Hello. Sign In
Standards Store

Laparoscopic Surgery: Principles and Procedures, Revised and Expanded

2nd Edition, May 26, 2004

Complete Document

Detail Summary

Active, Most Current

Additional Comments:
ISBN: 978-0-8247-4622-3
Price (USD)
Add to Cart

Product Details:

  • Revision: 2nd Edition, May 26, 2004
  • Published Date: May 26, 2004
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 624
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:


Nearly two decades after the first laparoscopic cholecystectomy, numerous randomized studies have documented the benefits of less pain, shorter hospitalization, and faster recuperation for many commonly performed operations. Hospitals have redesigned operating rooms with endosuites including monitors hung from the ceiling, voice activated insufftators and tables, and even robotic hands commanded remotely by the surgeon. We no longer hear colleagues heckle the laparoscopic surgeon, "When you have a hammer, the whole world looks like a nail."

Instead, patients come to the office seeking a less invasive approach often after googling the procedure and surgeon on the internet. Whenever we post a case and the word "lap" is missing, medical students, nurses, and colleagues will frequentJy double-check "What? You're not doing it laparoscopically?" While we used to have to justify the rationale for offering a laparoscopic approach, we now must explain why an open approach is preferred for this particular patient and specific problem. This is not a trend, but a quantum change in patient expectation and surgeon practice.

A well-performed open procedure can be better for the patient than a struggle through the scope when exposure is limited, bleeding obscures the camera lens, and multiple adhesions unduly prolong the procedure. As surgeons, the authors still can enjoy the wonderful exposure of mechanical retractors prying apart the abdominal wall, palpation of organs between gloved hands, free range of motion of suturing, and the easy slide of a one-handed knot. Laparoscopy is not for everyone and all diseases, and pneumoperitoneum is not well tolerated by all patients. Readers should glean from this book when to start open or convert as a matter of good judgement.

In Laparoscopic Surgery: Principles and Procedures, we acknowledge the "learning curve" to new technology and value the skill set required for advanced laparoscopy. The book is divided into two sections. The first deals with equipment and technology and fundamental principles of laparoscopy. The second section is procedurespecific and provides a comprehensive and yet practical review of commonly performed basic and advanced laparoscopic operations.

The book is geared toward surgical residents in-training, and is ideal reading material for any "call room" bookshelf. Residents can quickly visualize with step-by-step illustrations complex operations and concisely review the key technical aspects of most MIS procedures in minutes. With a more thorough read, residents will learn history, indications, general management, expected outcomes, and potential complications. It is our intent that Laparoscopic Surgery will help prepare residents and surgeons in practice to successfully pass the fundamentals of laparoscopy (FLS) examination sponsored by the American Society for Gastrointestinal and Endoscopic Surgeons (SAGES) and the American College of Surgeons (ACS).

The first edition was well received by surgeons and nurses already in practice. The list of equipment for each procedure served as a quick and easy reference to check that instruments and equipment will be available in the operating room and added to the surgeon's procedure preference lists. The "Top Ten" at the end of each procedural chapter offered helpful hints and emphasized technical pitfalls for the surgeon to avoid early in his or her "learning curve."

The second edition updates each chapter with lessons learned over the last decade on controversial operations such as laparoscopic colon resection for malignancy and unilateral hernia repair. Laparoscopic gastric bypass, laparoscopic adjustable band, laparoscopic ventral hernia repair, and laparoscopic esophagectomy are just a few of the operations which have recently gained prominence and are now included in the latest edition. Specialty sections such as endovascular surgery have been totally rewritten. New technologies such as robotic surgery and hand-assisted surgery are thoroughly reviewed. Other chapters survey MIS training modalities using videotrainers, simulators, virtual reality, and teleproctoring.

The authors would like to dedicate this book to our wives, Stephanie, Cindy, and Bernie, and children, Ryan, Cara, Leah, Nick, Robbie, Chris, and Nathaniel. Undertaking this book steals time from family, and we very much appreciate their support.

In addition to our contributors, we are also indebted to Eleanor Goodspeed and to Marcel Dekker, Inc. editors without whose help this book would not have been completed on schedule.

We believe you will find this book up-to-date and a useful quick read on the way to the clinics and operating room. We also welcome your comments and pearls of wisdom for the next edition as the field of minimal access surgery rapidly evolves.