经典著作 半个多世纪以来，《Zollinger外科手术图谱》已经成为学习如何将安全、成熟的技术应用于*常见的外科手术中的*经典图谱。
内容全面 本图谱包括胃肠、肝胆、胰、血管、妇产科及其他方面的手术，如疝修补、血管通路、乳房手术、前哨淋巴结活检术、甲状腺切除术等。每种手术从适应证、术前准备、麻醉、体位、手术准备、切口和暴露、手术过程、缝合和术后护理等方面予以介绍。第10版新增了19个手术内容。
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图片精美 每章包含精美细致的线条图，描述手术操作中的重要步骤时，用颜色突显相应的解剖位置。观看本书提供的解剖和手术操作图片，有助于复习和学习特定的手术步骤。
【内容简介】
《Zollinger外科手术图谱》自1937年第1版至今已达第10版，畅销全球，深受各界读者欢迎。内容包括手术技术、手术部位局部解剖、麻醉、术前术后处理和辅助治疗（如抗感染）等。手术学科涉及普外科（胃肠道、肛周部、肝胆胰脾、颈部、乳房、疝、肾上腺、盆腔）、妇科、血管外科、骨科等。手术技术包括直接开放手术和腔镜微创手术，也涉及截肢和皮肤移植。既对高级外科医师有指导、参考、交流、提高的作用，更可帮助中青年外科医师、各级研究生和各类进修医师打好坚实的外科学基础，提升实际应用的能力。
【作者简介】
Robert M. Zollinger是美国凯斯西储大学(Case Western Reserve University）医学院外科教授，是世界知名的外科专家。
【目录】
Preface
Associate Editors
section i: basics
section ii: surgical anatomy
section iii: general abdomen
section iv: esophagus and stomach
section v: small intestine, colon,and rectum
section vi: gall bladder, bileducts, and liver
section vii: pancreas and spleen
section Viii: genitourinary
section ix: hernia
section x: endocrine
section xi: head and neck
section xii: skin, soft tissue, and breast
section xiii: vascular
section xiv: extremities
目 录
Preface
Associate Editors
section i: basics
chapter
1 Surgical Technique
2 Anesthesia
3 Preoperative Preparation and Postoperative Care
4 Ambulatory Surgery
section ii: surgical anatomychapter
5 Arterial Blood Supply to the Upper Abdominal Viscera
6 Venous and Lymphatic Supply to the Upper Abdominal Viscera
7 Anatomy of the Large Intestine
8 Anatomy of the Abdominal Aorta and Inferior Vena Cava
9 Thoracic and Pulmonary Anatomy
section iii: general abdomenand thoraxchapter
10 Laparotomy
11 Hasson Open Technique for
Laparoscopic Access
12 Veress Needle Technique
13 Diagnostic Laparoscopy
14 Chronic Ambulatory Peritoneal Dialysis Catheter Insertion
15 Thoracotomy Incision
16 Thoracoscopy
section iv: esophagus and stomachchapter
17 Gastrostomy
18 Percutaneous Endoscopic Gastrostomy
19 Closure of Perforation—Subphrenic Abscess
20 Gastrojejunostomy
21 Pyloroplasty—Gastroduodenostomy
22 Vagotomy
23 Vagotomy, Subdiaphragmatic Approach
24 Hemigastrectomy, Billroth I Method
25 Hemigastrectomy, Billroth I Stapled
26 Gastrectomy, Subtotal
27 Gastrectomy, Subtotal—Omentectomy
28 Gastrectomy, Polya Method
29 Gastrectomy, Hofmeister Method
30 Hemigastrectomy, Billroth II Stapled
31 Total Gastrectomy
32 Total Gastrectomy, Stapled
33 Roux-en-Y Gastrojejunostomy
34 Fundoplication
35 Fundoplication, Laparoscopic
36 Esophageal Myotomy, Laparoscopic
37 Roux-en-Y Gastric Bypass, Laparoscopic
38 Sleeve Gastrectomy, Laparoscopic
39 The Adjustable Gastric Band, Laparoscopic
40 EsophagectomyTranshiatal
41 Esophagectomy, Transthoracic
42 Pyloromyotomy
section v: small intestine, colon,and rectumchapter
43 Intussusception and Meckel’s Diverticulectomy
44 Resection of Small Intestine
45 Resection of Small Intestine, Stapled
46 Enteroenterostomy, Stapled
47 Enterostomy
48 Appendectomy
49 Appendectomy, Laparoscopic
50 Surgical Anatomy of Large Intestine
51 Loop Ileostomy
52 Transverse Colostomy
53 Closure of Colostomy
54 Colon Anastomosis, Stapled
55 Colectomy, Right
56 Colectomy, Right, Laparoscopic
57 Colectomy, Left, End-to-End Anastomosis
58 Colectomy, Left, Laparoscopic
59 Abdominoperineal Resection
60 Total Colectomy and Total Proctocolectomy
61 Anterior Resection of Rectosigmoid: End-to-End Anastomosis
62 Anterior Resection, Stapled
63 Anterior Resection of Rectosigmoid:Side-to-End Anastomosis (Baker)
64 Ileoanal Anastomosis
65 Rectal Prolapse, Perineal Repair
66 Rubber Banding and Excision of Hemorrhoids
67 Perirectal Abscess, Fistula-in-Ano, and anal fissure
68 Excision of Pilonidal Sinus
section vi: gall bladder, bileducts, and liverchapter
69 Cholecystectomy, Laparoscopic
70 Cholecystectomy, Open Retrograde Technique
71 Common Bile Duct Exploration, Open
72 Common Bile Duct Exploration, Transduodenal Technique
73 Choledochoduodenostomy
