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編輯推薦： 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）。 內容簡介： 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。 關於作者： 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。 目錄： 简 目 ⅠINTRODUCTION ⅡABDOMINALWALL ⅢESOPHAGUS ⅣSTOMACHANDDUODENUM ⅤINTESTINEANDCOLON ⅥRECTUMANDANUS ⅦIVER ⅧGALLBLADDERANDBILE DUCTS ⅨPANCREAS ⅩSPLEENANDADRENAL 目 录 Contributors ix Preface ⅠINTRODUCTION 1.A Focused History of Surgery 2.Preoperative and PostoperativeManagement 3.Endoscopy and Endoscopic Intervention 4.Fundamentals of Laparoscopic Surgery 5.Laparoscopic Staging and Approaches toCancer ⅡABDOMINAL WALL 6.Incisions, Closures, and Management of the Abdominal Wound 7.Hernias 8.Perspective on Hernias 9. Intestinal Stomas 10.Abdominal Abscess and EntericFistulae 11.Gastrointestinal Bleeding 12.Management of Abdominal Trauma 13.Abdominal Vascular Emergencies ⅢESOPHAGUS 14.Benign Esophageal Disorders 15.Gastroesophageal Reflux Disease and Hiatal Hernia Including Paraesophageal 14.Perspective on Benign Esophageal Disease 16.Cancer of the Esophagus 17.Surgical Procedures to Resect and Replace theEsophagus 18.Video-Assisted Thoracic Surgery of the Esophagus 19.Perspective on Malignant Esophageal Disease ⅣSTOMACH AND DUODENUM 20.Benign Gastric Disorders 21.Gastric Adenocarcinoma and Other Gastric Neoplasms Except Gastrointestinal Stromal Tumors 22.Perspective on Gastric Cancer 23. Gastrointestinal Stromal Tumors Candrajit P. Raut 24. Perspective on Gastrointestinal Stromal Tumors 25.Stomach and Duodenum： Operative Procedures 26.Morbid Obesity and Its Surgical Treatment 27.Perspective on Morbid Obesity and Its Surgical Treatment ⅤINTESTINE AND COLON 28. Small Bowel Obstruction 29. Tumors of the Small Intestine 30. Appendix, Meckels, and Other Small Bowel Diverticula 31.Diverticular Disease and Colonic Volvulus 32.Crohns Disease 33.Ulcerative Colitis 34.Perspective on inflammatory Bowel Disease 35.Laparoscopic Colorectal Procedures 36.Perspective on Colonic Neoplasms ⅥRECTUM AND ANUS 801 37.Benign Disorders of the Anorectum Pelvic Floor, Fissures, Hemorrhoids, and Fistulas 38.Cancer of the Rectum 39.Perspective on Rectal Cancer 40. Cancer of the Anus ⅦLIVER 41. Hepatic Abscess and Cystic Disease of the Liver 42. Benign and Malignant Primary Liver Neoplasms 43. Hepatic Colorectal Metastases： Resection,Pumps, and Ablation 44.Perspective on Liver Surgery 45.Portal Hypertension ⅧGALLBLADDER AND BILE DUCTS 993 46. Cholecystitis andCholelithiasis 47.Choledocholithiasis and Cholangitis 48.Choledochal Cyst and Benign BiliaryStrictures 49.Cancer of the Gallbladder and BileDucts 50. Laparoscopic Biliary Procedures ⅨPANCREAS 51.Management of AcutePancreatitis 52.Complications of Acute Pancreatitis Including Pseudocysts 53.Chronic Pancreatitis 54.Perspective on Management of Patients with Severe Acute Pancreatitis 55.Cystic Neoplasms of the Pancreas 56.Cancers of the Periampullary Region and thePancreas 57.Endocrine Tumors of the Pancreas 58.Perspective on Pancreatic Neoplasms ⅩSPLEEN AND ADRENAL 59.The Spleen 60. Adrenalectomy Index 內容試閱： Maingots 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 RodneyMaingots 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 organprocedure 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 revisionin 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 andor 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 workfrom 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

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