关注手术过程和疾病诊疗方面的新观点。
重视审查手术协议和内容,以及术前术后的策略和技术。
有13章内容提供了专家点评和替代治疗策略。
新增了胃肠道出血、腹部创伤和腹部血管急症等内容,以及贯彻全书的微创治疗技术,以获得更好的治疗效果。
超过1250幅图片(大部分是彩图)。
《Maigot腹部手术》历次版本均传承了专业、严谨的著书精神,深受世界各国外科实习生和执业医生的喜爱。首次全彩印刷,分成10个部分63章介绍了胃、肝胆胰、肠道等部位的常见手术。本书完整地提供了消化系统良、恶性疾病的诊断策略和手术过程,并重视优化手术方案。本书图文并茂、深入浅出,易学易记。适合普外科临床医生、住院医生及实习生阅读。
津纳(Michael J. Zinner)博士是美国布莱根妇产医院外科主席,同时担任哈佛医学院外科教授,是世界知名的腹部外科专家。
ⅠINTRODUCTION
ⅡABDOMINALWALL
ⅢESOPHAGUS
ⅣSTOMACHANDDUODENUM
ⅤINTESTINEANDCOLON
ⅥRECTUMANDANUS
ⅦIVER
ⅧGALLBLADDERANDBILE DUCTS
ⅨPANCREAS
ⅩSPLEENANDADRENAL
Maingot’s Abdominal Operations has always filled a unique niche. For many surgeons, including the editors, the text has consistently offered a comprehensive discussion of surgical diseases of the abdomen with a focus on operative strategy and technique. The book has served as a needed reference to refresh our knowledge before a common operation or in preparation for a novel one. Our intended audience for this edition is the same as for the original publication; the book is meant for the surgical trainee as well as the practicing surgeon. We continue to have an international audience and have made every effort to produce a product that is equally valuable to readers in Malaysia and Montana. For both of us, in this third effort together, it continues to be both an honor and a privilege to have the opportunity to edit the twelfth edition of this classic textbook.
Abdominal surgery has clearly changed since RodneyMaingot’s first edition in 1940. Not only has our knowledge base increased substantially but the procedures themselves have become more complex. The current subspecializa- tion in abdominal surgery, a consequence of these changes, might even challenge the need for such a comprehensive text. Abdominal disease has been increasingly parceled up between foregut, hepatobiliary, pancreatic, colorectal, endocrine, acute care, and vascular. We continue to believe, however, that the basic principles of surgical care in each of the anatomical regions have more similarities than differences. Experience in any one of these organs can inform and strengthen the approach to each of the others. Few would question the need for the abdominal surgeon to be well versed in dealing with any unexpected disease that is encountered in the course of a planned procedure. For many of us, Maingots Abdominal Operations has consistently helped to fill that need. We also intend for this textbook to remain disease-focused in addition to its organ/procedure format. In keeping with the growing opinion that minimally invasive surgery should be viewed not as a distinct subspecialty but rather as one tool employed in each of the anatomic or disease-based subspecialties, in this edition we have incorporated the chapters on minimally invasive surgery throughout the text rather than in a distinct section.
The new edition of this textbook is a significant revision—in most areas a completely new book. We have attemptedto focus the text on operative procedures as well as on newconcepts in diagnosis and management of abdominal disease. Although the new edition, like the last edition, is condensed compared with previous versions, we have continued to pres- ent the opinions and knowledge of more than one expert. In an effort to enhance this feature, in areas where opinions and approaches differ, we have added “Perspective” commentaries by experts in the field who we expected might have distinct opinions about approaches and/or operative techniques. In response to our international readers, we have added chapters on gastrointestinal bleeding, abdominal trauma, and vascu- lar emergencies, all of which were removed for the previous edition. We have attempted to maintain an international flavor and have included a cross-section of both seasoned senior contributors and new leaders in gastrointestinal surgery. We continue to present a contemporary textbook on current diagnostic procedures and surgical techniques re- lated to the management and care of patients with all types of surgical digestive disease.
An extensive artwork program was undertaken for this edition. Many line drawings have been recreated to reflect the contributors’ preferred method for performing certain surgi- cal procedures. Some of these drawings are new and give the book a more modern and overall consistent look. In addition, this edition is the first with full-color text and color line art.
In the preface to the sixth edition, Rodney Maingot noted, “As all literature is personal, the contributors have been given a free hand with their individual sections. Certain latitude in sryle and expression is stimulating to the thoughtful reader.” Similarly, we have tried to maintain consistency for the reader, but the authors have also been given a free hand in their chapter submissions.
We would like to thank the publisher, McGraw-Hill, andin particular Robert Pancotti, for their unwavering support during the lengthy time of development of this project. Their guidance was invaluable to completing this project in a single comprehensive volume. Their suggestions and attention to detail made it possible to overcome the innumerable prob- lems that occur in publishing such a large textbook.
Finally, to our editorial assistant who has survived thetrials of this book, Linda Smith; she has been invaluable and we never would have been able to do it without her. Patrina Tucker and Colleen Larkin have also stepped up and made this project possible. We owe them a great debt of gratitudefor helping with every step of the work—from typing manuscripts to editing and reading page proofs, and providingencouragement during the prolonged dry periods and preparation of this textbook.To all of those who have participated in the creation andpublication of this text, we thank you very much.
