Portal de Periódicos da CAPES

Current Surgical Therapy, 8th edition

2005; Elsevier BV; Volume: 128; Issue: 3 Linguagem: Inglês

10.1053/j.gastro.2005.01.030

1528-0012

Alison M. Fecher, Theodore N. Pappas,

Cardiac, Anesthesia and Surgical Outcomes

This popular title has now reached its 8th edition. For those unfamiliar with the format, this is primarily an everyday working tool for surgeons; it focuses on the surgical management of specific diseases, with only brief mention of etiology, pathophysiology, and diagnostic considerations. It is updated every 3 years, much more frequently than traditional texts. Almost all contributors change with each edition, offering new treatment perspectives, especially in areas where management decisions are still controversial. This change in authorship means that older editions are not necessarily outdated but are complementary to the newer ones.As Dr. Cameron alludes to in the preface, the text has been growing with each edition. Although the 8th edition has fewer pages and chapters than its predecessor, the content is not necessarily shorter or less detailed; the text is dense and the font used slightly smaller, although this does not hinder studying in any way. More images were added, primarily schematic illustrations of operative techniques. There are also significant stylistic changes, including gray-color highlighted tables and increased utilization of decision-making algorithms. As in previous editions, reference lists are by no means exhaustive, but serve to provide suggestions for further reading.The first 8 of the book’s 19 sections cover the gastrointestinal system. The section on the esophagus begins with a detailed summary of the different esophageal function tests, very useful for surgeons and nonsurgeons alike. Two new chapters were added in this section; one on the intraluminal approaches for gastroesophageal reflux disease and one on the endoscopic ablation of Barrett’s esophagus, both reflecting the evolution of the management for these common problems. The gastric section contains a separate chapter on postgastrectomy problems. Considering the growth of the field, the chapter on morbid obesity surgery is rather short and primarily focuses on open approaches. There is, however, a separate chapter on laparoscopic morbid obesity surgery, found in the minimally invasive surgery section of the text.The sections on small and large bowel disease continue to be quite detailed. There is a new chapter on postoperative ileus. Discussions on the surgical management of inflammatory bowel disease are supplemented by helpful illustrations. The difficult topics of enterocutaneous fistulae and short bowel syndrome are examined in separate chapters. Polyposis syndromes are also examined in detail. A separate chapter is devoted to the multidisciplinary management of colorectal cancer.The liver section presents new techniques in liver surgery. The controversial topic of transplantation for hepatic malignancies is discussed. Resective and nonresective approaches to hepatic metastases form colorectal cancer are examined. Surgical options for portal hypertension, including transplantation and portosystemic shunts are presented in well-written chapters. The biliary tract section contains helpful suggestions in potentially confusing topics, such as common bile duct stones and indications for open cholecystectomy and common bile duct exploration. Postcholecystectomy problems are also presented in a succinct fashion. The pancreatic section has two new chapters, on palliative therapy for pancreatic cancer and on intraductal papillary mucinous neoplasms. As in previous editions, acute and chronic pancreatitis, pancreatic pseudocysts, and periampullary cancer are dealt with in great detail.The remaining sections examine other aspects of general surgery and some subspecialties. Emphasis is again given to current preferences and recent developments in management, as for instance in breast cancer, where sentinel node mapping, adjuvant therapy, and cellular and molecular markers are discussed in detail. The vascular section includes chapters on the endovascular management of aortic aneurysms and carotid artery disease. There are also sections on trauma, surgical critical care, and general perioperative management, which are comprehensive and can serve as quick reference. Finally, the last section on minimally invasive surgery is a detailed examination of several laparoscopic procedures, including some quite complicated ones, such as laparoscopic liver resections and laparoscopic pancreatectomies. The high-quality pictures and drawings used in this section are an important adjunct.This is a successful update of a very popular work. This book is a “must” for surgical residents at all levels and practicing surgeons both in private and academic setting. It is particularly useful when studying for the oral surgery boards. Although medical students may find some useful information in it, traditional texts with more detailed discussion of the pathophysiology of surgical disease may be more useful to them. Physicians in other specialties will find complete and current discussions of surgical