Controversies in Surgery: Volume 4

409 Pages·2001·9.964 MB·English

by  Moshe Schein MD, FACS, FCS (SA), Leslie Wise MD, FACS, FRCS (Eng) (auth.)

M. SCHEIN L. WISE
Controversies in Surgery
Springer-Verlag Berlin Heidelberg GmbH
MOSHE SCHEIN LESLIE WISE
Controversies
in Surgery
Volume 4
With 43 Figures and 23 Tables
Springer
MOSHE SCHEIN, MD, FACS, FCS (SA)
Professor of Surgery, Weill Medical College of Cornell University;
Attending Surgeon, New York Methodist Hospital,
Brooklyn, New York, USA
LESLIE WISE, MD, FACS, FRCS (Eng)
Professor of Surgery, Weill Medical College of Cornell University;
Chairman, Department of Surgery, New York Methodist Hospital,
Brooklyn, New York, USA
ISBN 978-3-642-62496-4
Library of Congress Cataloging-in-Publication Data
Controversies in surgery, volume 4/[edited byJ Moshe Schein, Leslie Wise. p.; cm.
Includes bibliographical references and index.
ISBN 978-3-642-62496-4 ISBN 978-3-642-56777-3 (eBook)
DOI 10.1007/978-3-642-56777-3
1. Surgery. I. Schein, Moshe. II. Wise, Leslie.
[DNLM: 1. Surgical Procedures, Operative. WO 500 C7639 2001J
RD31.C7532001 617 - dc21 00-068783
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© Springer-Veriag Berlin Heidelberg 2001
Originally published by Springer-Verlag Berlin Heidelberg New York in 2001
Softcover reprint ofthe hardcover Ist edition 2001
The use of general descriptive names, registered names, trademarks, etc. in this publication
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Dedication
This book is dedicated to our wives, Amal and Heidi,
and our children, Dan, Julian, Nicky, Omri, Tania and Yariv.
Preface
"When a thing ceases to be a subject of controversy,
it ceases to be a subject of interest."
WILLIAM HAZLITT (1778-1830)
This is the fourth volume in a series which we started in 1997. In 1976, Varco and
Delaney edited a "surgical bestseller" entitled Controversy in Surgery. This was fol
lowed by a second volume in 1985. The immense success of these books among
both surgical trainees and experienced surgeons, and their wide international ap
peal, supported the editors' notion that a view of controversy is integral to teach
ing. However, despite major advances in surgical science and practice, no other
similar publication has since been put together with the objective of addressing
major controversies in surgery. The aim of this series is to address such deficiency
by covering the most crucial current controversies in general, vascular and trauma
surgery. Since almost everything is controversial in surgery, we will be able to
tackle different issues almost each year.
The editors have selected a nationally/internationally recognized authority for
each topic. Most books available today are either "North American:' "British-Com
monwealth" or "British-European:' contributing to the constant transatlantic rival
ry. Our series specifically aims to bridge this "culture gap" and includes North
American, British, European, and other authors while maintaining a cohesive
structure. This will hopefully also broaden the appeal of such a book across both
sides of the Atlantic and beyond.
Each author has been asked to define and briefly discuss the current major con
troversies in his/her respective field within the confines of a single short chapter:
"You have limited space; tell us what the essential controversies are; share your in
sight with us!" Each contribution has then been reviewed by another expert in the
specific field who provides a brief "balancing" commentary. Finally, at the end of
each chapter, the editors add a comment.
This series is aimed not only at surgical trainees preparing for the American Sur
gical Boards, but also for those preparing for the Royal Colleges' examinations in the
UK, and other higher examinations elsewhere. It will be most valuable reading before
oral examinations, providing the candidates with important insight and perspective
and broadening their scope of knowledge with a "user friendly" and concise text. We
believe that it will also appeal to the practicing surgeon who has only a limited
amount of reading time. Residents in training and the "thinking" medical student
will also find this book useful and fun to read because it conveys a large amount
of knowledge in a highly concentrated fashion. In addition, the book will serve as
an ideal source to prepare for teaching rounds or seminars on "controversies".
New York, February 2001 MOSHE SCHEIN, LESLIE WISE
Contents
1 Surgical Publishing in the Twenty-First Century ................ . 1
Journals ........................................... .
