000839186 000__ 05521cam\a2200493Ii\4500 000839186 001__ 839186 000839186 005__ 20230306144715.0 000839186 006__ m\\\\\o\\d\\\\\\\\ 000839186 007__ cr\un\nnnunnun 000839186 008__ 180514s2018\\\\sz\a\\\\ob\\\\001\0\eng\d 000839186 019__ $$a1035748810$$a1036269750$$a1040612709 000839186 020__ $$a9783319745039$$q(electronic book) 000839186 020__ $$a3319745034$$q(electronic book) 000839186 020__ $$z9783319745022 000839186 020__ $$z3319745026 000839186 0247_ $$a10.1007/978-3-319-74503-9$$2doi 000839186 035__ $$aSP(OCoLC)on1035556124 000839186 035__ $$aSP(OCoLC)1035556124$$z(OCoLC)1035748810$$z(OCoLC)1036269750$$z(OCoLC)1040612709 000839186 040__ $$aN$T$$beng$$erda$$epn$$cN$T$$dGW5XE$$dN$T$$dYDX$$dAZU$$dUAB$$dOCLCF$$dOCLCQ 000839186 049__ $$aISEA 000839186 050_4 $$aRD546 000839186 08204 $$a617.5/567$$223 000839186 24500 $$aCholedocholithiasis :$$bcomprehensive surgical management /$$cB. Fernando Santos, Nathaniel Soper, editors. 000839186 264_1 $$aCham, Switzerland :$$bSpringer,$$c[2018] 000839186 300__ $$a1 online resource :$$billustrations. 000839186 336__ $$atext$$btxt$$2rdacontent 000839186 337__ $$acomputer$$bc$$2rdamedia 000839186 338__ $$aonline resource$$bcr$$2rdacarrier 000839186 347__ $$atext file$$bPDF$$2rda 000839186 504__ $$aIncludes bibliographical references and index. 000839186 5050_ $$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. 000839186 506__ $$aAccess limited to authorized users. 000839186 520__ $$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. 000839186 588__ $$aOnline resource; title from PDF title page (SpringerLink, viewed May 17, 2018). 000839186 650_0 $$aBile ducts$$xSurgery. 000839186 650_0 $$aGallstones$$xSurgery. 000839186 650_0 $$aCholecystostomy. 000839186 7001_ $$aSantos, B. Fernando,$$eeditor. 000839186 7001_ $$aSoper, Nathaniel J.,$$eeditor. 000839186 77608 $$iPrint version: $$z3319745026$$z9783319745022$$w(OCoLC)1016968808 000839186 852__ $$bebk 000839186 85640 $$3SpringerLink$$uhttps://univsouthin.idm.oclc.org/login?url=http://link.springer.com/10.1007/978-3-319-74503-9$$zOnline Access$$91397441.1 000839186 909CO $$ooai:library.usi.edu:839186$$pGLOBAL_SET 000839186 980__ $$aEBOOK 000839186 980__ $$aBIB 000839186 982__ $$aEbook 000839186 983__ $$aOnline 000839186 994__ $$a92$$bISE