management of many diseases, making “Current Surgical Therapy” a useful resource.Bottom Line: A “must” for surgery residents. This popular title has now reached its 8th edition. For those unfamiliar with the format, this is primarily an everyday working tool for surgeons; it focuses on the surgical management of specific diseases, with only brief mention of etiology, pathophysiology, and diagnostic considerations. It is updated every 3 years, much more frequently than traditional texts. Almost all contributors change with each edition, offering new treatment perspectives, especially in areas where management decisions are still controversial. This change in authorship means that older editions are not necessarily outdated but are complementary to the newer ones. As Dr. Cameron alludes to in the preface, the text has been growing with each edition. Although the 8th edition has fewer pages and chapters than its predecessor, the content is not necessarily shorter or less detailed; the text is dense and the font used slightly smaller, although this does not hinder studying in any way. More images were added, primarily schematic illustrations of operative techniques. There are also significant stylistic changes, including gray-color highlighted tables and increased utilization of decision-making algorithms. As in previous editions, reference lists are by no means exhaustive, but serve to provide suggestions for further reading. The first 8 of the book’s 19 sections cover the gastrointestinal system. The section on the esophagus begins with a detailed summary of the different esophageal function tests, very useful for surgeons and nonsurgeons alike. Two new chapters were added in this section; one on the intraluminal approaches for gastroesophageal reflux disease and one on the endoscopic ablation of Barrett’s esophagus, both reflecting the evolution of the management for these common problems. The gastric section contains a separate chapter on postgastrectomy problems. Considering the growth of the field, the chapter on morbid obesity surgery is rather short and primarily focuses on open approaches. There is, however, a separate chapter on laparoscopic morbid obesity surgery, found in the minimally invasive surgery section of the text. The sections on small and large bowel disease continue to be quite detailed. There is a new chapter on postoperative ileus. Discussions on the surgical management of inflammatory bowel disease are supplemented by helpful illustrations. The difficult topics of enterocutaneous fistulae and short bowel syndrome are examined in separate chapters. Polyposis syndromes are also examined in detail. A separate chapter is devoted to the multidisciplinary management of colorectal cancer. The liver section presents new techniques in liver surgery. The controversial topic of transplantation for hepatic malignancies is discussed. Resective and nonresective approaches to hepatic metastases form colorectal cancer are examined. Surgical options for portal hypertension, including transplantation and portosystemic shunts are presented in well-written chapters. The biliary tract section contains helpful suggestions in potentially confusing topics, such as common bile duct stones and indications for open cholecystectomy and common bile duct exploration. Postcholecystectomy problems are also presented in a succinct fashion. The pancreatic section has two new chapters, on palliative therapy for pancreatic cancer and on intraductal papillary mucinous neoplasms. As in previous editions, acute and chronic pancreatitis, pancreatic pseudocysts, and periampullary cancer are dealt with in great detail. The remaining sections examine other aspects of general surgery and some subspecialties. Emphasis is again given to current preferences and recent developments in management, as for instance in breast cancer, where sentinel node mapping, adjuvant therapy, and cellular and molecular markers are discussed in detail. The vascular section includes chapters on the endovascular management of aortic aneurysms and carotid artery disease. There are also sections on trauma, surgical critical care, and general perioperative management, which are comprehensive and can serve as quick reference. Finally, the last section on minimally invasive surgery is a detailed examination of several laparoscopic procedures, including some quite complicated ones, such as laparoscopic liver resections and laparoscopic pancreatectomies. The high-quality pictures and drawings used in this section are an important adjunct. This is a successful update of a very popular work. This book is a “must” for surgical residents at all levels and practicing surgeons both in private and academic setting. It is particularly useful when studying for the oral surgery boards. Although medical students may find some useful information in it, traditional texts with more detailed discussion of the pathophysiology of surgical disease may be more useful to them. Physicians in other specialties will find complete and current discussions of surgical management of many diseases, making “Current Surgical Therapy” a useful resource. Bottom Line: A “must” for surgery residents.