Surgery of the Esophagus: Textbook and Atlas of Surgical Practice

ISBN-13: 9783798513099 / Angielski / Twarda / 2009 / 408 str.

Izbicki, Jakob R.

Opis

While a surgeon many decades agotreated diseases from headtotoe, this concept has evolved, and today some degree of specialization is the rule worldwide. In many countries various boards for sub-specializations are designed, and after a broad training in general surgery, many young surgeons move on further into a specific field. Knowledge of anatomy and precise surgical technique remain the foundation of high quality surgery. A knowledgeable surgeon, equipped with excellent theore- cal and clinical skills, will only be accomplished when he or she masters the - erative techniques of the practice of surgery. The legacy of an academic surgeon or a surgical teacher relies in great part onthe transmission of his or her surgical abilities. Significant influence on the development in esophageal surgery arises from the surgical understanding of the anatomical and functional structures of the esophagus as well as the ongoing developments in the multidisciplinary m- agement in this challenging field of surgery. In bringing forth this atlas, we were motivated by the desire to create a comp- hensive and educational atlas on esophageal diseases, emphasizing all details of pathophysiologies, diagnostic strategies, pre- and postoperative management, and operative techniques covering minimally invasive and open procedures ranging fromstraightforward tomore complex procedures.

Spis treści

Basic Principles of Esophageal Surgery.- Surgical Anatomy of the Esophagus.- The Esophagus.- Endoscopic Examination of the Esophagus.- Role of Endoscopic Ultrasound for Diagnosis and Staging of Esophageal Cancer.- Preoperative Evaluation of the Operative Risk Profile.- Perioperative and Postoperative Management.- Pathophysiology of Gastroesophageal Reflux Disease and Indication for Surgical Therapy.- Gastroesophageal Reflux and its Surgical Management.- Pathologic Classification of the Esophageal Carcinoma.- Lymphatic Dissemination and Principles of Lymph Node Dissection.- Rationale for Type of Resection in Cancer of the Esophagus and Gastroesophageal Junction.- Results of Extended en bloc Esophagectomy in Treatment of Patients with Esophageal Cancer.- Surgical Techniques.- Blunt Transhiatal Subtotal Esophagectomy with Gastroplasty and Cervical Anastomosis.- Partial Abdominothoracic Resection of the Esophagus with Gastroplasty and Intrathoracic Anastomosis.- Abdominothoracic Subtotal en bloc Esophagectomy and Reconstruction with Gastric Tube Transposition.- Fundus Rotation Gastroplasty.- Proximal Gastrectomy with Distal Esophagectomy (Proximal Resection).- Transhiatal Esophagogastrectomy.- Colon Interposition after Total and Subtotal Esophagectomy.- Intrathoracic Esophagoplasty by Colon Interposition.- Reconstruction of Gastrointestinal Continuity by Jejunal Interposition following Total and Subtotal Esophagectomy.- Limited en bloc Resection of the Gastroesophageal Junction with Isoperistaltic Jejunal Interposition.- Conventional Cardiomyotomy in Achalasia.- Surgical Technique in Gastroesophageal Reflux Disease — Conventional Approach.- Conventional Resection of Esophageal Diverticula.- Local Excision of Benign Esophageal Tumors.- Surgical Treatment of Esophageal Fistula and Perforation.- Techniques of Local Esophagoplasty.- Minimal Invasive Surgery of the Esophagus.- Endoscopic Technique in the Treatment of Esophageal Diseases.- Post-operative Complications of the Esophagus and Esophagus Bridge Graft.

Blurb

This atlas provides a thorough overview on current surgical strategies in the treatment of esophageal diseases. The first part of this atlas is focused on basic diagnostic tools, indications and preoperative work up. The second part exhibits profound instructions for current surgical procedures illustrated with precise drawings in detail and operation note style text to enable the learning surgeon as well as the experienced surgeon to perform even the most complex operations. The basic principles of esophageal surgery as well as conventional surgery, endoscopic and minimal invasive techniques are vividly presented in response to the advances achieved in esophageal surgery. This atlas includes: basic principles in esophageal surgery, surgical techniques including endoscopic and minimal invasive procedures, precise drawings with operation note style text and detailed anatomic and surgical knowledge, clearly defined strategies to enable the surgeon to perform even the most complex op's.