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020 _a9783319745039
024 7 _a10.1007/978-3-319-74503-9
_2doi
040 _aES-MaUEC
_bspa
_dES-VaUE
050 _aRD546
_b.C46 2018 EB
245 1 0 _aCholedocholithiasis:
_bComprehensive Surgical Management
_cedited by B. Fernando Santos, Nathaniel Soper.
264 1 _aCham, Switzerland
_bSpringer
_c2018
300 _a1 recurso en línea (XV, 283 páginas 162 ilustraciones, 100 ilustraciones a color)
336 _2rdacontent
_aTexto (visual)
_btxt
337 _2rdamedia
_aelectrónico
_bc
338 _2rdacarrier
_arecurso electrónico
_bcr
347 _atext file
_bPDF
490 0 _aMedicine (Springer-11650)
505 0 _aHistorical Perspective on the Treatment of Choledocholithiasis: Lessons Learned and Techniques Prior to the Laparoscopic Era -- Current Understanding of Choledocholithiasis- Clinical Presentation and Pre-operative Evaluation -- Preoperative Decision-making Algorithm -- Intraoperative Ultrasound- Technique, Results, Pearls/Pitfalls, Rationale, and Benefits of Routine Use -- Intraoperative Cholangiography- Technique, Results, Pearls/Pitfalls, Rationale, and Benefits of Routine Use -- Laparoscopic Trans-cystic Exploration (Deciding who to Approach, Contraindications, Techniques- Cannulation, Dilation, Flouro-guided v. Choledochoscopy, Results, Complications, and Their Management -- Laparoscopic transcholedochal exploration (deciding who to approach, contraindications, technique of choledochotomy, instruments - catheters, scopes, etc., closure - primary v. t-tube v. internal drainage, results, complications and their management) -- Stone fragmentation technologies and the approach to impacted stones (laser, mechanical lithotripsy, shock-wave, pneumatic and ultrasonic lithotriptors) -- Adjuncts to common bile duct exploration (stents, drains, balloon dilation, antegrade sphincterotomy) -- Open Common Bile Duct Exploration (indications/role in the modern era, technique, outcomes/complications) -- Role of bilioenteric bypass in management of biliary stone disease (how to decide who needs this, technique, results/complications and management) -- Endoscopic sphincterotomy for choledocholithiasis - preoperative v. postoperative, techniques, stone fragmentation for large stones, complications and management, outcomes, recent issues of infection with multi-drug resistant bacteria and implications) -- Endoscopic ultrasound (EUS)- role in diagnosis and management of choledocholithiasis, transhepatic EUS approaches -- Laparoscopic-assisted ERCP (rendezvous procedures and transgastric ERCP) -- Percutaneous techniques (transhepatic drainage) -- Overcoming Institutional and Logistical Barriers to LCBDE.
520 3 _aThis volume addresses the current lack of knowledge of many general surgeons and trainees in the comprehensive management of patients with choledocholithiasis, with an emphasis on how the surgeon can provide single-stage management for the majority of patients. It begins with a historical perspective on surgical techniques for laparoscopic common bile duct exploration (LCBDE) and reviews the knowledge and experience gained during the "open" era. Subsequent chapters cover preoperative evaluation, decision-making, and operative management, including intraoperative cholangiography, intraoperative ultrasound, laparoscopic and open common bile duct exploration, laparoscopic placement of biliary stents and other adjuncts, and laparoscopic bilio-enteric bypass. The volume also provides the reader with material on the full spectrum of options including chapters on endoscopic retrograde cholangiopancreatography and percutaneous approaches to the biliary tree. The chapters on individual procedures emphasize the technical aspects of the procedures, and include rich visual resources to guide the reader (illustrations, photographs, and videos to demonstrate typical cases and also challenging cases), as well as their outcomes and complication management. Finally, there is a discussion of how to identify and overcome logistical and institutional barriers to the adoption of LCBDE, and how simulation may be used to help teach the procedure. Choledocholithiasis: Comprehensive Surgical Management will be of great value and utility to General Surgeons, Hepatobiliary Surgeons, Surgical Residents and Fellows, Endoscopists, and Interventional Radiologists.
988 _aEBSPRINGER_2018
650 7 _aHígado
_xCirugía
_9187255
_2embne
700 1 _aSantos, B. Fernando
_eeditor literario
700 1 _aSoper, Nathaniel
_eeditor literario
_0http://viaf.org/viaf/16430899
710 2 _aSpringerLink (Online service)
_0http://id.loc.gov/authorities/names/no2005046756
_0http://viaf.org/viaf/148105729
_9106996
776 0 8 _iEdición impresa:
_z9783319745022
776 0 8 _iEdición impresa:
_z9783319745046
856 4 0 _uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://doi.org/10.1007/978-3-319-74503-9
_zAcceso a este recurso digital (usuarios Universidad Europea de Valencia)
942 _2lcc
_cLE
998 _db
_feng
_ggw
_h0