CLAUDE H. ORGAN JR.
Books ............................................. 3
JONATHAN L. MEAKINS
Publishing in the Internet Age 6
THOMAS KARGER
Invited Comment - Germany 8
ARNOUD DE KEMP
Invited Comment - USA ................................. 10
CYNTHIA J. LAITMAN, LAYTON F. RIKKERS
Invited Comment - UK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
JOHN R. FARNDON
Invited Comment - France. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ABE FINGERHUT
Editorial Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2 Malignant Melanoma .................................. . 23
Surgical Management: The Role of Intraoperative Lymphatic Mapping
and Sentinel Lymph Node Biopsy ........................... 23
DOUGLAS TYLER, HILLIARD SEIGLER
Nonsurgical Modalities .................................. 29
DINA LEV-CHELOUCHE, JOSEPH M. KLAUSNER
Invited Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
CHARLES M. BALCH
Editorial Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
3 Primary Esophageal Motility Disorders ...................... . 51
Investigations and Nonoperative Management. . . . . . . . . . . . . . . . . . . 51
HUBERT J. STEIN, JORG THEISEN
X Contents
Surgical Perspectives ................................... 57
ROBERT KALIMI, GARY R. GECELTER
Invited Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
CEDRIC G. BREMNER
Editorial Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
4 Benign Hepatic Lesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Investigations and Nonoperative Management . . . . . . . . . . . . . . . . . . . 69
IRVING S. BENJAMIN, SANJAY GUPTA
Surgical Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
JONATHAN KOEA, YUMAN FONG
Invited Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
O. JAMES GARDEN
Editorial Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
5 Cholelithiasis ....................................... . 95
Chronic Cholecystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
SAMUEL ELDAR, IBRAHIM MATTER
Acute Cholecystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
ULF HAGLUND, IB RASMUSSEN
Invited Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
DAVID FROMM
Editorial Comment 120
6 Non-Adenocarcinoma Pancreatic Tumors ..................... . 121
Endocrine Tumors ..................................... 121
MATTHIAS ROTHMUND, D. BARTSCH
Cystic Tumors ........................................ 130
CLAUDIO BASSI, MASSIMO FALCONI, PAOLO PEDERZOLI
Invited Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
RICHARD A. PRINZ, CONSTANTINE V. GODELLAS
Editorial Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
7 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Acute Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
SHAWN J. PELLETIER, TIMOTHY L. PRUETT
Contents XI
Appendiceal Mass and Abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
ROGER SAADIA, JEREMY LIPSCHITZ
Invited Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
ZYGMUNT H. KRUKOWSKI
Editorial Comment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
8 Mesenteric Ischemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Acute Mesenteric Arterial Ischemia .......................... 167
JON S. THOMPSON, THOMAS G. LYNCH
Acute Mesenteric Venous Ischemia .......................... 174
HANNES A. RUDIGER, PIERRE-ALAIN CLAVIEN
Chronic Visceral Ischemia ................................ 180
DARREN B. SCHNEIDER, LOUIS M. MESSINA, RONALD J. STONEY
Ischemic Colitis .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
CHRISTOPHER T. SMITH, DONALD L. KAMINSKI
Invited Comment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
MICHAEL KLYACHKIN, JOHN J. RICOTTA
Editorial Comment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196
9 Ascites............................................. 199
Nonoperative Management ............................... 199
RAM6N BATALLER, VICENTE ARROYO
The Transjugular Intrahepatic Portosystemic Shunt Procedure . . . . . . . . . 205
GILLES POMIER-LAYRARGUES, ZIAD HASSOUN
Operative Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
DOMINIQUE FRANCO
Invited Comment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
SHEILA SHERLOCK
Editorial Comment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215
10 Surgical Intensive Care Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Ventilation Strategies in the Surgical Intensive Care Unit . . . . . . . . . . . . 217
PHILIP S. BARIE
Hemodynamic Monitoring and Support ....................... 222
DAVID T. HARRINGTON, WILLIAM G. CIOFFI
Renal Support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
BASHAR FAHOUM