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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_905_Библиотеки_им_академика_М_И_Перельмана.pdf
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10 The Unplanned Return to the Operating Room in Acute
Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Rifat Lati
11 Surgical Decision-Making in Complex Clinical Scenarios in
Abdominal Surgery: A Case- Based Discussion and Approach
to the Eight Most Common Problems with Nine Patients . . . . . . 105
Trista Rosing and Rifat Lati
12 Surgical Decision-Making inDamage Control Surgery:
ASystem-Based Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Rifat Lati and Ruben Peralta
13 Surgical Decision-Making Process and Definitive Abdominal
Wall Reconstruction: An Update . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Ruben Peralta and Rifat Lati
14 Surgical Decision-Making in Difficult Situations in Pediatric
Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
B. S. Ratta, Geeta Kekre, Dhananjay Vaze, and
Kshama Kulkarni
15 Surgical Decision-Making: Melanoma . . . . . . . . . . . . . . . . . . . . . 171
Rondi Kauffmann and Cameron Schlegel
Contents
16 Surgical Decision-Making in Post- Bariatric Complications . . . . 179
Tricia Kim, Daniel Jo, Jonathan Giannone, and Ashutosh Kaul
17 Surgical Decision-Making in Hepatobiliary and Pancreatic
Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
Beatriz Chumbinho, Pedro Custódio, Mafalda Sobral, and
Hugo Pinto Marques
18 Decision-Making in Hepatobiliary and Pancreatic Surgery:
Acute Care Surgeon’s Perspective . . . . . . . . . . . . . . . . . . . . . . . . . 203
Thav Thambi-Pillai, J. M. Guido, Stephanie Y. Hung, and
Hassan Turaihi
19 Ethical Issues in Surgical Decision-making . . . . . . . . . . . . . . . . . 221
Alberto R. Ferreres
20 Surgical Decision-Making in Emergency Management
of Colon and Rectal Malignancies . . . . . . . . . . . . . . . . . . . . . . . . . 233
Ryan Bendl and James Clarke
21 Surgical Decision-Making in Vascular Surgery: Practical
Approaches to New Innovative Techniques and Revisiting
Old Ones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
Igor A. Laskowski, Sateesh Babu, Daniel Ventarola,
Heepeel Chang, Arun Goyal, Joseph Fulton, and Rifat Lati
Contents
xxv
22 Surgical Decision-Making in the Management of Polytrauma
Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277
Anthony Duncan, Ergest Isak, Mentor Ahmeti, and
Anthony Duncan
23 Decision-Making in Complex Dento-Alveolar Trauma in the
Maxillofacial Region . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
Lumnije Kqiku and Kurt Alois Ebeleseder
Part IV Special Issues in Surgical Decision Making
24 The Surgeon’s Response to a Patient Death . . . . . . . . . . . . . . . . . 301
Erin Switzer and Terence O’Keeffe
25 The Surgeon’s Burnout: How to Deal with It . . . . . . . . . . . . . . . . 307
Christina Colosimo, Sai Krishna Bhogadi, and Bellal Joseph
26 When Should We Quit Operating? . . . . . . . . . . . . . . . . . . . . . . . . 315
Stanley J. Dudrick, Edward S. Anderson, and Rifat Lati
27 Stanley J Dudrick: A Life of a Giant in Surgery and Surgical
Decision to Transition to a New Role or No Role At All . . . . . . . 327
Rifat Lati
Part V The Final Word
28 Epilogue: Quo Vadis Surgical Decision-Making . . . . . . . . . . . . . 337
Rifat Lati
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341
Editor and Contributors
About the Editor
RifatLati MD, FACS, FICS, FKCS, is currently
a general surgeon at Tucson Medical Center in
Arizona and a Professor of Surgery at the University
of Arizona. He has held prestigious positions,
including serving as the immediate past Minister of
Health of the Republic of Kosova and as the former
Chairman and Professor of Surgery at NewYork
Medical College, School of Medicine. Additionally,
he has served as the Director of the Department of
Surgery at Westchester Medical Center Health
Network in Valhalla, NewYork, and as the Medical
Director of the Trauma Center in Doha, Qatar.
Dr. Lati is a Fellow of the American College
of Surgeons (ACS), Fellow of the International
College of Surgeons (ICS), and a Fellow and
founding President of the Kosova College of
Surgeons (KCS).
Throughout his prolic academic career, Dr.
