The second SAGES (Society of American Gastrointestinal Endoscopic S- geons) manual was intended to be a companion piece for the successful ?rst SAGES manual, edited by Carol Scott-Connor, that was published more than 4 years ago. Originally, the goal was to concentrate on tersely covered or often ignored aspects of the preoperative preparation of the patient and the operating room as well as the postoperative care of patients undergoing minimally in- sive operations. It was also our intention to include a section for each procedure where several different port placement schemes would be presented and brie?y discussed. Unique to this manual, the impact of the patient's body habitus (short or long, narrow or wide) on port placement is also taken into account for many of the procedures. Also unique are chapters devoted to hypothermia, port wound closure, and the management of subcutaneous emphysema and abdominal wall hemorrhage caused by trocars. Naturally, the surgeon tends to focus on the technical aspects of the pro- dure, such as the operative tasks to be carried out, the order of operation, and the position of the surgeon and assistant. However, it is critical that the surgeon be aware that the CO pneumoperitoneum, far more so than laparotomy, results 2 in multiple physiologic alterations that, if not compensated for by the anest- siologist and surgeon, may endanger the patient or prevent the laparoscopic c- pletion of the procedure.

This issue of Surgical Oncology Clinics devoted to Laparoscopic Approaches in Oncology is Guest Edited by Dr. James Fleshman from the Washington University in St Louis, Missouri.? Article topics in this issue include: Lap Colectomy for Colon Cancer; Lap Proctectomy for Rectal Cancer; Lap Resection of Liver for Cancer; Lap Pancreatectomy; Lap Whipple for Pancreatic Cancer; Lap Gastrectomy; Lap Adrenalectomy; Lap Nephrectomy; Lap Prostatectomy; Laparoscopic Robotic Thyroidectomy; and VATS for Lung Cancer.

Master the full range of colorectal procedures performed today with Atlas of Surgical Techniques for the Colon, Rectum, and Anus. In this volume in the Surgical Techniques Atlas Series, top authorities provide expert, step-by-step guidance on surgery of the large bowel, rectum, and anus - including both open and closed approaches for many procedures - to help you expand your repertoire and hone your clinical skills. Easily review normal anatomy and visualize the step-by-step progression of each procedure thanks to more than 600 detailed anatomic line drawings and clinical photographs. Master both open and laparoscopic techniques for numerous surgeries, such as abdominal perineal resection, abdominal colectomy, and low anterior resection. Apply the latest developments in colorectal surgery, including restorative and reconstructive techniques (such as pelvic floor reconstruction after abdominal perineal resection or sacrectomy) and the newest procedures in transanal endoscopic microsurgery (TEM). Effectively interpret preoperative and postoperative imaging studies for improved decision making and outcomes. Avoid complications with pearls and pitfalls from the authors for every technique. Access the entire text online and download all the images at www.expertconsult.com.