Total, Subtotal and Proximal Gastrectomy in Cancer A Color Atlas
This richly illustrated volume describes the performance of total and subtotal gastrectomy with extended D2 lymphadenectomy by providing a detailed step-by-step guide to both manual and mechanical procedures. Gastric cancer is the fourth most commonly occ
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Total, Subtotal and Proximal Gastrectomy in Cancer
Walter Siquini Editor
Total, Subtotal and Proximal Gastrectomy in Cancer A Color Atlas
In collaboration with Raffaella Ridolfo Pierpaolo Stortoni Emilio Feliciotti
Editor Walter Siquini Division of General Surgery “Madonna del Soccorso” Hospital San Benedetto del Tronto (Ascoli Piceno) Italy
ISBN 978-88-470-5748-7 ISBN 978-88-470-5749-4 DOI 10.1007/978-88-470-5749-4
(eBook)
Library of Congress Control Number: 2015939930 Springer Milano Heidelberg New York Dordrecht London © Springer-Verlag Italia 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, 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. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag Italia Srl. is part of Springer Science+Business Media (www.springer.com)
To my mother, Antonietta, to my wife, Cristina, and to my daughters, Elisa and Sofia, for their patience, their tolerance and their support… The precious time that I have stolen from them has made this book possible.
Preface
The idea of writing this atlas originated 20 years ago, when in the operating room, I was admiring my mentor, Professor Eduardo Landi, while he manually performed a gastro-jejunal anastomosis after subtotal gastrectomy with an accurate technique that was rich in precautions and standardized in every single step. For us young trainees, to be able to reproduce all the surgical steps correctly and succeed in executing gastro-jejunal anastomosis according to the defined technique at our school was, as our mentor said, already sufficient to merit the title of surgeon. Accordingly, for months, I took notes and made sketches of every step in this surgery while it was being performed without ever considering deviations from the rules and with excellent results. In 2011, the GIRCG (the Italian Research Group for Gastric Cancer) published the monograph Surgery in the Multimodal Management of Gastric Cancer, in which I was allocated the chapter ‘Total and Subtotal Gastrectomy with D2 Lymphadenectomy: Technical Notes’. The initial draft
