دانلود کتاب اطلس تکنیک های کم تهاجمی در جراحی دستگاه گوارش فوقانی

Since the first interventions of laparoscopic antireflux surgery in the early 1990 our interest has been the implementation of minimally invasive procedures in all Upper Gastrointestinal (Upper GI) pathology, benign and malignant. Surgeons continually strive to provide the best care possible for their patients. This focus on enhancing the quality of surgery brings them to employ the Minimally Invasive Surgery (MIS) approach. Doing so, they try to reduce postoperative pain, lower the risk of postoperative complications and increase quality of life. Surgeons have in the past decades demonstrated major progress in improving surgery. We have seen diagnostic invasive procedures replaced by a variety of imaging techniques providing high-resolution insight in the anatomical aspects of the disease, thereby allowing surgical teams to refine their surgical indications and approaches. Based on this better imaging we have seen the development of endoscopic treatments in early cancers, but also image-guided percutaneous placement of stents or drains for relieving obstructions or fluid collections that impede the recovery of patients. And finally, we have seen large abdominal incisions and extensive resections with huge blood losses replaced by minimal incisions and gentle dissection with minimal blood loss, thus allowing patients to ambulate very early after surgery and reassume their activities within days instead of long postoperative stays in the hospital. Moreover the fast track concepts have broken the conservative ideas of perioperative treatments, making the process of every surgical intervention a piece of objectiveness based on evidence. Hence it is no surprise that Minimally Invasive Surgery is currently the standard surgical treatment in almost all areas of Abdominal Surgery, such as gallbladder surgery, the whole benign gastrointestinal surgery, including bariatric surgery, esophageal, gastric and colorectal cancer surgery.