74 Cholecystectomy, Partial Cholecystectomy
75 Cholecystostomy
76 Choledochojejunostomy
77 Local Resection of Hilar Tumor, Klatskin
78 Biopsy of Liver, Open
79 Anatomy and Resections of the Liver
80 Local Resection of Hepatic Tumor (Nonanatomic)
81 Right Hepatectomy (Segments 5, 6, 7, 8 ± Segment 1)
82 Left Hepatectomy (Segments 2, 3, 4 ± Segment 1)
83 Extended Right Hepatectomy
(Segments 4, 5, 6, 7, 8 ± Segment 1)
section vii: pancreas and spleenchapter
84 Drainage of Cyst or Pseudocyst of the Pancreas
85 Pancreaticojejunostomy (Puestow–Gillesby Procedure)
86 Resection of the Tail of the Pancreas
87 Resection of the Tail of the Pancreas with Splenic
Preservation, Laparoscopic
88 Pancreaticoduodenectomy (Whipple Procedure)
89 Total Pancreatectomy
90 Splenectomy
91 Splenectomy, Laparoscopic
92 Splenic Conservation
section Viii: genitourinarychapter
93 A Gynecologic Procedures Overview
94 Total Abdominal Hysterectomy
95 Salpingectomy—Oophorectomy
96 Gynecologic System—Routine for Vaginal Procedures
97 Diagnostic Techniques for Cervical Lesions—Dilatationand Curettage
98 Ureteral Injury Repair
99 Donor Nephrectomy, Laparoscopic
100 Kidney Transplant
section ix: herniachapter
101 Repair of Ventral Hernia, Laparoscopic
102 Repair of Ventral Hernia, Open Component Parts Separation
103 Repair of Umbilical Hernia
104 Repair of Indirect Inguinal Hernia
105 Repair of Indirect Inguinal Hernia (Shouldice)
106 Repair of Direct Inguinal Hernia (McVay)
107 Repair of Inguinal Hernia with Mesh (Lichtenstein)
108 Repair of Inguinal Hernia with Mesh (Rutkow and Robbins)
109 Repair of Femoral Hernia
110 Repair of Femoral Hernia with Mesh
111 Laparoscopic Anatomy of the Inguinal Region
112 Repair of Inguinal Hernia, Laparoscopic TransabdominalPreperitoneal (TAPP)
113 Repair of Inguinal Hernia, Laparoscopic Totally
Extraperitoneal (TEP)
114 Hydrocele Repair
section x: endocrine115 Thyroidectomy, Subtotal
116 Parathyroidectomy
117 Adrenalectomy, Bilateral
118 Adrenalectomy, Left Laparoscopic
119 Adrenalectomy, Right Laparoscopic
section xi: head and neckchapter
120 Tracheotomy
121 Tracheotomy, Percutaneous Dilational
122 Radical Neck Dissection
123 Zenker’s Diverticulectomy
124 Parotidectomy, Lateral Lobectomy
section xii: skin, soft tissue, and breastchapter
125 Sentinel Lymph Node Dissection, Melanoma
126 Breast Anatomy and Incisions
127 Modified Radical Mastectomy
128 Sentinel Lymph Node Dissection, Breast
129 Axillary Dissection, Breast
130 Skin Graft
section xiii: vascularchapter
131 Carotid Endarterectomy
132 Vascular Access, Arteriovenous Fistula
133 Venous Access, Port Placement, Internal Jugular Vein
134 Venous Access, Central Venous Catheter, Subclavian Vein
135 Resection of Abdominal Aortic Aneurysm
136 Aortofemoral Bypass
137 Thromboembolectomy, Superior Mesenteric Artery
138 Femorofemoral Bypass
139 Femoropopliteal Reconstruction
140 Saphenous Vein in Situ Arterial Bypass
141 Thromboembolectomy, Femoral
142 Inferior Vena Cava Filter Insertion
143 Endovenous Laser Ablation of the Great SaphenousVein and Stab Phlebectomy
144 Shunting Procedures for Portal Hypertension
section xiv: extremitieschapter
145 Fasciotomy
146 Escharotomy
147 Principles of Amputation
148 Amputation, Supracondylar
149 Incision and Drainage of Infections of the Hand
150 Suture of Tendon
Index
【前言】
Some 75 years ago, this ATLAS was created to document proven and safe operative techniques in common use by general surgeons. Many improvements and changes have occurred in the previous nine editions including use of stapled techniques for gastrointestinal anastomoses and minimally invasive surgery. These two techniques were joined in full flower in the ninth edition wherein what was once considered advanced laparoscopic techniques in the 1990s is now in common use and taught as essential elements in most surgical residency training programs.
