Although benign biliary disease is an area in which many surgeons have experience, there are many nuances to providing the highest quality of surgical care. The biliary anatomy is unique but presents with anatomical variances and can be distorted by benign pathology. Biliary surgery has been one of the areas where minimally invasive techniques were first applied in the late 1980s. However, surgical technique has continued to evolve due to acquisition of advanced minimal surgical skills and improvement in surgical technology. The expertise, sage, and knowledge of the members of the Society of American Gastrointestinal and Endoscopic Surgery (SAGES) have prioritized the creation of this manual on modern biliary surgery. This manual will provide the standard for the current state of biliary surgery in the 21st century. The SAGES Manual of Biliary Surgery will align with the new SAGES University Masters program. The Manual supplements the Masters Program Biliary Surgery Pathway. Its goal is to help the surgeon progress from the competent to the proficient and finally to the mastery level. Both for the surgical trainee and senior surgeon, this guidebook will also give insight into modern evaluation and management. The highlights will emphasize what is both feasible and safe from a minimally invasive approach in biliary surgery. The concept of Safe Cholecystectomy will be defined and expounded on in detail. The difficult cholecystectomy will be given ample coverage to include management of intraoperative bile duct injury, indications and techniques of subtotal cholecystectomy, and special attention to intraoperative diagnostic imaging that serve as adjuncts, including cholangiograpy, ultrasound, as well as indocyanine green biliary fluorescence. We will review the updated international Tokyo guidelines for acute cholecystitis. Furthermore, the evolution of treatment of choledocohlithiasis has evolved the most in recent years, and thus requires an extensive discussion of the non-operative and operative management of bile duct stones. This text will serve as an important contribution to the medical literature sponsored by SAGES, an international leading authority in gastrointestinal surgery with a keen interest in safe and proficient biliary surgery. Leaders in the field of biliary surgery will impart their insight and considerable experience in the chapters planned for this manual. The intent for this manual is to be the cited resource for high quality and applicable knowledge for the treatment of benign biliary disease.

Significant changes in surgical training have occurred over the past decade, with the inevitable progress towards specialization in the various surgical specialties. The current edition of Essential Surgical Practice: Higher Surgical Training in General Surgery reflects these latest developments with a new structure that accurately mirrors current surgical training. This new edition excludes surgical specialties that are distinct from general surgery, allowing an increased focus on topics of direct relevance to trainees in higher surgical training. Over 31 chapters, the book provides detailed information on those specialties of which the general surgeon is required to have a working knowledge, and highlights core information for revision and quick reference. Topics include: * Surgical biology and pathology * Surgical craft approaches and technologies * Perioperative care * Cardiovascular, pulmonary and renal pathophysiology * Surgical infections * Interventional radiology * Trauma and head injuries * Disorders of the thyroid and adrenal glands * Disorders of the stomach, liver, spleen, colon and pancreas * Bariatric surgery This book can be used with confidence by those enrolled in local courses and is also consistent with the scope and level of information required for international postgraduate examinations, such as the Joint Surgical Colleges' Fellowship Examination. To enhance the book's utility, the print edition includes complimentary access to a VitalSource ebook online and offline on your PC or Mac, iPhone(R)/iPod Touch(R)/ iPad(R), Kindle Fire or Android(TM) device.

Few doctors receive formal training in how to conduct an outpatient consultation or how to compose and dictate an outpatient letter. Trainee surgeons in each new specialty spend their first few weeks in outpatient clinics learning by experience with all the pitfalls this entails. Much work involves seeing patients who have been brought back for review by their predecessors. Problems are caused by inexperience, unfamiliarity, fear of making mistakes, the pressure of patient numbers and lack of training.New doctors will find little help in the standard textbooks on how to follow-up patients.This book provides the necessary background information to enable rational decision making in a concise and economical style. It describes reasonable and safe lines of management suitable for most patients, ideal for when discussion with a senior colleague is not possible. Since the First Edition was published surgical outpatient services have undergone tremendous change. The traditional general surgical clinic has been replaced by specialist clinics where decisions on patient management are taken by multidisciplinary teams.This new edition is multi-authored to take account of the multidisciplinary approach. As well as an overall review of general outpatient issues, every major specialty is covered, with clear notes for each condition covering history, examination, investigations, results, treatment, follow-up and post-operative follow-up. The book can be read before or during clinics, and enables trainees to have an action plan in mind before they walk into a consultation. All surgeons have to be trained to go through the process of dealing with unfamiliar clinical conditions for the first time. Surgeons will use this book as a useful foundation on which to build their own personal knowledge.

Ein Klassiker von zeitlosem Wert auch f r das 21.Jahrhundert!

Die anschauliche Beschreibung des Vorgehens in Wort und Bild, die der 1987 erschienene thoraxchirurgische Band aus der Kirschnerschen Operationslehre bietet, ist f r viele Operationen unver ndert g ltig.

Durch die Sonderausgabe ist der Band allen Chirurgen, die Eingriffe an der Brust und in der Brusth hle vornehmen, wieder zug nglich. Ein neu verfasstes Vorwort der Herausgeber pr zisiert den aktuellen Stellenwert der dargestellten Verfahren.

In pathology education within North America, there exists a wide gap in the pedagogy between medical school and residency. As a result, the pathology intern often comes into residency unprepared. Completely illustrated in color, this book lays the foundation of practical pathology and provides a scaffold on which to build a knowledge base. It includes basic introductory material and progresses through each organ system. Within each chapter, there is a brief review of salient normal histology, a discussion of typical specimen types, a strategic approach to the specimen, and a discussion of how the multitude of different diagnoses relate to each other.

The authors have developed a computer program that can be of valuable assistance in surgical decision-making for strabismus surgery. The combination of diagnostic data of individual surgical cases, related diagnosis and treatments are incorporated into a well designed, clinically applicable software system. A new way of interactive, virtual eye muscle surgery and preoperative planning is proposed, based on a biomechanical model of the human eye, which enables the prediction of surgical outcomes on the basis of objective, anatomically related and measured data. Additionally, a realistic three-dimensional visualization of the human eyes and their muscles is used to support detailed evaluation and meaningful interpretation of eye motility disorders. This software system is not intended to replace common clinical diagnostics, nor surgical expertise but it should improve the accuracy of clinical decisions in an objective manner.

Chronic venous insufficiency, manifesting as disabling open leg ulcers, lipodermatosclerosis and severe cutaneous hyperpigmentation is thought to affect five percent of the population over age 80 and a significant proportion, probably greater than one percent, of Western populations under age 65. To date little has been known about how to treat this condition cost-effectively beyond supportive and palliative care. Thus, the most important feature of Chronic Venous Insufficiency is that it describes the interventions which markedly ameliorate, and in some cases cure, the condition. The authoritative text has been skilfully illustrated to show how new methods of endovascular and endoscopic interventions can be integrated with radiologic techniques to correct totally the abnormalities which produce chronic venous insufficiency. Taken as a whole this volume will enable general surgeons, vascular surgeons, dermatologists and interventional radiologists to treat a condition that was, until recently, thought to be untreatable.