This book looks at the comprehensive management of all aspects of gallstone disease, from the epidemiology and pathogenesis to the complex management approaches required for some patients. The main emphasis is placed on effective diagnosis and treatment, making extensive use of practical case-based material while reviewing the guidelines in a multi-disciplinary manner. It is an essential read for all clinicians involved in managing patients with gallstone disease.
This book looks at the comprehensive management of all aspects of gallstone disease, from the epidemiology and pathogenesis to the complex management approaches required for some patients. The main emphasis is placed on effective diagnosis and treatment, making extensive use of practical case-based material while reviewing the guidelines in a multi-disciplinary manner. It is an essential read for all clinicians involved in managing patients with gallstone disease.
The first laparoscopic cholecystectomy, performed by Prof. Philippe Mouret in 1987 and described by himself in the first chapter of this book, was an event that revolutionized surgery in the past few decades. Although the majority of surgeons today are unfamiliar with the his- ry of early minimally invasive surgery developments, it is important to realize that the advent of laparoscopy led not only to new surgical te- niques, but also to a change in the doctrine of medical care, by streng- ening the concept of minimal invasiveness. This is particularly the case for biliary lithiasis, for which laparoscopy has provided major benefits in terms of both diagnosis and surgical tre- ment. However, our understanding of the etiology of this disease, as well as the availability of effective medical therapies, have remained subst- tially unchanged over time. The application of the innovative approach has not been, in routine practice, without problems: between 1990 and 2000, the rate of serious complications from laparoscopic cholecystectomy were four times higher than those observed with open surgery. Even initial attempts at lapa- scopic treatment of biliary common bile duct stones resulted in excessive complications and associated medico-legal problems. Nonetheless, today, most indications have been stated, techniques have been standardized, and a new aspect to the treatment of biliary lithiasis has appeared.
The exponential expansion of knowledge in the field of hepatobiliary diseases makes systematic revisions of current concepts almost mandatory nowadays. This eBook summarizes the progress in understanding the molecular mechanism of cholesterol and bile acid metabolism and the physical-chemistry of biliary lipids, with emphasis on biliary lipid metabolism that is regulated by nuclear receptors in the hepatobiliary system. By guiding the readers through the various aspects of anatomy, physiology, and biochemistry of all "players" involved in bile formation, this eBook is intended to be a compendium of recent progresses in understanding the molecular mechanisms of cholesterol and bile acid metabolism.
This book is aimed at surgeons faced with the immediate management of acute surgical problems in a variety of resource settings. The topics covered are common in both developed and developing countries as well as in tropical and non-tropical settings. The book offers an introduction to trauma, which includes primary, secondary and tertiary surveys, trauma resuscitation, and multidisciplinary care followed by a short section on acute burns management and a discussion of a range of specific surgical topics including various of acute abdomen, upper and lower gastrointestinal bleeding, perianal conditions, oncological issues that require acute intervention, abdominal wall problems, urological emergencies and neck swellings. It also addresses the rational use of antibiotics and medications and the role of high dependency units. Each chapter includes a flow chart algorithm with multiple endpoints that relate to the resource situations available to the surgeon. The book is of interest to clinicians dealing with changes in acute surgery and the increasing disparity between developed and developing countries
An interdisciplinary reference book for the diagnosis and treatment of gallbladder and bile duct diseases With recent developments in the management of hepatobiliary diseases including liver transplantation, this new edition aids all members of the team by addressing both the biliary indications for and biliary complications of these procedures. It's divided into three sections on anatomy, pathophysiology, and epidemiology; diagnostic and therapeutic approaches including the latest therapeutic modalities; and specific conditions. Includes more than 250 illustrations for rapid reference. Each chapter now has a Q&A section and begins with a list of objectives outlining the chapter’s goals. In addition, a number of new imaging modalities are presented in this new edition. It takes an integrated medical, surgical and radiological approach, making this invaluable to all members of the team who deal with complications of liver transplantation and the management of patients.
Exciting major changes have occurred in the understanding and treatment of gallstone disease over the last two decades. In bygone years, books about gallstones were often based on postgraduate lectures which the author, usually a surgeon of distinction, had given. More recently, many books dealing with this subject have been based upon national or international conferences. The single-author text has the disadvantage that few authors today can authoritatively encompass a whole field: the reports of symposia, conferences or workshops often lack balance and auth ority. The merits of 'Gallstone disease and its Management' edited by Malcolm Bateson are clear. He has chosen 11 authors, all of whom write on topics relating to their own expertise, and the content of the book has been carefully planned to reflect the most modern ideas about the aetiology and management of cholesterol gallstones. It is worth repeating that we are experiencing rapid developments in the field of gallstone disease. Disappointingly the least progress has been made in identifying the cause (or causes) of the disease notwithstanding the many data implicating a variety of environmental factors. Most of these affect the chemistry of hepatic bile and the contribution of the gallbladder to lithogenesis remains uncertain and unstudied.
This book, written by expert surgeons, offers a comprehensive and up-to-date overview of all aspects of laparoscopic cholecystectomy. Coverage includes the indications for surgery, anesthesia, surgical technique, and the prevention and management of complications, with extensive reference to the latest clinical evidence and assessment of the benefits of the laparoscopic approach, for example in terms of outcomes and day surgery. New technologies, including SILS, NOTES, robotic surgery, and miniaturized instruments, are reviewed. The learning curve and training are also extensively discussed, and an individual chapter is devoted to the views of international experts in the field. Readers will find the book to be an ideal guide to this gold standard technique, which continues to evolve some 20 years after the National Institutes of Health Consensus Conference first published recommendations regarding indications for laparoscopic cholecystectomy.
