical abdominal conditions. General surgery as a concept may have been overtaken in many parts of the world by the development of niche specialties, but the need for a cohort of generalists able to deal competently with common surgical emergencies has not gone away. If you recognise this need then this is the book for you! Tyro surgeons and experienced practitioners alike will benefit from the distilled wisdom contained in these pages. The direct, no nonsense, writing style, supported by entertaining cartoons, gives clear guidance while at the same time providing amusing insights into our collective surgical psyche. NOT a standard textbook. Buy it! You will not regret it. Some new editors and authors enhance the new edition. Almost all chapters have been revised to take account of new concepts and modern developments. New chapters have been added and some completely rewritten often with a new emphasis on the importance of a laparoscopic approach.'
The field of benign foregut surgery continues to evolve with new diagnostic methods and treatment modalities. The text lays the foundation in understanding the foregut through review of the anatomy and physiology, followed by subsequent chapters focusing on the diagnosis and management of specific benign diseases of the foregut: gastroesophageal reflux disease and diaphragmatic hernia, Barrett's esophagus, disorders of esophageal dysmotility, benign esophageal and gastric tumors, peptic ulcer disease and gastric outlet obstruction, and gastroparesis. Written by experts, each of these sections addresses the evaluation and management of the disease process, technical conduct of the most common endoscopic and surgical procedures, postoperative management including complications, and revisional operations. Additionally, expert commentary will serve to highlight and clarify controversies in the field. The SAGES Manual of Foregut Surgery provides a comprehensive, state-of- the art review and will serve as a valuable resource for clinicians and surgeons.
The present book intends to provide a comprehensive guide to the field of robotic bariatric surgery. It covers all the stages and procedures needed to fulfill credentialing for performing robotic surgery. Also, robotic surgery is presented as an institutional program, and we describe how to establish a robotic program in a hospital environment. The currently accepted and most common procedures - sleeve gastrectomy, gastric bypass and duodenal switch - are described in detail, with a step-by-step description of the techniques, followed by a wealth of photos and videos for each case. Special attention is given to the employment of robotic bariatric surgery in exceptional conditions, such as in super-obese patients, reoperations and revisional procedures. Critical issues, for the success of the robotic surgical interventions, such as anesthesia, are also addressed. Finally, the outcomes of robotic bariatric surgery are described, including long-term weight loss, improvement and resolution of comorbidities and improvement in quality of life. Bariatric Robotic Surgery is the first book specially devoted to this modality of surgical intervention. It is a fundamental tool for surgeons, residents and fellows who want to start a robotic bariatric surgery program. The book also helps experienced robotic surgeons to keep up to date with the various available robotic surgical techniques.
This book presents state of the art knowledge and guidance on the use of therapeutic colonoscopy for all of the usual indications, including hemostasis for colorectal bleeding, resection of benign and malignant lesions, and decompression and recanalization of obstructed bowel. Technical aspects are covered in detail, with advice on indications and instrumentation and provision of tips and tricks of proven practical value. With respect to polypectomy, separate chapters focus on technique for pedunculated polyps and the choice between endoscopic piecemeal mucosal resection and endoscopic submucosal dissection for large sessile polyps. The closing chapter looks to the future of therapeutic colonoscopy. The clearly written text is supported by numerous helpful illustrations. Over the years, technological developments have markedly increased the therapeutic, as opposed to the diagnostic, role of endoscopy. This book will be an invaluable aid in clinical practice for all who are involved in the performance of therapeutic colonoscopy.
During recent decades, more than 100 surgical procedures have been proposed to treat pelvic organ prolapse, and surgeons are still searching for the ideal approach. Although generally accepted guidelines and algorithms are still lacking, careful preoperative work-up and patient selection can serve as a sound basis for tailored surgery. In this comprehensive book, leading experts from around the world provide a detailed, up-to-date overview of the diagnostic and surgical approaches employed in patients with prolapse of the middle or posterior pelvic floor compartment. Each surgical technique is explained step by step with the aid of instructive figures. Guidance is also included on the management of surgical complications and of recurrent disease - aspects that are too frequently overlooked in the scientific literature. This book will prove essential reading for all who are interested in functional colorectal disorders of the pelvic floor and will represent a unique and invaluable source of knowledge for general surgeons, colorectal surgeons, and urogynecologists, whether in training or practice.
Hepato-Pancreato-Biliary (HPB) surgery is now firmly established within the repertoire of modern general surgery. This new edition has been completely rewritten by world-leading surgeons to reflect the considerable advances made in the surgical management of HPB disorders since the highly successful first edition. This new edition includes: An in depth coverage of benign and malignant disorders of the liver, pancreas, and bile ducts and gallbladder A comprehensive section on anatomy, imaging, and surgical technique Over 20 new chapters, including a complete account of pediatric HPB disorders Illustrated with almost 300 high-resolution images, many in full-color Surgical Management of Hepatobiliary and Pancreatic Disorders, Second Edition, comprehensively covers the full spectrum of common HPB diseases and associated surgical techniques to assist not only the general surgeon in regular practice, but also surgical trainees and those in related specialties of oncology, radiology, gastroenterology, and anesthesia.
The 25th volume of this highly successful series covers a range of interesting topics, including biological therapy in inflammatory bowel disease, recent surgical approaches in rectal cancer, tumor markers in HPB and GI malignancies, bridging therapy for hepatocellular carcinoma, adjuncts to liver resection, IgG-related HPB diseases, ERCP-induced perforations and superior mesenteric artery syndrome. As in the previous volumes, the chapter on advances in GI surgery reviews the important new developments in the field. The GI Surgery Annual 25th Volume provides up-to-date information on current hot topics.
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