Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery
The creation of an atlas covering the entire scope of upper gastrointestinal and hepatopancreato-biliary surgery is undoubtedly dependent on a team effort,which is possible only with the support and enthusiasm of many individuals. First of all, an atlas is a series of drawings,which should transmit the appropriate knowledge in an artistic way.
Pierre-Alain Clavien, Michael G. Sarr, Yuman Fong
Panco Georgiev (Associate Editor)
Объем 971 стр.
Издательство Springer Berlin Heidelberg New York
Knowledge of anatomy and precise surgical technique remain the foundation of
high quality surgery. A knowledgeable surgeon, equipped with excellent theoretical
and clinical skills, will only be accomplished when he or she masters the operative
techniques of the practice of surgery. The legacy of an academic surgeon or a surgical
educator relies in great part on the transmission of his or her surgical abilities.
During the last few years, we as surgical educators felt more and more that teaching
surgical skills and techniques are compromised due to the plethora of new information
dealing with other aspects of surgery. The number of new procedures and techniques
developed since the early 1990s, for example, laparoscopic liver resection or Roux-en-Y
gastric bypass, although offering obvious advantages for the patients, constitute
a real technical challenge for us surgeons. Therefore, possibly more than ever before,
surgeons need to acquire sound knowledge about the various surgical procedures and
In bringing forth a new surgical atlas, we were motivated by the desire to create
a comprehensive and educational atlas focusing on the upper abdomen and emphasizing
all details of operative techniques including tricks from experienced surgeons.
In view of the availability of many textbooks describing non-technical aspects of
surgery, we purposely avoided writing a text addressing the disease processes, but
instead concentrated on the operative procedures, which are evolving rapidly. The
techniques described are the real message of the atlas.We standardized the text
associated with each procedure, covering a list of the most common indications and
contraindications, a step-bystep description of the procedure, a list of the most
common complications, and finally the tricks of the experienced surgeon.We also
included an introductory section covering the basic principles of operative surgery
including operative accesses, positioning of the patient, and the use of retractors,
drains, and staplers. This section, contrary to the specific procedures, was written
by residents and junior staff surgeons at the University Hospital of Zurich under
the direct supervision of the Editors.
While a surgeon 50years ago could treat diseases from head to toe, this concept
has evolved, and today some degree of specialization is the rule worldwide.Most
countries or accrediting authorities are designing various boards for sub-specializations;
indeed, after a broad training in general surgery, many young surgeons will move
on further into a specific field.Upper gastrointestinal and hepato-pancreato-biliary
surgery are emerging as specialized fields of general surgery, including common
procedures belonging to the scope of general surgery as well as complex procedures,
that should be performed only by specialized surgeons. We opted for a comprehensive
approach of upper gastrointestinal and hepato-pancreato-biliary surgery, covering
most open and laparoscopic procedures ranging from straightforward procedures such
as laparoscopic cholecystectomy to the more complex procedures, such as spleno-renal
shunt and liver or pancreas transplantation.
This Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery presents
illustrations created by a single artist. This approach is key to following a procedure,
step-by-step, in a consistent and attractive manner. In selecting contributors from
around the world, we sought surgeons who had extensive and recognized experience
with the procedure.Most of the contributors are established educators and have successfully
mentored many young surgeons.
The Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery is subdivided
into seven sections, each coordinated by a section editor in a close collaboration
with the artist. A balance was achieved in each procedure to highlight the educational
message in combination with the art of medical drawing. Based on the personal experience
of the expert authors, a few tricks are presented at the end of each procedure.
Some procedures, such as those related to portal hypertension, are becoming less
popular. This atlas may contribute significantly to saving the accumulating knowledge
of these demanding surgical procedures.
The Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery is intended
for students and residents in surgery and for fellows specializing in upper gastrointestinal
and hepato-pancreato-biliary surgery preparing themselves for the operation. At
the same time, this atlas will be useful for specialists and general surgeons,who
may compare their techniques with the one described herein or find some additional
help or tricks when performing rare procedures.
In summary, we believe that the Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary
Surgery is truly a new atlas, new in concept, and new in scope.