Instruments for Endoscopic Surgery
ES is characterized by the small size of a number of access ports. Working in a low-pressure gas environment requires the instrument shafts to be round to maintain an airtight seal which restricts mechanical construction. The small diameters also mean tha
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G. Buess
J. Perissat (Eds.)
Operative Manual of Endoscopic Surgery With 378 Figures in 561 Separate Illustrations, 171 in Color
Springer-Verlag Berlin Heidelberg GmbH
A. CUSCHIERI, MD Ninewells Hospital and Medical School, Dept. of Surgery University of Dundee Dundee DDl 9SY, Scotland, UK G.BuEss,MD Minimal Invasive Chirurgie, Abt. flir Allgemeinchirurgie Klinikum Schnarrenberg, Eberhard-Karls-Universitat Hoppe-Seyler-Str. 3, 7400 Tiibingen, FRG
J. PERISSAT, MD Cliniques Chirurgicales, 311 Boulevard du President Wilson 33200 Bordeaux, France
Cover picture: Fig. 11.6, p. 146 Drawings created by M. Wosczyna, Rheinbreitbach, FRG
ISBN 978-3-662-22259-1 ISBN 978-3-662-22257-7 (eBook) DOI 10.1007/978-3-662-22257-7 Library of Congress Cataloging-in·Publication Data p. cm. Includes Cuschieri. A. Operative manual of endoscopic surgery 1A. Cuschieri, G. Buess, J. Perissat. bibliographical references and index. ISBN 3-540-53486-5 (alk. paper). - ISBN 0-387-53486-5 (alk. paper) I. Endoscopic surgery, 2. Laparoscopic surgery. I. Buess, G. II. Perissat, J. III. Title. [DNLM: I. Endoscopymethods. 2. Surgery, Operative-methods. WO 500 C9770j RD33.53.C88 1992 6IT.05-dc20 DNLM/DLC This work is subject to copyright. All rights are reserved. whether the whole or part of the material is concerned. specifically the rights oftranslation, reprinting, reuse of illustrations. recitation, broadcasting. reproduction on microfilm or in other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September9. 1965. in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. ©Springer-Verlag Berlin Heidelberg 1992 Originally published by Springer-Verlag Berlin Heidelberg New York in 1992. Softcover reprint of the hardcover 1st edition 1992
The use of general descriptive names. registered names. trademarks, etc. in this publication does not imply. even in the absence of a specific statement. that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual ease the user must check such information by consulting the relevant literature. Reproduction of the figures: Gustav Dreher GmbH. Stuttgart. FRG 19/3130-5432 I 0 - Printed on acid free paper
Preface
In putting together this manual of endoscopic surgery, we have sought to cover the three essential components of the new surgical approach: the technological aspects, the basic endoscopic surgical skills, and the operative techniques. Visualization of the operative field , exposure and execution of remote manipulations are dependent on optimal function of the ancillary apparatus without which endoscopic surgery cannot be practised. Familiarity of the surgeon with the basic physical principles o
