Chassin's Operative Strategy in General Surgery: An Expositive Atlas

1087 Pages·2014·49.39 MB·English

by  Carol E. H. Scott-Conner MD

Chassin’s
Operative
Strategy
in
General
Surgery
an exp ositive atl as
fourth edition
Carol E.H. Scott-Conner
Editor
1 3
Chassin's Operative Strategy in General Surgery

Carol E.H. Scott-Conner
Editor
Chassin's Operative Strategy
in General Surgery
An Expositive Atlas
Fourth Edition
Illustrations by Caspar Henselmann
Editor
Carol E.H. Scott-Conner
Department of Surgery
Roy J. and Lucille A. Carver College of Medicine
University of Iowa
Iowa City , IA
USA
ISBN 978-1-4614-1392-9 ISBN 978-1-4614-1393-6 (eBook)
DOI 10.1007/978-1-4614-1393-6
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2013954875
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To Harry, my helpmeet throughout all things.

Dr. Chassin’s Foreword to the Third Edition
Eight years have passed since the publication of the second edition of this atlas. During that
period, I retired from the practice of surgery and from the chairmanship of the Department
of Surgery at the New York Hospital Medical Center of Queens, concluding an exciting
and stimulating run of 34 years, the highlight of which was teaching several generations of
residents the intellectual and technical details of surgery. A vital component of this program
was the atlas Operative Strategy in General Surgery , the fi rst edition of which was published
in 1980. The success of this work was due in large part to the fact that it was based on my day-
to- day learning and teaching in the operating room. Having retired from the operating room, I
felt that I could not produce a quality, up-to-date product for the third edition of this work.
Fortunately, we were able to recruit an outstanding surgeon-teacher to edit the third edition.
Dr. Carol Scott-Conner, whom I taught when she was a resident in 1980, has the intellect,
teaching skills, and drive to have functioned as an author, surgeon, teacher, and Head of the
Department of Surgery at the University of Iowa. In editing this volume, she has reviewed
each chapter to make sure that the text and references are up to date. Although the previous
editions were the work of a single author (me), it is a fact that surgery and medical science
have advanced so rapidly that it is no longer feasible for a single author to write a comprehen-
sive surgical text like this one. Consequently, 13 prominent surgeons have each contributed a
chapter that reviews and analyzes recent advances in the fi elds of the contributor’s special
expertise. Eight new operations have been added, most of which are laparoscopic procedures.
In addition, 77 operations from my last edition, having proven themselves worthy by the test
of time, are included in this volume, together with the meticulous operating room illustrations
by Caspar Henselmann. Many of these procedures are complex, such as esophagectomy, total
colectomy with ileoanal pouch, and pancreatoduodenectomy. Special attention has been paid
to emphasize in the drawings the detailed teaching points that will make these operations safe
for the patient.
I hope that our combined efforts have produced an atlas that you will fi nd useful.
New York, NY, USA Jameson L. Chassin, MD
vii

Dr. Spencer’s Foreword to the First Edition
This surgical atlas should be of great value to all clinical surgeons, both those in training and
those in surgical practice, and Dr. Chassin is superbly qualifi ed to author this work. During
more than three decades as a member of the faculty of the New York University School of
Medicine, he has taught countless residents many aspects of the art of surgical technique. One
measure of Dr. Chassin’s unusual teaching ability is that he is both Professor of Clinical
Surgery at New York University and Director of Surgery at Booth Memorial Hospital where
our fourth-year surgical residents have rotated regularly for the past 12 years. Booth Memorial
is the only hospital outside the New York University Medical Center to which New York
University residents rotate. This simple fact well underlines Dr. Chassin’s remarkable
capability for teaching.
When a surgical complication develops after an operation, two or three possibilities should
be considered. First, of course, was the diagnosis correct? If it was, then the cause of
the complication is usually either an inadequate operative technique or a fl awed concept
underlying the selection of the operative procedure. When the surgical technique seems
faultless, a postoperative complication would strongly indicate that the concept was errone-
ous, albeit cherished perhaps for decades.
Unlike any other atlas on operative technique, this book specifi cally discusses the concep-
tual basis of the operation as well as the strategy that will help the surgeon avoid common
pitfalls. The operative technique is then described step by step.
I am confi dent that in the years ahead this atlas will be regarded as one of the major contri-
butions to our literature of surgical technique.
New York, NY, USA Frank C. Spencer, MD
ix