In this new 10th edition several important improvements have been made. We have engaged Associate Editors as content experts who have helped identify new procedures that should be included and who have made significant improvements to existing content. Nineteen new surgi- cal operations have been added. These include eight procedures that we think are essential to the practice of general surgery including axillary lymphadenectomy, insertion of a CAPD catheter, fasciotomy, escharotomy, insertion of an inferior vena caval filter, ventral hernia repair using the technique of open component parts separation, ureter repair, and basic thoracoscopy. In addi- tion we have included four additional complex gastrointestinal procedures namely laparoscopic esophageal myotomy, sleeve gastrectomy for morbid obesity, transhiatalesophagectomy and transthoracic esophagectomy. The vascular surgery section now contains new variations on femo- ralthrombectomy, femorofemoral bypass, saphenous vein laser ablation, and thrombectomy of the superior mesenteric artery. Finally we added laparoscopic hand-assisted donor nephrectomy and kidney transplantation.
A major editorial reorganization has also occurred with the addition of 18 Associate Editors whose special expertise has been channeled into discrete body system–oriented chapters. This reor- ganization should make it easier to find operations whose titles no longer use roman numerals. The authors and the associate editors have critically reviewed and updated this entire 10th edition. The scientific content of all operative procedures from indications through postoperative care have been made current with significant improvements in about 50 chapters of text and art.
During the preparation of the 10th edition we received valuable input from Brian Belval at McGraw Hill and Donna Sampsill in the Department of Surgery at The Ohio State University. In the ninth edition, color processing and printing technology had advanced such that our medical illus- trators, could add color to both old and new plates for improved anatomic clarity in more lifelike or realistic settings. For this 10th edition our medical illustrator, MaritaBitans, has prepared new art- work plates in high definition color with computer-generated graphics that now replace the original pen and ink sketches using white chalk scratch board.
We have also created an online Historical Supplement available at www.ZollingersAtlas.com to provide open access to many now historical operations that over the last 70 years have been deleted from succeeding editions of the ATLAS. Many were replaced by newer procedures often involving modern technologies such as stapling, laparoscopy, or minimally invasive image-guided procedures. Others were rarely performed and a few were eliminated because of evolving indications. Addition- ally, in the past the authors and artists had page limitations imposed by the mechanical construction of the folio-sized ATLAS and the capacity of its binding. That is to say, heavily coated paper stock was needed for quality art reproduction and for the prevention of “strike through” of printed material on the backside of each page. The result was a restriction to about 500 pages—a size reached by the mid-1980s. At that point, the addition of any new or modern procedures such as stapling or laparos- copy required the pruning out of operations that (1) were rarely done—for example, portal/systemic shunts, or (2) were done by the increasing numbers of surgical specialists—for example, thoracic/ pulmonary operations.
Furthermore, the authors and the publisher feel that many once popular operations should not be lost, but rather archived in this electronic Historical Supplement of the ATLAS where there are no page limitations. Many of these archived operations are still performed in specialized or com- plex situations because general surgeons by the nature of their practice, not infrequently encounter one of a kind events that are not in the text books. In these circumstances the surgeon must create an operative solution in real time. These solutions often rely upon general principles and expe- rience, perhaps aided by one of these “old” operations. This may be particularly true in regions where expensive operative equipment such as staplers or disposable laparoscopic instruments are not available.
Today many medical libraries cannot afford to purchase and store all published texts, or even all the major printed medical journals. However, the internet is truly worldwide and accessible to almost all medical/surgical facilities and physicians. We trust this electronic Historical Supplement will help fill in some of the historical surgical technique reference gaps.
As Dr. Cutler graciously allowed his original coauthor to continue on after him, so my father did with me. Now it is my turn. Dr. E. Christopher Ellison has become the new lead principle author who will continue the ATLAS. Dr. Ellison is the other son of the Z-E syndrome. He is the RobertM. Zollinger Professor in the Department of Surgery at the Ohio State University Medical Center. He has accepted the primary responsibility for the ATLAS and its migration back to Columbus and the OSU Department of Surgery, where Dr. Zollinger Senior nurtured the ATLAS for over 40 years. Finally, of additional historic note, all of Dr. Zollinger’s papers plus the text and artwork from all earlier editions are now archived in the Medical Heritage Center within the OSU Prior Health Sciences Library where these materials are catalogued and available online.
E. Christopher Ellison, MD
Robert M. Zollinger, Jr., MD
