The general surgeon was first introduced to laparoscopy nearly 20 years ago. In these past two decades, there has been an evolution in the indications, approaches, and outcomes for the surgical treatment of many conditions and diseases. The debate about the optimal approach continues. Despite all of the advances that have been made during the 'evolution of the laparoscopic revolution', there is still progress to be made. This issue will examine the history of the minimally invasive surgical approach to a variety of conditions, ongoing areas of controversy, and future directions.
Author(s): Jon C. Gould, W. Scott Melvin
Edition: 1
Year: 2008
Language: English
Pages: 240
Cover......Page 1
Foreword......Page 2
Preface......Page 5
Evolution versus revolution......Page 7
Training, credentialing, and awarding of privileges of practicing surgeons in new technology......Page 8
Gastroesophageal reflux disease......Page 22
Patient selection for antireflux surgery......Page 23
Principles and technique of antireflux surgery......Page 26
Outcomes of antireflux surgery......Page 29
Endoscopic endoluminal therapy......Page 30
Barrett’s esophagus......Page 33
References......Page 35
Current Controversies in Paraesophageal Hernia Repair......Page 38
Type II: true paraesophageal hernias......Page 39
Thoracoscopic-laparoscopic esophagectomy with cervical anastomosis......Page 58
Open esophagectomy......Page 59
Indications for minimally invasive esophagectomy......Page 60
Minimally invasive esophageal resection techniques......Page 61
Laparoscopic esophagectomy......Page 63
Endoscopic therapy for Barrett’s esophagitis and esophageal cancer......Page 65
Endoscopic mucosal resection......Page 66
Oncologic perspectives......Page 67
References......Page 68
The rationale for weight loss surgery......Page 70
Evaluation of the obese patient for bariatric surgery......Page 71
Minimally invasive options for bariatric surgery......Page 73
The laparoscopic Roux-en-Y gastric bypass......Page 74
The laparoscopic adjustable gastric band......Page 77
Laparoscopic biliopancreatic diversion with duodenal switch......Page 79
Laparoscopic sleeve gastrectomy......Page 81
References......Page 84
Minimally Invasive Resection of Gastrointestinal Stromal Tumors......Page 87
Esophagus......Page 88
Stomach......Page 89
Small bowel......Page 92
Targeted adjuvant therapy......Page 93
References......Page 94
Choledocholithiasis, Endoscopic Retrograde Cholangiopancreatography, and Laparoscopic Common Bile Duct Exploration......Page 97
Indications for preoperative endoscopic retrograde cholangiopancreatography......Page 98
Intraoperative techniques for stone removal......Page 100
Laparoscopic transcystic removal......Page 101
Laparoscopic choledochotomy......Page 102
What role does endoscopic retrograde cholangiopancreatography play in stone removal?......Page 103
Postoperative endoscopic retrograde cholangiopancreatography......Page 105
Transcystic stenting and postoperative endoscopic retrograde cholangiopancreatography......Page 106
References......Page 107
Current Trends in Laparoscopic Solid Organ Surgery: Spleen, Adrenal, Pancreas, and Liver......Page 110
Spleen......Page 111
Adrenal......Page 112
Pancreas......Page 115
Liver......Page 118
References......Page 120
Barcelona trial......Page 124
Randomized controlled trials......Page 125
Colon Cancer Laparoscopic or Open Resection trial......Page 127
Survival......Page 128
Surgical wound and port site recurrence......Page 130
Lymph node retrieval......Page 131
Operative time, hospital length of stay, and cost......Page 132
Quality of life......Page 133
Oncologic and patient-oriented outcomes......Page 134
Robotic surgery......Page 138
Local excision......Page 139
Transanal endoscopic microsurgery......Page 140
Chemoradiation therapy......Page 141
Patient selection......Page 142
Learning curve/quality assurance......Page 143
References......Page 144
To repair or not to repair......Page 150
Open inguinal hernia repair......Page 151
Totally extraperitoneal repair......Page 152
Laparoscopic versus open repair of inguinal hernias......Page 153
Recurrent hernias......Page 154
Cost......Page 155
References......Page 156
Causes of ventral hernia formation......Page 159
Open repair......Page 160
Laparoscopic repair......Page 161
Meshes available for use......Page 164
Clinical outcomes of open versus laparoscopic ventral hernia repairs......Page 165
Other technical adjunct for ventral hernia repair......Page 167
Obesity......Page 170
Elderly......Page 172
Seroma......Page 173
References......Page 174
Recent Advances and Controversies in Pediatric Laparoscopic Surgery......Page 177
Pectus repair......Page 178
Congenital diaphragmatic hernia......Page 179
Esophageal atresia and tracheoesophageal fistula......Page 180
Congenital cardiac malformations......Page 181
Pediatric obesity surgery......Page 182
Biliary disease......Page 183
Appendicitis......Page 184
Anorectal malformations......Page 185
Urologic and gonadal abnormalities......Page 186
Inguinal hernia repair......Page 187
Laparoscopy for pediatric trauma......Page 188
References......Page 189
Commercial systems......Page 196
Flexible endoscopy platform......Page 199
Miniature robot platform......Page 200
References......Page 204
Natural Orifice Translumenal Endoscopic Surgery......Page 206
Terminology......Page 207
