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Endoscopic Surgery of the Potential Anatomical Spaces PDF

153 Pages·2005·14.64 MB·English
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Endoscopic Surgery of the Potential Anatomical Spaces Edited by Attilio Maria Farinon ENDOSCOPIC SURGERYOF THE POTENTIAL ANATOMICALSPACES Endoscopic Surgery of the Potential Anatomical Spaces Edited by ATTILIO MARIAFARINON,MD, FACS Professor of Surgery and Chairman, Department of Surgery, University of Rome “Tor Vergata”, Rome, Italy Assistant Editor: FRANCESCO RULLI Department of Surgery, University of Rome Tor Vergata , Rome, Italy AC.I.P. Catalogue record for this book is available from the Library of Congress. ISBN 1-4020-2809-1 (HB) ISBN 1-4020-2846-6 (e-book) Published by Springer, P.O. Box 17, 3300 AADordrecht, The Netherlands. Sold and distributed in North, Central and South America by Springer, 101 Philip Drive, Norwell, MA02061, U.S.A. In all other countries, sold and distributed by Springer, P.O. Box 322, 3300 AHDordrecht, The Netherlands. Printed on acid-free paper All Rights Reserved ©2005 Springer No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed in the Netherlands. “Anditoughttoberemeberedthatthereis nothingmoredifficulttotakeinhand,more periloustoconduct,ormoreuncertaininits success,thantotaketheleadintheintroduc- tionofaneworderofthings.Becausethein- novator has for enemies all those who have done well under the old conditions, and lukewarm defenders in those who may do wellunderthenew.” N.Machiavelli:ThePrince(ChapterVI),1531 Contents ListofContributors ix Foreword xi Chapter1 1 AntomicalSpaces RichardL.M.Newell Chapter2 9 Radiologyoftheanatomicalcompartments EttoreSquillaci,RitaCammarata,GiovanniSimonetti Chapter3 35 Surgicalendoscopicaccesstopotentialanatomicalspaces: amultidisciplinaryissue AttilioMariaFarinon Chapter4 39 Technical aspects for access into the neck (minimally invasive video-assistedthyroidectomy-MIVAT) PaoloMiccoli,GabrieleMaterazzi Chapter5 47 Video-assistedthoracoscopicaccesstothe mediastinum TommasoClaudioMineo,EugenioPompeo Chapter6 67 Minimallyinvasiveaccesstotheaxilla GianfrancoTucci,ClaudioAmanti Chapter7 83 Video-assistedapproachtotheretroperitoneum FrancescoMicali,FlavioForte Chapter8 99 Extraperitonealvideo-assistedapproachtotheabdominalaorta JohnJ.Castronuovo viii Chapter9 109 Totalextraperitonealapproach(TEP)foringuinalherniarepair FrancescoMosca,AndreaPietrabissa,CarloMoretto Chapter10 119 Video-assistedaccesstothesubfascialspaceoftheleg FrancescoRulli,GabrieleGalatà,MicheleGrande Chapter11 131 NewTechnologiesinminimallyinvasivesurgery AngeloBenevento,LuigiBoni Authorindex 147 Subjectindex 149 List of contributors C. Amanti Assistant Professor of Surgery, Department of Surgery, University of Rome “LaSapienza”,Rome,Italy A.Benevento Professorof Surgery,UniversityofInsubria,Varese,Italy L.Boni AssistantProfessorofSurgery,DepartmentofSurgery,UniversityofInsubria, Varese,Italy R.Cammarata Resident,InstituteofRadiology,UniversityofRome“TorVergata”,Rome,It- aly J.J.Castronuovo Clinical Professor of Surgery, University of Medicine and Dentistry, New Jersey Medical School, Newark, Chairman, Division of Vascular Surgery, MorristownMemorialHospital,Morristown,NewJersey,USA A.M.Farinon Professor of Surgery, Department of Surgery, University of Rome “Tor Vergata”,Rome,Italy F.Forte Clinical Researcher in Urology, Department of Surgery, University of Rome “TorVergata”,Rome,Italy G.Galatà ResidentinGeneralSurgery,DepartmentofSurgery,UniversityofRome“Tor Vergata”,Rome,Italy M.Grande Assistant Professor of Surgery, Department of Surgery, University of Rome “TorVergata”,Rome,Italy G.Materazzi ClinicalResearcherinSurgery,UniversityofPisa,Pisa,Italy x F.Micali Professor of Urology, Department of Surgery, University of Rome “Tor Vergata”,Rome,Italy P.Miccoli ProfessorofSurgery,UniversityofPisa,Pisa,Italy T.C.Mineo Professor of Thoracic Surgery, Department of Surgery, University of Rome “TorVergata”,Rome,Italy C.Moretto ClinicalResearcherinSurgery,UniversityofPisa,Pisa,Italy F.Mosca ProfessorofSurgery,UniversityofPisa,Pisa,Italy R.Newell ClinicalAnatomist,CardiffSchoolofBiosciences,CardiffUniversity,Cardiff, Wales; Honorary Consultant Orthopaedic Surgeon, Royal Devon and Exeter HealthcareNHS,TrustExeter,UK A. Pietrabissa AssociateProfessorofSurgery,UniversityofPisa,Pisa,Italy E.Pompeo AssistantProfessorofThoracicSurgery,DepartmentofSurgery,Universityof Rome“TorVergata”,Rome,Italy F.Rulli Associate Professor of Surgery, Department of Surgery, University of Rome “TorVergata”,Rome,Italy G.Simonetti Professor of Radiology, Institute of Radiology, University of Rome “Tor Vergata”,Rome,Italy E.Squillaci Associate Professor of Radiology, Institute of Radiology, University of Rome “TorVergata”,Rome,Italy G.Tucci Associate Professor of Surgery, Department of Surgery, University of Rome “TorVergata”,Rome,Italy Foreword “Anatomicalpotentialspaces”isanattractiveandnomoreabstractconcept that offers new perspectives to a surgical world that is rapidily changing and becomingmorecomplex. Powerful new technologies demand our attention and testify that our clinical workandresearcharedeeplyinfluencedbysurgicalinnovations.Theselatter dramaticallymodifiedapproachestotreatmentthroughtheintroductionofen- tirelynewinterventionssuchasminimallyinvasivesurgicalprocedures,whose realappealisrepresentedbylessinvasiveness. Thisconstantlyevolvingresearchenvironmenthasgainedlargeacceptanceby surgeonsaccustomedtopromptadaptationtoanewtrendandinclinedtonim- ble behaviour in the face of innovations. This behaviour, however, requires a rigorouscontrolinordertoleadtomorereliable,evidence-basedpracticeand tosloworhalttheenthusiasmforsomeharmfulorunhelpfultreatments,espe- ciallyiftheyareproventobenobetterthanstandardprocedures. This particular area of concern has received our attention: to understand whether innovations should be considered as evolutionary variations on a standard procedure or the first stage of what should become recognized as a formalsurgicalresearchproject. AAATTILIOMARIAFARINON ProfessorofGeneralSurgery UniversityofRome“TorVergata”

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"Potential anatomical spaces" have attracted surgeons in the past and in recent years. Due to the development of modern imaging techniques and the advent of minimally invasive surgery, access to these spaces has become a real surgical option.The purpose of this book is to document the challenges rel
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