No stones left unturned : Hans Kehr and his contributions to biliary surgery from inception to worldwide application in the modern era of laparoscopic surgery / George Berci, Frederick L. Greene.
Berci, George, 1921-; Greene, Frederick L.
2021
RD547
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Title No stones left unturned : Hans Kehr and his contributions to biliary surgery from inception to worldwide application in the modern era of laparoscopic surgery / George Berci, Frederick L. Greene.
Author Berci, George, 1921-
ISBN 9783030768454 (electronic bk.)
3030768457 (electronic bk.)
3030768449
9783030768447
DOI https://doi.org/10.1007/978-3-030-76845-4
Publication Details Cham, Switzerland : Springer, 2021.
Language English
Description 1 online resource (180 pages)
Item Number 10.1007/978-3-030-76845-4 doi
Call Number RD547
Dewey Decimal Classification 617.5/56509
Summary This book is a tribute to early pioneers and later innovators in applications of surgical principles for biliary stone disease. It is written as a challenge to all surgeons applying these principles to approach the biliary system with the safest and most appropriate technical support. This book is also written as a challenge to all those involved in the training of future generations of surgeons in the hope that critical standards in biliary surgical management will be promulgated and highlighted. The text contains knowledge from surgical leaders who played a vital part in the modern management of biliary stone disease. These contributions include their perceptions, wisdom and recommendations for the future. In doing so, the authors aim to discover ways to make the surgical management of biliary stone disease even better. This volume, thoughtfully curated by two eminent surgical scholars, provides perhaps the most complete history of the field. Dr. Berci and Dr. Greene enlisted a remarkable panel of distinguished colleagues from around the world to discuss every important element of surgical practice. These elements include: The resourcefulness of developing novel optics and instruments on the fly, the integration of new imaging capabilities into pre-operative assessments and intraoperative management, the challenge of educating prideful senior surgeons who were ill at ease with the distance imposed by a laparoscope, and the introduction of progressively more elegant ex vivo modules to train inexperienced juniors with limited open operative experience. Finally, it also discusses the never-ending task of ensuring the safety of one of the most common operations performed in the world, yet one with a persistent, if small, risk of life altering injury to the biliary ducts. No Stones Left Unturned aims to build on a classic surgical text and then discusses the issues faced by surgeons performing biliary surgery in the modern era. It serves as a valuable resource for surgeons, practicing clinicians, surgical residents, and fellows that wish to apply this knowledge and improve upon the current standards of biliary surgical management.
Note Commentary.
Bibliography, etc. Note Includes bibliographical references and index.
Access Note Access limited to authorized users.
Source of Description Description based on print version record.
Online resource; title from PDF title page (SpringerLink, viewed August 26, 2021).
Added Author Greene, Frederick L.
Available in Other Form No Stones Left Unturned.
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Record Appears in Online Resources > Ebooks
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Intro
Preface
Acknowledgement
Introduction
Contents
Contributors
Part I: Kehr and His Textbook
1: The History of Biliary Stone Disease
References
2: Professor Dr. Hans Kehr (1862-1916)
References
3: Translation of Professor Dr. Hans Kehr
Instruments
Description of Surgical Cases (Bilingual) Translation
4: The Anatomy and Variations of Important Structures
5: Biliary Stones
Summarized Case Report
Gallbladders with Carcinomas
Preoperative Position
6: Surgery
Summarized Detail of 68 Operated Cases
Mortality: 7 Cases (9.3%)

Part II: The Gallbladder and Adjacent Structures
7: History of Endoscopy
Maximilian Nitze (1849-1906), Germany
Hans Christian Jacobeus [2] (1879-1937), Sweden
References
8: Early Biliary Surgeons
References
9: Early American Surgeons
References
10: Endoscopy
References
11: Laparoscopy
Heinz Kalk (1895-1973), Germany
John Ruddock (1891-1964), USA
References
12: Advances in Visualization for Laparoscopic Surgery
References
13: Laparoscopic Cholecystectomies
References
14: Cholangiography in the Operating Room

Standard Operative Cholangiography [6]
Operative Fluoro-Cholangiography
Benefits of the Cholangiogram
Biliary Ductal Anatomy
Biliary Duct Stones
References
15: Bile Duct Injuries
References
16: Common Bile Duct Stones and Choledocholithotomy
CBD Stones
References
Publications
ERCP USA
ERCP International
17: Laparoscopic Cholecystectomy: Introduction, Uptake, Maturity, and Impact on Surgical Practice-Personal Reflections from the Shop Floor
Introduction
Nomenclature and Origin of Laparoscopic Surgery/Cholecystectomy
General Considerations

Initial Nosocomial Surgical Epidemic
Techniques of Laparoscopic Cholecystectomy
Patients with Symptomatic Gallstones and Ductal Calculi
Day Case/Ambulatory LC
Bleeding Complications Associated with LC
Training and Simulation
Impact of LC on Surgical Practice across the Specialties
Advent of Robotically Assisted Laparoscopic Surgery
What Next?
References
Part III: Commentaries
18: Commentaries
Commentary
Teaching the Laparoscopic Common Bile Duct Exploration to Acute Care Surgeons
Commentary: Berci-Greene "No Stones Left Unturned" Kehr Book

The Trajectory of Biliary Surgery: Personal Reflections
Commentary
Laparoscopic Cholecystectomy: At the Beginning ... 1989-1990
Personal Perspective/Experience-In This Surgical Space
Historical Context: The Early Pioneers
Recent Developments and We "Late Comers"
Convergence of Disciplines
Disruptive Technologies
Current State
Surgical Training
Final and Future Thoughts
Each Major Advance in Biliary Surgery Needed a New Way of Teaching
Biliary Surgery: A Story of Innovation and Change
Commentary
For Me, It Started with Diagnostic Laparoscopy
Commentary

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