This book provides a concise yet comprehensive overview of minimally invasive gastrointestinal surgery, specifically for the medical internist. Organized by organ system, the text reviews the pathophysiology, workup, treatment, and surgical options for diseases inherent to gastrointestinal surgery. The book also focuses on when and who to refer to for consultation by a minimally invasive surgeon, as well as what to expect in the immediate and long term post-operative period. Written by experts in the field, The Internist's Guide to Minimally Invasive Gastrointestinal Surgery is a valuable resource for medical internists on minimally invasive GI surgery and how best to care for these patients in the pre and post-operative setting.

Few clinical disciplines have been transformed so dramatically by advancements in science and technology as gastrointestinal surgery. To begin with, modern ph- macology has virtually eliminated some kinds of surgery altogether. If one were to take a peek at a typical operating room schedule in a busy hospital of the 1960s, gastrectomies of one kind or another would have constituted a large block of the major surgeries. The advent of effective H2-histamine receptor antagonists and, more + + recently, the H ,K -ATPase (proton pump) inhibitors led to a precipitous decline in those procedures such that they are rarely performed today. Exciting new approaches to treating inflammatory bowel diseases and their complications—such as fistulas— with anticytokine therapy may one day have a similarly profound effect on surgery for this condition as well. Beyond pharmaceutics, advances in imaging techniques have greatly facilitated the identification and characterization of pathology in the gastrointestinal tract in a way that would have been unimaginable only a few years ago. Just to visualize the pancreas in some way was a horrendous task until abdominal ultrasound, magnetic resonance imaging, or computer tomography made it simple. The fact that the gut is a hollow organ that can be accessed through the mouth, anus, or even through the wall of the abdomen has been fully exploited with fiberoptic endoscopes that can bend around corners with ease and permit surgery to be conducted through them.

This first of its-kind reference shows you how to perform today's laparoscopic procedures using videos demonstrating the step-by-step how-to's you need to know. Nearly 30 videos on DVD-each 10-20 minutes long, with narration-describe the key steps for all of the commonly-performed minimally invasive procedures. In addition to the procedures on DVD, a full-color standard operative atlas is included-illustrated with nearly 400 photos and line drawings addressing the key portions of each surgical procedure-providing complete details on the technical considerations of each operation. Inclusion of cutting-edge technology helps you incorporate these advances into your repertoire. Coverage by top experts in the field-including Dr. Frantzides and Dr. Carlson, leading authorities on laparoscopic procedures-ensures guidance you can trust. Demonstrates 30 key laparoscopic procedures through a DVD of operative videos, each 10-20 minutes in length, enabling you to see the progression of each surgery in real time. Uses voice-over narration to clarify important nuances of each technique. Presents coverage of cutting-edge breakthroughs, keeping you up to date on the latest surgical developments. Includes more than 395 photos and line drawings in the text to augment key portions of the surgical procedures reviewed. Features the work of top experts in the field, including Drs. Constantine T. Frantzides and Mark A. Carlson, leading authorities on laparoscopic procedures.

This Atlas comprehensively covers minimally invasive operative techniques for benign and malignant cancer surgery of the esophagus and stomach. It provides easy-to-follow instructions accompanied by a range of pictures and illustrations, as well as a collection of interactive videos to aid the reader in developing a deeper understanding of each surgical procedure. Techniques covered include minimally invasive surgical treatment for esophageal and gastric cancer including different approaches such as thoracoscopic, transhiatal, laparoscopic, and robot-assisted resections. These chapters include different types of cervical and intrathoracic anastomoses after esophageal resections, and different anastomoses and reconstructions after gastrectomy. Moreover, the Atlas includes an extensive description of minimally invasive procedures in bariatric surgery including sleeve resection, gastric bypass, biliopancreatic diversion, and others. Minimally invasive approaches for other benign pathologies such as benign tumors and treatment of gastroduodenal ulcer complications are also depicted. All chapters, written by a renowned and experienced international group of surgeons and their teams, are focused on practical step-by-step description of the techniques. Atlas of Minimally Invasive Techniques in Upper Gastrointestinal Surgery systematically describes the most frequently performed surgical procedures of the esophagus and stomach and is a valuable resource for all practicing surgeons and trainee general surgeons dedicated to upper gastrointestinal surgery, such as bariatric and surgical oncologists.

​Laparoscopic and robotic approaches to colon, rectum and the small intestine have undergone radical change since the introduction of minimally invasive surgical techniques. At the beginning of this revolution, the most common anastomotic techniques have been extracorporeal. As a few surgeons became more familiar with minimally invasive suturing techniques, intracorporeal anastomosis became possible. However, the change from an extracorporeal approach has been slow to realization for the vast majority of surgeons. While there are multiple reasons for this slow adoption, the most common are perceived difficulty with suturing in a closed space, the feeling of lack of control, and the worry of increased infection in the abdomen. This book details the latest information in addressing and dispelling these fears. It provides a useful guide to techniques required to perform intracorporeal anastomoses both in laparoscopic and robotic surgery, and it shows the huge advantages to the patient, surgeon and to our health care system. Written by experts in the field, chapters serve as a definitive guide to the performance of intracorporeal techniques to all general and colon and rectal surgeons performing bowel resection both for benign and malignant disease. The chapters contain ample color photographs and videos describing each technique. Intracorporeal Anastomosis primarily focuses on laparoscopic and robotic techniques and contains the latest published data describing the advantages of using these minimally invasive surgical techniques.

This text provides a clear, reproducible, step-by-step guide for each colorectal surgery operation. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. Each chapter includes both operative technical details as well as perioperative “tips and tricks” that the authors utilize in the management of these complex surgical patients. In addition, it addresses the optimal “next step” in dealing with more challenging situations such as pregnancy, emergent surgery, the elderly, and the obese patient. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with color illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, as well as key points of patient care inherent to that topic. Additionally, where appropriate, links to online or downloadable videos will give the reader an up-front look into technical aspects of traditional straight laparoscopic and hand-assisted minimally invasive surgery, as well as NOTES, transanal, robotic, single incision colectomy and combined laparoscopic-endoscopic resection. Minimally Invasive Approaches to Colon and Rectal Disease: Technique and Best Practices will be of great utility to colorectal, general and oncologic surgeons who want to learn or improve their minimally invasive skills in colorectal surgery. Furthermore, this text will be of particular interest to the surgeons-in-training, and the general and colorectal surgeon who is often called upon to manage a variety of colorectal surgery conditions through a minimally invasive approach.

This current guide to surgery describes the complete field of minimally invasive surgery possible today and represents a systematic account from a didactic point of view. The authors and editors are pioneers of worldwide repute in their respective techniques. Special emphasis has been placed on highly informative drawings which form an instructive complement to the numerous accompanying "real-time" figures taken directly during operative procedures through the endoscope. This revised, updated and enhanced second edition covers all basic techniques used in endoscopic gastrointestinal surgery.