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Leading European laparoscopic surgeons have compiled the recommendations of the European Association for Endoscopic Surgery (EAES) in this book. All statements are based not only on the experts' opinions, but also on a formal assessment of the scientific literature. This work allows readers to gain an overview of cutting edge surgical research. All recommendations describe exactly the proven benefit of each surgical procedure and technique. Most guidelines contain key statements. All chapters follow a structured format to allow quick identification of all recommendations. In summary, this work provides a perfect overview of the achievements in laparoscopic surgery throughout the last decade.
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EAES Guidelines for Endoscopic Surgery Edmund A. M. Neugebauer, Stefan Sauerland, Abe Fingerhut, Bertrand Millat, Gerhard Buess Editors EAES Guidelines for Endoscopic Surgery Twelve Years Evidence-Based Surgery in Europe 12 Edmund A. M. Neugebauer, Professor, PhD University Witten-Herdecke Institute for Research in Operative Medicine Director and Chair for Surgical Research Ostmerheimer Str. 200 51109 Cologne, Germany Stefan Sauerland, MD, MPH University Witten-Herdecke Institute for Research in Operative Medicine Ostmerheimer Str. 200 51109 Cologne, Germany Abe Fingerhut, Professor, MD Centre Hopitalier Intercommunale Service de Chirurgie Visc rale Digestive Rue de Champ Gaillard 10 78300 Poissy, France Bertrand Millat, Professor, MD HÖpital Saint Eloi Service de Chirurgie Visc rale Digestive 34295 Montpellier, France Gerhard Buess, Professor, MD University Tçbingen Section for Minimally Invasive Surgery, Hoppe-Seyler-Straûe 3 72072 Tçbingen, Germany ISBN-10 ISBN-13 3-540-32783-5 Springer Berlin Heidelberg New York 978-3-540-32783-7 Springer Berlin Heidelberg New York Library of Congress Control Number 2006923763 Cataloging-in-Publication Data applied for A catalog record for this book is available from the Library of Congress. This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Springer is a part of Springer Science+Business Media springer.com ° Springer Berlin Heidelberg 2006 Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about the application of operative techniques and medications contained in this book. In every individual case the user must check such information by consulting the relevant literature. Editor: Gabriele M. Schræder, Heidelberg, Germany Desk Editor: Stephanie Benko, Heidelberg, Germany Production: LE-TEX Jelonek, Schmidt & Væckler GbR, Leipzig Cover design: Frido Steinen-Broo, eStudio Calamar, Spain Typesetting: K + V Fotosatz, Beerfelden, Germany Printed on acid-free paper 24/3100Di ± 5 4 3 2 1 0 Preface Every new idea needs enthusiasts convinced that the idea is solid and prosperous. The concept of minimally invasive surgery was introduced to the field of visceral surgery first by Gerhard Bueû, who performed the first clinical operations in transanal endosco