Principles and Practice of Laparoscopic Surgery
暫譯: 腹腔鏡手術的原則與實踐

腹腔鏡手術是腹部手術的一次範式轉變，外科醫生為了精確性和減少創傷而犧牲了手腕的運動和觸覺反饋。這種使用複雜設備的閉腔手術技術在外科實踐中是一項顯著的進步。其好處包括減少術後疼痛、縮短住院時間、早日恢復工作以及改善外觀。外科醫生面臨的挑戰是使用長而纖細的儀器在視頻顯示器上操作腹腔的放大視野，這些儀器通過微小的皮膚插入，並建立腹膜擴張介質作為工作空間。

醫學文獻中對腹腔鏡手術的壓倒性證據已經從「哪種手術可以？」轉變為「哪種手術不可以？」。腹腔鏡手術的廣泛應用可以從專科外科醫生在腹腔內的操作中看出。目前，這種做法在高收入國家已經相當成熟，但在中低收入國家（LMICs）仍在發展中。除了開放手術的技能外，腹腔鏡外科醫生還必須熟悉複雜的設備、專用儀器、氣腹技術以及腹腔鏡手術的其他獨特方面。這需要充分的訓練以獲得最佳結果。

腹腔鏡手術的能力是通過模擬訓練和指導實踐來獲得的，特別是對於初學者。本書是針對腹腔鏡手術技能的監督訓練的輔助材料。它深入討論了腹腔鏡手術的基本原則，包含大量的圖示、易於閱讀的文本以及基本腹腔鏡手術的操作細節。它突顯了那些尚未深入實踐的地區的做法。本書旨在為醫學生、護士、研究生外科實習生以及各種腹部外科專科的初學者腹腔鏡外科醫生提供指導，包括一般外科、肝胰膽道外科、結直腸外科、兒童外科、泌尿科和婦產科。我們真誠希望本書能達到預期的目標。

Emeka Ray-Offor MBBS(Nig) FWACS FMAS DMAS(Ind) FAC is a surgeon skilled in Endoscopy, Minimally Invasive Surgery (MIS), Colorectal and Hernia surgeries, with a Bachelor of Medicine, Bachelor of Surgery - MBBS from the University of Nigeria, Nsukka and postgraduate surgery training acquired in India, Europe, and US. He has a faculty position in the Department of Surgery, College of Health Sciences University of Port Harcourt Nigeria since 2011 and currently a Professor of Minimal Access Surgery in addition to being an Honorary Consultant Surgeon at the University of Port Harcourt Teaching Hospital Port Harcourt Rivers State Nigeria. He recently completed a 1- year Research Fellowship in the Colorectal Surgery department of Ellen Leifer and Steven Shulman Digestive Disease Center Cleveland Clinic Florida USA.

Professor Ray-Offor is a surgeon educator, has organized multiple workshops for training in Endoscopy/Minimal Access Surgery; a seasoned author with over 80 abstracts and peer-reviewed journal publications in addition being the editor of two books. He is a member of the Editorial Board of the Nigerian Journal of Gastroenterology and Hepatology, a reviewer of multiple scientific journals, and a member of several professional societies in Africa, Europe, Asia, and North America. These include the West African College of Surgeons WACS, the Society of Gastroenterology and Hepatology SOGHIN, Nigerian Society for Colorectal Disorders, European Association of Endoscopic Surgeons EAES, World Association of Laparoscopic Surgeons WALS, American College of Surgeons ACS, Society of American Gastrointestinal Endoscopic Surgeons SAGES, and American Society of Colon and Rectal Surgeons ASCRS. He is the founder of Oak Endoscopy Centre & Radiodiagnostics Port Harcourt Nigeria- a non-profit organization for advancing Endoscopy and MIS.

His main professional and scientific interests focus on gastrointestinal endoscopy, minimally invasive general/colorectal surgery, and colorectal cancer.

Raul J. Rosenthal MD FASMBS FACS is Regional Chair, Digestive Disease & Surgical Institute/Department Chair, Bariatric & Metabolic Surgery and General Surgery, Department of Bariatric and Metabolic Institute (BMI), at Cleveland Clinic Weston Hospital, Florida, USA. Dr Rosenthal is an industry leader, prolific author, medical researcher and attending surgeon at Cleveland Clinic Florida, where he has conducted well over 10,000 general surgery and bariatric procedures and trained more than 50 fellows in advanced gastrointestinal, minimally invasive and bariatric surgery.

