The SAGES Manual: Volume 1 Basic Laparoscopy and Endoscopy PDF
Preview The SAGES Manual: Volume 1 Basic Laparoscopy and Endoscopy
The SAGES Manual The SAGES Manual Volume 1 Basic Laparoscopy and Endoscopy Third Edition Nathaniel J. Soper, MD Northwestern University Feinberg School of Medicine, Chicago, IL, USA and Carol E.H. Scott-Conner, MD, PhD University of Iowa Hospitals and Clinics, Iowa City, IA, USA Editors Editors Nathaniel J. Soper Carol E.H. Scott-Conner Department of Surgery Department of Surgery Northwestern University Feinberg University of Iowa Hospitals School of Medicine and Clinics Chicago, IL, USA Iowa City, IA, USA ISBN 978-1-4614-2343-0 e-ISBN 978-1-4614-2344-7 DOI 10.1007/978-1-4614-2344-7 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2012932411 © Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identifi ed as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Foreword As the Society of American Gastrointestinal and Endoscopic Surgeons completes its 30th year, our commitment to education burns as brightly as ever. The fi rst SAGES manual was published in 1998. Since then, it has continued to be a well-organized, clear, and to the point reference in minimally invasive surgery written by experts in the fi eld and aimed at the surgical resident. That said, it will also be useful to students and attending surgeons alike. This third addition of the SAGES manual refl ects the best of what has been a leading reference in minimally invasive surgery yet at the same time incorporating many new concepts that have evolved since the second addition. This is mirrored by the tireless efforts of Carol E.H. Scott Connor, MD who has overseen this project since its inception and the addition of Ninh T. Nguyen, MD and Nathanial (Nat) Soper, MD as editors of the third edition. Together, this team has organized this brilliant reference in the fi eld of minimally invasive surgery. Surgical residents and practicing surgeons will fi nd this addition completely reorganized as the fi eld of minimally invasive surgery continues to grow. Dividing the manual into two volumes allows for a convenient method of keeping it handy as well as reorganizing this book into basic (volume 1) and advanced procedures (volume 2). Students of history, who recall that SAGES’ roots grew out of fl exible endoscopy, will also no doubt notice the increasing prominence of fl exible endoscopy in this manual. This refl ects the rise in interest of surgeon performed endoscopy as a therapeutic tool complementing other MIS techniques. Surgical residents interested in a career in gastrointestinal surgery should pay close attention to the increasing role that the endoscope will play in their future. While the fi rst two chapters of this edition of the SAGES manual highlight the roles of the Fundamentals of Laparoscopic Surgery (FLS) and Maintenance of Certifi cation (MOC) in the educational process, future editions will clearly also include information on the Fundamentals of Endoscopic Surgery (FES) and other key offerings as well. v vi Foreword Even as this book comes to press, controversies concerning optimal treatment strategies continue to swirl as issues of endoluminal therapies, surgical robotics, and natural orifi ce translumenal endoscopic surgery (NOTES) are debated around the world. Even the issue concerning the optimal number and size(s) of trocars in our bread and butter commodity procedure such as laparoscopic cholecystectomy remains unsettled. Clearly we should get working on the fourth edition. I have recently been asked if medical texts are destined for the same desolate fate as ice boxes, typewriters, and mimeographs in the annals of history, all supplanted by newer technologies. Clearly, the organization of medical information is evolving rapidly with so much information now available at our fi ngertips in digital form. The available “infostream” is coming at us like water spouting wildly from a fi re hose, but amidst all that data, where do we fi nd truly useful information concisely organized? I suspect it will be in places such as the SAGES Manual, and yes, this reference too will be available in a digital format for those who wish to abandon paper altogether. Whether on paper or in a digital format, I am sure that you will enjoy using this reference (at least until the next edition comes out). Steven D. Schwaitzberg, MD SAGES President 2011–2012 Cambridge, MA, USA Preface In creating this third edition of T he SAGES Manual , we have completely restructured, reorganized, and revised the entire manual. Rather than put the manual on a diet, we have separated it into two volumes for better portability. Volume 1 covers the fundamentals and procedures performed during surgical residency. We anticipate that Volume 1 will be the fi rst volume used by students, residents, and allied health-care professional trainees, do not be deceived, however; we have added material to these fundamentals and procedures that should also be of interest to experienced surgeons. Volume 2 covers more advanced procedures, generally taught during fellowship. If you own an old, dog-eared copy of the second edition, you will fi nd much that is new in both volumes. All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Although many chapters have new authors, many stalwart authors have continued to contribute. We have also added color photographs. As before, the manual strives to strike a balance between completeness and conciseness. Signifi cant additional information, including videos, is available from the SAGES Web site (see Appendix, at the end of Volume 1). But, as always, we want you to think of this manual as a way to take SAGES experts along with you throughout your surgical journey. Nathaniel J. Soper Saint Louis, MO, USA Ninh T. Nguyen Orange, CA, USA Carol E.H. Scott-Conner Iowa City, IA, USA vii Contents Foreword .......................................................................................... v Preface .............................................................................................. vii Contributors ..................................................................................... xv Part I Basic Laparoscopy and Endoscopy: General Principles 1 Fundamentals of Laparoscopic Surgery (FLS) and of Endoscopic Surgery (FES) ............................................ 3 Jeffrey M. Marks 2 Maintenance of Certifi cation .................................................... 15 Jo Buyske 3 Equipment Setup and Troubleshooting .................................... 21 Mohan C. Airan 4 Ergonomics in Operating Room Design .................................. 45 Erica R.H. Sutton and Adrian Park 5 Access to Abdomen ................................................................. 61 Nathaniel J. Soper 6 Generation of Working Space: Extraperitoneal Approaches .............................................................................. 79 David M. Brams and Amila Husic 7 Single-Site Access Surgery ...................................................... 87 James A. Dickerson II, Chan W. Park, and Aurora D. Pryor 8 Hand-Assisted Laparoscopic Surgery ...................................... 99 Carol E.H. Scott-Conner 9 Laparoscopic Hemostasis: Energy Sources ............................. 105 James G. Bittner IV, Michael M. Awad, and J. Esteban Varela ix
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