The SAGES Manual : Perioperative Care in Minimally Invasive Surgery

Perioperative Care in Minimally Invasive Surgery

The SAGES Manual of Peri-Operative Care in Minimally Invasive Surgery
is SAGES' second clinical manual, following their bestseller The
SAGES Manual: Fundamentals of Laparoscopy and GI Endoscopy. This
pocket- sized, portable text provides the practicing surgeon and
trainee with comprehensive, authoritative coverage of the pre-
operative evaluation of laparoscopic patients, intraoperative
strategies and minimization of complications, and post-operative
care. In addition, the reader will find thorough discussions of the
physiologic implications of CO2 pneumoperitoneum on cardiovascular,
renal, pulmonary, hepatic, and immunologic function. Written by SAGES
leadership and renowned experts in minimally invasive surgery, the
text includes: * guidelines for pre-operative evaluation of both the
healthy and the complex laparoscopic patient * strategies for
successful outcomes, including OR set-up, patient positioning,
anesthetic considerations, choice of port-placement and exposure
method, port-closure method and hernia prevention * managing trocar-
placement related bleeding, prophylaxis against DVT, prevention of
intraoperative hypothermia and subcutaneous emphysema * when to
convert to open methods * physiologic, immunologic and oncologic
implications of CO2 pneumoperitoneum, prevention of port -site
tumors, minimizing the risk of gas embolism * post-operative
considerations including fluid management, ambulation and early post-
operative performance criteria. * multiple port arrangements for most
operations and port placement schemes that take into account the
B.M.I. of the patient. Over 100 figures complement the text. This
handy reference is a must-have resource for all surgeons currently
using minimally invasive techniques as well as for all surgical
trainees preparing for laparoscopic cases and studying for the board
examination.

Written for:
Residents in general surgery fellows in laparoscopic surger
practicing surgeons, gynecologic surgeons gastroenterologists


Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . vii
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . xv
Part I: Perioperative Management
and Evaluation
1. Preoperative Evaluation of the Healthy
Laparoscopic
Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Stephanie B. Jones and Daniel B. Jones
2. Preoperative Evaluation of Complex
Laparoscopic
Patients . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Dmitry Oleynikov and Karen D. Horvath IV
3. Preoperative Patient
Instructions . . . . . . . . . . . . . . . . . . 20
Tracey D. Arnell
4. Contraindications to Laparoscopy . . . . . . . . . . . . . . . . .
25
Steven P. Bowers and John G. Hunter
5. Perioperative Antibiotics in Laparoscopic Surgery . . . . . 33
Tracey D. Arnell
Part II: Intraoperative Management,
Positioning, Setup, and Port Placement
Introduction to Part II: Introductory Remarks Concerning
Operating Room Setup, Patient Positioning, and Port
Placement
Chapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. 41
Richard L. Whelan
6. Intraoperative Management of the
Laparoscopic
Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Carol E.H. Scott-Conner
7. Summary of Intraoperative Physiologic Alterations
Associated with Laparoscopic Surgery. . . . . . . . . . . . . . 56
Arif Ahmad and Bruce D. Schirmer
8.1 Patient Positioning and Logistics in the Operating
Room During Laparoscopic Biliary Surgery. . . . . . . . . . 63
George Berci
8.2 Hepatobiliary, Cholecystectomy, and Common Bile
Duct Exploration (CBDE). Includes Cholangiography
and Intraoperative Choledochoscopy: Port
Placement Arrangements. . . . . . . . . . . . . . . . . . . . . . . .
69
Dennis L. Fowler
9.1 Operating Room Setup and Patient Positioning fo