: B. Todd Heniford, Frederick L. Greene
: Frederick L. Greene, B. Todd Heniford
: Minimally Invasive Cancer Management
: Springer-Verlag
: 9781441912381
: 2
: CHF 94.80
:
: Klinische Fächer
: English
: 380
: Wasserzeichen/DRM
: PC/MAC/eReader/Tablet
: PDF

As minimal access approaches to cancer diagnosis, staging, and therapy become more widely used, it is vital for general surgeons, along with laparoscopists, surgical oncologists and medical oncologists, to stay up to date. The editors, a team consisting of a renowned surgical oncologist and a laparoscopic specialist, aim to provide a resource for the practicing general surgeon using basic minimally invasive techniques. The book discusses diagnosis including biopsy with microinstrumentation, staging, and palliative and curative resection. Specific tumor sites are addressed, including esophagus, stomach, spleen, small bowel, pancreato-biliary, hepatic resection, and colo-rectal resection. Minimally invasive approaches to the thoracic and retroperitoneal areas are included. The book provides a thorough overview of basic cancer biology, instrumentation, and ultrasound. Additionally, Greene and Heniford explore controversial issues such as port-site recurrence and the effect of pneumoperitoneum on the spread of cancer cells in the abdomen. Many photographs and line drawings, including 16 in full color, illustrate the principles discussed in the text. A must-have for every practicing general surgeon, laparoscopic fellow, and general surgery resident.

Foreword to the Second Edition5
Foreword to the First Edition7
Preface to the Second Edition8
Preface to the First Edition9
Contents10
Contributors15
Part I Introductory Issues18
1 Indications and General Oncologic Principles19
Oncologic Principles19
Indications for Diagnostic Laparoscopy20
Immunologic Consequences of the Surgical Approach22
Specific Organ Sites23
Pancreatic Malignancy23
Gastric Cancer24
Esophageal Cancer24
Gallbladder Cancer24
References25
2 Cancer Biology Relating to Minimal Access Management27
Systemic Effects of Minimally Invasive Surgery28
Effects of Minimally Invasive Surgery on Systemic Cytokines29
Effects of Minimally Invasive Surgery on Systemic Immunity30
B Cells and Neutrophils30
T Cells31
Monocytes/Macrophages and Dendritic Cells31
Natural Killer Cells31
Intraperitoneal Oncologic Effects32
Tumor Cell Shedding from the Primary Tumor32
Tumor Cell Dissemination Within the Peritoneal Cavity33
Local Surgical Factors in Port Site Recurrence34
Effect of Pneumoperitoneum on Intraperitoneal Tumor Growth34
Effect of Pneumoperitoneum on Peritoneal Mesothelial Cells34
Effect of Pneumoperitoneum on Peritoneal Immune Cells35
Conclusion37
References37
3 Pneumoperitoneum: Metabolicand Mechanical Effects44
Historical Concepts44
Current Concepts45
Environmental Effects46
Intravascular Effects47
Immunologic Alterations48
Mechanical Effects48
Conclusion48
References49
4 Energy Sources in Laparoscopy50
Introduction50
Electrosurgery50
Electrosurgery Defined51
Applications of Electrosurgery51
Therapeutic Applications of Electrosurgery52
Argon Beam Coagulation53
Complications53
Pacemakers and Electrosurgery54
Ultrasonic Energy54
Harmonic54
LigaSure55
EnSeal57
Radiofrequency Energy57
Conclusion58
References58
5 Biopsy and Staging: Technical Issues60
Rationale60
Operating Room Setup61
Technical Issues62
Biopsy Techniques Following Standard Staging Laparoscopy65
Peritoneal Lavage for Cytological Analysis65
Fine Needle Aspiration Cytology (FNAC)65
Pinch Biopsy/Scrape Biopsy65
Cup Biopsy65
Core Biopsy and Laparoscopic Ultrasound Guidance66
Incisional Biopsy66
Excisional Biopsy66
Lymph Node Biopsy67
Sentinel Node Biopsy67
References68
6 Ultrasound Techniques in Minimally Invasive Oncologic Surgery69
Introduction69
Basic Equipment and Operating Room Setup for Laparoscopic Ultrasound70
Basic Techniques of Laparoscopic Ultrasound Examination70
Laparoscopic Ultrasound for Hepatobiliary Neoplasms71
Techniques for Laparoscopic Ultrasound Exam of the Biliary Tree71
Techniques for Laparoscopic Ultrasound Exam of the Liver72
Specific Applications and Results of Laparoscopic Ultrasound for Hepatobiliary Tumors73
Staging of Primary and Secondary Liver Tumors73
Ultrasound Guidance of Liver Biopsy, Ablation, and Resection74
Techniques for Laparoscopic Ultrasound of the Pancreas76
Specific Applications and Results of Laparoscopic Ultrasound for Pancreatic Neoplasms77
Staging of Pancreatic Adenocarcinoma77
Localization and Resection of Pancreatic Neuroendocrine Tumors78
Evaluation and Resection of Cystic Neoplasms of the Pancreas78
Laparoscopic Ultrasound for Other Neoplasms79
Techniques for Laparoscopic Ultrasound Examination of Lymph Nodes79
Specific Applications of Laparoscopic Ultrasound to Other Neoplasms79
Esophagus and Stomach79
Adrenal Gland and Kidney80
Future of Ultrasound in Minimally Invasive Surgery80
References80
Part II Management of Foregut Cancer82
7 Endoscopic Ablation of Barrett's Esophagus and Early Esophageal Cancer83
Introduction83
Risk of Progression to Dysplasia and Esophageal Adenocarcinoma83
Rationale for Endoscopic Ablation of Barretts Epithelium84
Ablation Technology and Outcomes85
C85