Handbook of Surgical Procedures

by Heather Gilbert (Editor)

In this compilation, the authors begin with a focus on the indications for surgery in hepatocarcinoma and how to perform a liver resection. Long-term outcomes and different theories on the causes of recurrence after resection are also discussed. The authors propose that we may be able to prolong the overall survival of patients by using laparoscopic liver resection as a powerful local therapy, which can be applied repeatedly with minimal deterioration of liver function. Bronchoscopy has become an important procedure for diagnostic and therapeutic purposes, particularly in the context of lung cancer. As such, the medical and surgical advances in bronchoscopy are described herein. The authors go on to discuss cystic fibrosis, the most common life-threatening autosomal recessive disorder affecting Caucasians. The indications of endoscopic sinus surgery in cystic fibrosis patients are discussed, drawing from personal experience in the diagnosis and treatment of cystic fibrosis-related sinus disorders. Following this, the origins of functional sinus surgery as it relates to the evolution of functional endoscopic sinus surgery and minimally invasive sinus technique are discussed. The rationale for our departure from Messerklinger's "functional" concepts is also analyzed. Additionally, endoscopic sinus surgery complications should be distinguished in minor and major based on the treatment they need and the permanent sequelae they can cause. The authors provide a review of classification of transsphenoidal skull base approaches and show the main transnasal corridors to the sphenoid sinus based on the anatomical sphenoidal target and extension of pathology. Lastly, a synopsis of the pathophysiology of post-craniotomy temporomandibular dysfunction and a practical approach to its evaluation and treatment is provided. Several surgical procedures can be used to perform craniotomy, such as the classical pterional, pre-temporal and other fronto-temporal approaches.