Textbook of Practical Laparoscopic Surgery

617 Pages·2013·26.834 MB·English

by  RK Mishra

Textbook of
Practical
Laparoscopic Surgery

Textbook of
Practical
Laparoscopic Surgery
Third Edition
RK Mishra MBBS MS MMAS MRCS FMAS DMAS PhD
Professor and Head
Minimal Access Surgery
The Global Open (TGO) University, Nagaland, India
Editor-in-Chief
World Journal of Laparoscopic Surgery (WJOLS)
Chairman
Delhi Laparoscopy Hospital, Pvt. Ltd.
Director
World Laparoscopy Hospital, Gurgaon, Haryana, India
Member
World Association of Laparoscopic Surgeons (WALS)
European Association for Endoscopic Surgery (EAES)
European Association for Transluminal Surgery (EATS)
Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
Society of Laparoendoscopic Surgeons (SLS)
Society of Robotic Surgery (SRS)
Clinical Robotic Surgery Association (CRSA)
Association of Surgeons of India (ASI)
Indian Medical Association (IMA)
Indian Association of Gastrointestinal Endosurgeons (IAGES)
Forewords
Steven D Wexner
Ray L Green
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Textbook of Practical Laparoscopic Surgery
First Edition: 2008
Second Edition: 2009
Third Edition: 2013
ISBN: 978-93-5025-941-2
Printed at
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My dear teacher
Professor Sir Alfred Cuschieri

Foreword
I am honored to have been asked by Professor RK Mishra to write the foreword to his Textbook
of Practical Laparoscopic Surgery. Less than twenty years ago, laparoscopy was a revolutionary
technology available in a few select centers for which indications were unclear at best. Now
laparoscopy is the preferred method of surgery for a wide range of pathology ranging from
cholecystitis and gastroesophageal reflux to morbid obesity and colon carcinoma; virtually
every gastrointestinal tract operation can be laparoscopically undertaken. In most circumstances
the laparoscopic approach has been shown to have numerous advantages including less
pain, less morbidity, shorter hospitalization and less cost. In addition to being the access
technique of choice from the esophagus to the rectum, it has also gained significant popularity
for urologic, gynecologic, and other intra-abdominal procedures. Because of the overwhelming
surgeon and patient preference for laparoscopy, education and training in the laparoscopic arena have been in high
demand. Although many textbooks have been written to help satisfy this void, a few are as easy to read and as informative
about the gamut of laparoscopic themes. The 50 chapters allow the most uninformed neophyte to rapidly understand the
technical considerations related to these procedures. However, the depth and breadth of the well-illustrated volume also
allow the experienced laparoscopic general, urologic, or gynecologic surgeon to become familiar with the new and exciting
areas such as robotics and hepatopancreatic operations. The illustrations are all crystal clear, the cutaway enlargements
very helpful, and the text explaining them is easy to read. The subject matter has been well researched and is written in an
authoritative although not pedantic way as could only be done by a highly experienced laparoscopic surgeon with a
wonderful aptitude for sharing his knowledge. Professor RK Mishra has beautifully detailed each area ranging from the
history of sterilization techniques to the physics of energy sources to practical methods of port site closure. The constant
thread throughout the book is its practical nature—this is not a book to be taken from the shelf on rare occasions to use as
a reference prior to performing the occasional obscure operation. This book is instead one to read cover-to-cover and then
to share with one’s residents, fellows, theater staff, and associates to ensure that each of them is fluent in the practicalities
of laparoscopy. Having written a few books, I know how much work is required to produce such a well-illustrated and
superbly written comprehensive textbook. It was immediately apparent to me during my reading that the textbook of
practical laparoscopy was a labor of love for Professor RK Mishra and thus will become a cherished and favorite resource
for all of its readers, including me. I wish to congratulate him on his outstanding achievement and thank him for having
allowed me to review it and to write this brief foreword.
Steven D Wexner
President, Society of American Gastrointestinal Endoscopic Surgeons 2006-2007
Past President, American College of Surgeons
Professor of Surgery, Ohio State University
Professor of Surgery, University of Siena, Italy, Jerusalem and Israel
Clinical Professor, Department of Surgery, Division of General Surgery, University of South Florida
College of Medicine
Chief of Staff and Chairman, Medical Executive Committee, Cleveland Clinic Hospital
Chairman, Department of Colorectal Surgery
Chairman, Division of Research and Education
Research Professor, Biomedical Science, Florida Atlantic University, Boca Raton, Florida

Foreword
In less than 13 years so much has happened in the very young field of laparoscopic surgery.
We are at a major crossroads in the approach to surgical problems that will be chronicled as
the most important transition of our century: Large incision surgery to microincision surgery.
The laparoscope has literally revolutionized both general surgery and gynecology. As new
procedures are developed, surgeons want to offer their patients the benefits of smaller wounds,
less postoperative stress, shorter hospital stay. This rapid acceptance of laparoscopic surgery
has come at a high price to some patients, however, when complications unique to this approach
have led to prolonged hospitalization or death.
In the 1970s, practicing gynecologists had taken to laparoscopy by the thousands because
of the “simple” sterilization techniques and the diagnostic opportunities for chronic infertility
and pelvic pain. Unique, puzzling complications of vessel injury and bowel and skin burns, as well as sterilization failures,
rapidly made “simple” laparoscopic surgery problems the leading cause of gynecologic law suits. In the 1990s, general
surgeons are embracing the laparoscope as enthusiastically and innocently as gynecologists did in the 1970s and are
seeing unique and disastrous complications: Who had ever heard of a common iliac artery injury during a cholecystectomy?
The World Association of Laparoscopic Surgeons responded to these problems with the same high purpose as the American
Association of Gynecologic Laparoscopists (AAGL) had by organizing teaching courses reviewing complications so as to
prevent them.
Textbook of Practical Laparoscopic Surgery represents a historical landmark and is a must for all surgeons and
gynecologists. The chapters are comprehensive, well written and up-to-date. The layout and general presentation is
superb with several color illustrations throughout. The detail covered in each chapter is all encompassing and spans areas
such as ergonomics of minimal access surgery, laparoscopic anatomy and the basic principles of laparoscopy. In addition
to surgical techniques, this book provides a broader focus on issues pertaining to laparoendoscopic surgery, such as
telerobotic surgery, use of simulators in training, and a comprehensive look at credentialing past, present, and future.
I congratulate Professor RK Mishra for completing this voluminous work and hope that his effort will be fruitful to the
medical fraternity.
Ray L Green
President, World Association of Laparoscopic Surgeon (USA)
Diplomate, American Board of Obstetrics and Gynecology
Fellow, American College of Obstetricians and Gynecologists