Lati has authored and co-authored near 350 peerreviewed articles and more than 150 book chapters. He has published 20 books covering a range
of surgical topics, including nutrition support,
telemedicine, geriatrics, surgical decision-making,
and reoperative surgery with complex abdominal
wall reconstruction. Some of his latest book publications include titles such as:
1. Telemedicine, Telehealth, and Telepresence:
Principles, Strategies, Applications, and New
Directions (Springer Nature, 2020)
2. Emergency General Surgery in Geriatrics
(Springer Nature, 2020)
3. Surgical Decision-Making in Geriatrics: A
Comprehensive Multidisciplinary Approach
(Springer Nature, 2020)
xxvii
xxviii
Editor and Contributors
4. The Modern Hospital: Patient-Centered,
Disease-Based, Research-Oriented, Technology
Driven (Springer Nature, 2019)
5. Surgery of Complex Abdominal Wall Defects:
Practical Approaches (2nd ed.) (Springer, 2017)
6. Surgical Decision-Making: Beyond the
Evidence (Springer, 2016)
7. Technological Advances in Surgery, Trauma,
and Critical Care (Springer, 2015)
In addition to his academic pursuits, Dr. Lati
is the Founder and President of the International
Virtual e-Hospital Foundation, a non-prot organization that has created pioneering telemedicine
programs in various countries, including Kosova,
Albania, Cabo Verde, and Vietnam. Dr. Lati
established the rst teletrauma and telepresence
program in Arizona, known as the Southern
Arizona Telemedicine and Telepresence (SATT)
program, in 2004, and used telemedicine for the
rst time to support the long- distance swimmer,
Martin Strel, while he swam the entire Amazon
River in 2007.
For his outstanding contributions to telemedicine and sustainable surgical volunteerism globally, Dr. Lati was honored with the 2015
American College of Surgeons (ACS)/Pzer
International Surgical Volunteerism award and
“The 21st Century Achievement Award for Health.”
Over the past few years, he has been dedicated to
establishing and advancing the Kosova College of
Surgeons and its initiatives, including overseeing
the publication of the Kosova Journal of Surgery
as its Editor-in-Chief, while establishing telemedicine in post-conict countries and other developing countries. Most recently he was awarded
“Life-time Achieving” award for his contribution
and global impact with telemedicine program by
Global Digital Summit, Mumbai, India.
Contributors
MentorAhmeti Department of Surgery, University of North Dakota School
of Medicine and Health Science, Grand Forks, ND, USA
Department of Trauma and Acute Care Surgery, Sanford Medical Center
Fargo, Fargo, ND, USA
Editor and Contributors
xxix
EdwardS.Anderson Physician Assistant Studies, Misericordia University,
Dallas, PA, USA
Emeritus of Surgery, Yale University Medical School, New Haven, CT, USA
SateeshBabu Vascular Section of the Department of Surgery, Westchester
Medical Center, Valhalla, NY, USA
New York Medical College, Valhalla, NY, USA
Zsolt J. Balogh Department of Traumatology, Division of Surgery, John
Hunter Hospital & University of Newcastle, Newcastle, NSW, Australia
Gary A. Bass Division of Traumatology, Surgical Critical Care and
Emergency Surgery, Department of Surgery,Perelman School of Medicine,
University of Pennsylvania, Philadelphia, PA, USA
European Society for Trauma and Emergency Surgery, Vienna, Austria
Genna Beattie Clinical Fellow (PGY-9), Trauma & Acute Care Surgery,
University of California San Francisco, San Francisco, CA, USA
Ryan Bendl New York Medical College, Westchester Medical Center,
Valhalla, NY, USA
Sai Krishna Bhogadi Division of Trauma, Critical Care, Burns, and
Emergency Surgery, Department of Surgery, University of Arizona, Tucson,
AZ, USA
HeepeelChang Westchester Medical Center, Valhalla, NY, USA
BeatrizChumbinho Hepato-Biliary-Pancreatic and Transplantation Centre,
Curry Cabral Hospital/Local Health Unit of São José, and NOVA Medical
School, Lisbon, Portugal
JamesClarke Westchester Medical Center, Valhalla, NY, USA
Christina Colosimo Division of Trauma, Critical Care, Burns, and
Emergency Surgery, Department of Surgery, University of Arizona, Tucson,
AZ, USA
Pedro Custódio Hepato-Biliary-Pancreatic and Transplantation Centre,
Curry Cabral Hospital/Local Health Unit of São José, and NOVA Medical
School, Lisbon, Portugal
Stanley J. Dudrick Surgery, The Commonwealth Medical College,
Scranton, PA, USA
Anthony Duncan Department of Surgery, University of North Dakota
School of Medicine and Health Science, Grand Forks, ND, USA
Kurt Alois Ebeleseder Department of Dental Medicine and Oral Health,
Division of Restorative Dentistry, Periodontology and Prosthodontics,
Medical University of Graz, Graz, Austria
Alberto R. Ferreres School of Medical Sciences, University of Buenos
Aires, Buenos Aires, Argentina
xxx
Hospital de Clínicas “José de San Martín” University of Buenos Aires,
Buenos Aires, Argentina