Michael J. Zinner, MD, FACE
Stanley V. Ashley, MD, FACE
终于入手了最新版的《Maingot腹部手术》英文原版,真是让人激动不已!相比于前几版,这一版在内容更新上确实下了很大的功夫,很多章节都融入了最新的研究成果和技术进展,比如腹腔镜和机器人辅助手术的章节,详细地介绍了各种新技术的应用场景、优势以及潜在的风险,并且提供了大量精美的术中照片和流程图,简直是为我们这些年轻医生量身定做的学习指南。我尤其欣赏书中对于并发症处理部分的讲解,不同于教科书式的罗列,而是结合了大量的临床经验,对各种常见和少见的术后并发症进行了深入的剖析,并给出了切实可行的预防和管理建议。这种“知其然,更知其所以然”的写作风格,让我对复杂的手术操作有了更深刻的理解。当然,全英文的阅读对我来说也是一种挑战,但为了获取最前沿的知识,这点付出是值得的。这本书的排版也十分精良,纸张质量上乘,阅读体验极佳。每次翻阅,都能感受到作者们对腹部外科事业的热情和严谨。
评分我是一名资深的腹部外科医生,在我的职业生涯中,已经阅读过数不清的外科书籍,但《Maingot腹部手术(第12版 英文版)》无疑是我近期最满意的一本。这本书的编者团队汇聚了全球顶尖的腹部外科专家,他们凭借丰富的临床经验和深厚的学术功底,对腹部外科的各个亚专业进行了全面而深入的梳理。我特别赞赏书中对于循证医学证据的引用,每一项治疗建议的提出,都有扎实的文献支持,这对于临床决策的制定至关重要。此外,书中对解剖学知识的阐述也十分到位,图文并茂,精确地勾勒出腹腔内各脏器的位置、毗邻关系以及血管神经的分布,这对于避免手术中的误伤起到了至关重要的作用。尽管我已经从业多年,但在阅读这本书的过程中,依然能学到不少新的理念和技术。这本书不仅是年轻医生的宝贵学习资料,对于经验丰富的外科医生来说,也是一本随时可以查阅的“高级参考书”。
评分我拿到《Maingot腹部手术(第12版 英文版)》已经有一段时间了,这本书给我带来的启发和思考远超我的预期。它不仅仅是一本技术手册,更像是一位经验丰富的老教授在悉心指导我如何成为一名更优秀的外科医生。书中的内容深度和广度都达到了一个非常高的水平,尤其是在一些罕见病和复杂病例的处理方面,作者们提供了非常宝贵的经验和建议。我非常欣赏书中对于“why”的解释,它不仅仅告诉你“how to do”,更重要的是让你理解“why we do it this way”。这种深入的分析,有助于我建立起扎实的理论基础和批判性思维能力。虽然是英文原版,但其语言的精准性和学术性,让我能够准确地把握最前沿的医学信息。这本书的价值在于它能够激发读者的主动学习和深入思考,而不是简单地被动接受信息。它让我看到了腹部外科的无限可能性,也更加坚定了我投身于这一领域的决心。
评分作为一名对腹部外科充满好奇的学生,我一直希望能找到一本既权威又易于理解的教材。《Maingot腹部手术(第12版 英文版)》完美地满足了我的需求。虽然我是初学者,但这本书的叙述清晰明了,逻辑性强,即使是相对复杂的概念,作者也能用通俗易懂的语言加以解释。书中大量的插图和流程图,帮助我直观地理解各种手术过程,如同身临其境一般。我特别喜欢书中对每一个疾病的介绍,都从病因、病理、临床表现、影像学诊断、手术适应症与禁忌症、术中操作要点、术后并发症及处理等环节进行了详细讲解,让我能够系统地学习和掌握每一个病种。虽然这本书篇幅较长,内容庞大,但其详实的资料和严谨的论述,让我对腹部外科有了更全面、更深刻的认识。我坚信,在我的医学学习道路上,这本书将伴随我成长,成为我不可或缺的学习伙伴。
评分我简直不敢相信我终于拿到这本梦寐以求的《Maingot腹部手术(第12版 英文版)》了!作为一名腹部外科的住院医师,这本书简直就是我床头案板上的圣经。每一次遇到疑难病例,翻开它,总能找到最前沿的循证医学证据和最权威的手术技巧指导。不仅仅是技术层面的讲解,书中对于疾病的病理生理学、术前评估、术后管理等方面也有极其深入的阐述。我特别喜欢它对复杂病例的讨论,作者们常常会列出多种手术方案,并详细分析各自的优劣势,这对于我学习如何根据具体情况制定最佳治疗策略非常有帮助。而且,这本书的插图简直是艺术品!清晰、精美,将复杂的解剖结构和手术步骤描绘得淋漓尽致,让我即使身处模拟手术室,也能仿佛置身于真实的术野之中。尽管价格不菲,但从学习价值和临床指导意义来看,这绝对是一笔值得的投资。我每天都会花时间阅读其中的章节,即使是熟悉的疾病,也能从中发现新的见解和思考角度。强烈推荐给所有在腹部外科领域深耕的同仁们!
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