Preface |
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vii | |
Contributors |
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xv | |
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Part I: Perioperative Management and Evaluation |
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Preoperative Evaluation of the Healthy Laparoscopic Patient |
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3 | (5) |
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Preoperative Evaluation of Complex Laparoscopic Patients |
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8 | (12) |
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Preoperative Patient Instructions |
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20 | (5) |
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Contraindications to Laparoscopy |
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25 | (8) |
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Perioperative Antibiotics in Laparoscopic Surgery |
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33 | (15) |
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Part II: Intraoperative Management, Positioning, Setup, and Port Placement |
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Introduction to Part II: Introductory Remarks Concerning Operating Room Setup, Patient Positioning, and Port Placement Chapters |
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41 | (7) |
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Intraoperative Management of the Laparoscopic Patient |
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48 | (8) |
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Summary of Intraoperative Physiologic Alterations Associated with Laparoscopic Surgery |
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56 | (7) |
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Patient Positioning and Logistics in the Operating Room During Laparoscopic Biliary Surgery |
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63 | (6) |
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Hepatobiliary, Cholecystectomy, and Common Bile Duct Exploration (CBDE). Includes Cholangiography and Intraoperative Choledochoscopy: Port Placement Arrangements |
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69 | (7) |
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Operating Room Setup and Patient Positioning for Laparoscopic Gastric Bypass and Laparoscopic Gastric Banding |
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76 | (9) |
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Minimally Invasive Procedures for Morbid Obesity: Port Placement Arrangements |
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85 | (7) |
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Patient Positioning and Operating Room Setup for Laparoscopic Treatment of Gastroesophageal Reflux Disease |
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92 | (5) |
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Port Placement Arrangements for Gastroesophageal Reflux Disease Surgery |
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97 | (8) |
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Jose Antonio Vazquez-Frias |
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Minimally Invasive Esophageal Resection: Patient Position and Room Setup |
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105 | (3) |
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Port Placement for Minimally Invasive Esophagectomy |
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108 | (5) |
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Hernia Repair: Patient Positioning and Operating Room Setup |
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113 | (4) |
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Hernia: Port Placement Arrangements |
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117 | (9) |
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Spinal Access Operating Room Setup and Patient Positioning |
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126 | (4) |
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Spinal Access Surgery Port Placement Arrangements |
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130 | (4) |
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Operating Room Setup and Patient Positioning for Laparoscopic Adrenalectomy and Donor Nephrectomy |
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134 | (5) |
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Port Placement in Laparoscopic Adrenalectomy and Donor Nephrectomy |
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139 | (11) |
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Colorectal Resections: Patient Positioning and Operating Room Setup |
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150 | (13) |
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Port Placement Arrangements: Laparoscopic-Assisted Colorectal Resections |
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163 | (14) |
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Port Placement Arrangements for Hand-Assisted Colorectal Resections |
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177 | (16) |
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Patient Positioning and Operating Room Setup: Splenectomy |
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193 | (9) |
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Splenectomy: Port Placement Arrangements |
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202 | (10) |
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Laparoscopic Ultrasonography: Patient Positioning and Operating Room Setup |
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212 | (7) |
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Laparoscopic Ultrasonography: Port Placement Arrangements |
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219 | (6) |
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Intraoperative Upper and Lower Endoscopy Considerations |
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225 | (13) |
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Choice of Laparoscopic Exposure Method |
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238 | (11) |
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Anchoring Laparoscopic Ports |
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249 | (5) |
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Trocar- and Port-Related Bleeding |
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254 | (9) |
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Prophylaxis Against Deep Venous Thrombosis |
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263 | (4) |
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267 | (6) |
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Implications of Subcutaneous Emphysema and How to Avoid and/or Limit Its Development |
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273 | (8) |
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Fluid Management and Renal Function During a Laparoscopic Case Done Under CO2 Pneumoperitoneum |
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281 | (7) |
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Port Site Closure Methods and Hernia Prevention |
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288 | (8) |
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Decision to Convert to Open Methods |
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296 | (11) |
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Part III: Postoperative Management of the Laparoscopic Patient |
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Perioperative Fluid Management |
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307 | (7) |
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Ambulation and Early Postoperative Performance Criteria |
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314 | (4) |
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318 | (8) |
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Resumption of Diet and Recovery of Bowel Function |
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326 | (7) |
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Wound Management and Complications |
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333 | (11) |
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Postoperative Restrictions After Laparoscopic Operations |
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344 | (11) |
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Part IV: Physiologic Implications of CO2 Pneumoperitoneum and Minimally Invasive Methods |
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Cardiovascular Effects of CO2 Pneumoperitoneum |
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355 | (5) |
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Pulmonary Implications of CO2 Pneumoperitoneum in Minimally Invasive Surgery |
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360 | (6) |
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Renal Ramifications of CO2 Pneumoperitoneum |
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366 | (8) |
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The Systemic Oncologic Implications of Surgery |
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374 | (5) |
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Liver Function and Portal Blood Flow |
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379 | (6) |
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Port Site Tumors: Local Oncologic Effect |
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385 | (8) |
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Port Site Tumors: Means of Prevention |
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393 | (9) |
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Immunologic Consequences and Considerations of the Laparoscopic Approach |
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402 | (8) |
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Effect of Patient Position on Cardiovascular and Pulmonary Function |
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410 | (8) |
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Pros and Cons of Alternate Gases and Abdominal Wall Lifting Methods |
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418 | (7) |
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Risk of Gas Embolism with CO2 and Other Gases |
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425 | (7) |
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Impact of CO2 Pneumoperitoneum on Body Temperature and the Integrity of the Peritoneal Lining |
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432 | (6) |
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438 | (8) |
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Impact of Minimally Invasive Methods on Postoperative Pain and Pulmonary Function |
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446 | (8) |
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Ergonomics in Laparoscopic Surgery |
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454 | (11) |
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Appendix Operative Management and Evaluation: Bowel Preparation |
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465 | (4) |
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Index |
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469 | |