دانلود کتاب آدرنالکتومی رتروپریتونئوسکوپی خلفی

Minimally invasive surgery has great advantages for patients compared to open surgery. In adrenal surgery, this is no exception. Although the transperitoneal laparoscopic approach has become the gold standard since its first description in 1992, the posterior retroperitoneoscopic approach provides benefits for both patients and surgeons. Fifteen years ago, I started using the laparoscopic approach in several different areas, namely colorectal surgery, hepatobiliary surgery, laparoscopic repair of both ventral and groin hernias, and diaphragmatic hernia repair. Since 2005, I have also been using minimally invasive surgery to ligate insufficient lower limbs perforators to heal varicose ulcers. All this has given me a broader perspective of the advantages of every minimally invasive technique. In 2014, I met Professor Dr. Martin Walz and had my first contact with posterior retroperitoneoscopic adrenalectomy. Not only did I have the opportunity to work with him, but also learned how to perform posterior retroperitoneoscopic adrenalectomy. It was love at first sight, and I immediately thought this great technique could revolutionize adrenal surgery. This approach gives direct access to the adrenal gland, has no incursion into the peritoneal cavity, has minimum risk of viscera injury, and promotes fast recovery. Despite its advantages, many surgeons do not use it because they are not familiar with the retroperitoneum space and are not used to the posterior anatomical perspective. This book will change that. In 2015, I adopted the posterior retroperitoneoscopic adrenalectomy as the gold standard for adrenal surgery. Since then, I have published data supporting the safety and feasibility of this technique, and I have also proved that a shorter learning curve is possible if surgeons have laparoscopic skills acquired during other procedures. So, there is no reason for surgeons to keep resisting the retroperitoneoscopic approach. In several publications, videos, and scientific lectures, I have tried to demystify the technical difficulties described by some surgeons and contend that learning from an expert is the best way to begin using a new technique. All the chapters in this book were written by a group of international specialists (surgeons and anesthesiologists) with vast experience in the technique. By sharing their knowledge, they make this book the “expert” a surgeon needs to initiate the “back door” approach to adrenal tumors. This book intends to provide all general surgeons and urologists interested in adrenal surgery with the knowledge they need to start performing posterior retroperitoneoscopic adrenalectomy safely and effectively. In an easy-to-learn format, it presents the reader with information about anatomical key points, indications for the retroperitoneoscopic approach, possible complica tions, and limitations of the technique. A step-by-step description with tips and tricks will help surgeons start their adventure in the posterior retroperito neoscopic approach. The learning curve and the outcomes presented will show the reader why all general surgeons and urologists should prefer this minimally invasive technique. This book aims to contribute to make posterior retroperitoneoscopic adrenalectomy the new gold standard in adrenal surgery.