In 2018 Dr Rosenthal received the LEAD Award from the American Society of Metabolic & Bariatric Surgery (ASMBS) Foundation in recognition of lifetime contributions to the field of bariatric surgery. Also in 2018, his breakthrough research into the use of indocyanine green fluorescence imaging in laparoscopic cholecystectomy was featured during the American College of Surgeons annual Clinical Congress.

Among his professional leadership roles, Dr Rosenthal served as president of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the SAGES Foundation; and as a past president of the executive committee of the American Society of Metabolic & Bariatric Surgery (ASMBS) and the ASMBS Foundation. He is the founding Clinical Editor of Bariatric Times and Associate Editor of SOARD and Obesity Surgery. He serves on the Editorial Board member of Annals of Surgery, Selected Readings in General Surgery Langenbeck's Archives of Surgery, and Surgical Endoscopy. He is founding member and a past President of the Fellowship Council and also served as President of the South Florida Chapter of the American College of Surgeons and Governor of the American College of Surgeons.

Emeka Ray-Offor MBBS（尼日利亞）FWACS FMAS DMAS（印度）FAC 是一位擅長內視鏡、微創手術（MIS）、結腸直腸及疝氣手術的外科醫生，擁有尼日利亞大學（University of Nigeria, Nsukka）醫學士及外科醫學士（MBBS）學位，並在印度、歐洲及美國接受過研究生外科訓練。自2011年以來，他在尼日利亞波特哈考特大學健康科學學院的外科系擔任教職，目前是微創手術的教授，同時也是波特哈考特教學醫院的榮譽顧問外科醫生。他最近完成了在美國佛羅里達州克里夫蘭診所（Cleveland Clinic Florida）艾倫·萊佛（Ellen Leifer）和史蒂芬·舒爾曼（Steven Shulman）消化疾病中心結腸直腸外科部門的為期一年的研究獎學金。

Ray-Offor教授是一位外科教育者，組織了多個內視鏡/微創手術的培訓工作坊；他是一位經驗豐富的作者，擁有超過80篇摘要和同行評審的期刊出版物，並擔任兩本書的編輯。他是尼日利亞消化病學與肝病學期刊的編輯委員會成員，並擔任多個科學期刊的審稿人，還是非洲、歐洲、亞洲和北美的多個專業學會成員，包括西非外科醫師學院（WACS）、消化病學與肝病學學會（SOGHIN）、尼日利亞結腸直腸疾病學會、歐洲內視鏡外科醫師協會（EAES）、世界腹腔鏡外科醫師協會（WALS）、美國外科醫師學會（ACS）、美國消化道內視鏡外科醫師學會（SAGES）和美國結腸直腸外科醫師學會（ASCRS）。他是尼日利亞波特哈考特的橡樹內視鏡中心與放射診斷中心的創始人，這是一個推進內視鏡和微創手術的非營利組織。

他的主要專業和科學興趣集中在胃腸內視鏡、微創一般/結腸直腸手術及結腸直腸癌。

Raul J. Rosenthal MD FASMBS FACS 是美國佛羅里達州克里夫蘭診所韋斯頓醫院（Cleveland Clinic Weston Hospital）消化疾病與外科研究所的區域主席、減重與代謝外科及一般外科的系主任。他是行業領袖、多產的作者、醫學研究者及克里夫蘭診所的主治外科醫生，已進行超過10,000例一般外科和減重手術，並培訓了超過50名在高級胃腸、微創及減重手術方面的研究員。

在2018年，Rosenthal醫生因其對減重外科領域的終身貢獻而獲得美國代謝與減重外科學會（ASMBS）基金會的LEAD獎。同年，他在美國外科醫師學會的年度臨床大會上展示了他在腹腔鏡膽囊切除術中使用吲哚氰綠（indocyanine green）螢光成像的突破性研究。

在他的專業領導角色中，Rosenthal醫生曾擔任美國消化道與內視鏡外科醫師學會（SAGES）及SAGES基金會的會長；並曾擔任美國代謝與減重外科學會（ASMBS）及ASMBS基金會執行委員會的前會長。他是《減重時報》（Bariatric Times）的創始臨床編輯，以及《SOARD》和《Obesity Surgery》的副編輯。他還是《外科年鑑》（Annals of Surgery）、《一般外科選讀》（Selected Readings in General Surgery）、《Langenbeck's Archives of Surgery》和《外科內視鏡》（Surgical Endoscopy）的編輯委員會成員。他是研究員委員會的創始成員及前會長，並曾擔任美國外科醫師學會南佛羅里達分會的會長及美國外科醫師學會的州長。