University of Washington, Seattle, WA, USA
J.EstebanFoianini Surgeon and Medical Director, Clinica Foianini, Santa
Cruz, Bolivia
JosephFulton Vascular Section of the Department of Surgery, Westchester
Medical Center, Valhalla, NY, USA
New York Medical College, Valhalla, NY, USA
JonathanGiannone Department of Surgery, Westchester Medical Center,
Valhalla, NY, USA
Arun Goyal Vascular Section of the Department of Surgery, Westchester
Medical Center, Valhalla, NY, USA
New York Medical College, Valhalla, NY, USA
J.M. Guido Department of Surgery, University of South Dakota Sanford
School of Medicine, Sioux Falls, SD, USA
Diane N.Haddad Division of Traumatology, Surgical Critical Care and
Emergency Surgery, Department of Surgery,Perelman School of Medicine,
University of Pennsylvania, Philadelphia, PA, USA
Editor and Contributors
Stephanie Y. Hung Department of Surgery, University of South Dakota
Sanford School of Medicine, Sioux Falls, SD, USA
ErgestIsak Department of Surgery, University of North Dakota School of
Medicine and Health Science, Grand Forks, ND, USA
Daniel Jo Department of Surgery, Westchester Medical Center, Valhalla,
NY, USA
Bellal Joseph Division of Trauma, Critical Care, Burns, and Emergency
Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA
RondiKauffmann Division of Surgical Oncology and Endocrine Surgery,
Vanderbilt University Medical Center, Nashville, TN, USA
Ashutosh Kaul Department of Surgery, Westchester Medical Center,
Valhalla, NY, USA
Geeta Kekre Department of Pediatric Surgery, Ruby Hall Clinic, Pune,
India
TriciaKim Department of Surgery, Westchester Medical Center, Valhalla,
NY, USA
Kate L. King Department of Traumatology, Division of Surgery, John
Hunter Hospital & University of Newcastle, Newcastle, NSW, Australia
LumnijeKqiku Department of Dental Medicine and Oral Health, Division
of Restorative Dentistry, Periodontology and Prosthodontics, Medical
University of Graz, Graz, Austria
Editor and Contributors
xxxi
KshamaKulkarni Department of Pediatric Surgery, Surya Hospital, Pune,
India
Igor A. Laskowski Vascular Section of the Department of Surgery,
Westchester Medical Center, Valhalla, NY, USA
New York Medical College, Valhalla, NY, USA
Rifat Lati Department of Surgery, The University of Arizona,
Tucson, AZ, USA
Tucson Medical Center, Department of Surgery, Tucson, AZ, USA
Hugo Pinto Marques Hepato-Biliary-Pancreatic and Transplantation
Centre, Curry Cabral Hospital/Local Health Unit of São José, and NOVA
Medical School, Lisbon, Portugal
Terence O’Keeffe Division of Trauma/Surgical Critical Care/General
Surgery, Department of Surgery, Augusta University, Augusta, GA, USA
Ruben Peralta Department of Surgery, Trauma Surgery Section, Hamad
General Hospital, Doha, Qatar
Universidad Nacional Pedro Henriquez Urena, Santo Domingo, Dominican
Republic
Ruben Peralta Department of Surgery, Trauma Surgery Section, Hamad
General Hospital, Doha, Qatar
Universidad Nacional Pedro Henriquez Urena, Santo Domingo, Dominican
Republic
B.S.Ratta Department of Pediatric Surgery, Ruby Hall Clinic, Pune, India
TristaRosing Abrazo Health Network General Surgery Residency, Phoenix,
AZ, USA
CameronSchlegel Division of Surgical Oncology and Endocrine Surgery,
Vanderbilt University Medical Center, Nashville, TN, USA
AbbasSmiley Department of Surgery, University of Arizona, Tucson, AZ,
USA
Mafalda Sobral Hepato-Biliary-Pancreatic and Transplantation Centre,
Curry Cabral Hospital/Local Health Unit of São José, and NOVA Medical
School, Lisbon, Portugal
Erin Switzer Division of Trauma/Surgical Critical Care/General Surgery,
Department of Surgery, Augusta University, Augusta, GA, USA
Thav Thambi-Pillai Department of Surgery, University of South Dakota
Sanford School of Medicine, Sioux Falls, SD, USA
RyanS.Ting St George & Sutherland Clinical School, University of New
South Wales, Sydney, NSW, Australia
HassanTuraihi Department of Surgery, University of South Dakota Sanford
School of Medicine, Sioux Falls, SD, USA
xxxii
Dhananjay Vaze Department of Pediatric Surgery, DY Patil Medical
College, Pune, India
Daniel Ventarola Vascular Section of the Department of Surgery,
Westchester Medical Center, Valhalla, NY, USA
New York Medical College, Valhalla, NY, USA
Editor and Contributors
Part I
Changing World and the Legacy
of Surgical Decision-Making
Surgical Decision-Making
andtheChanging World
RifatLati andAbbasSmiley
1
During their professional lifetimes, surgeons must
make many decisions, virtually daily, often continually, mostly “on the spot,” sometimes “life or
death,” and almost always critically important to
the optimal care, outcomes, and well-being of their
patients. These decisions are based primarily on
the cumulative knowledge, experience, judgment,
and wisdom gained throughout years of education,
training, mentoring, conferences, consultations,
study, and introspection; coupled with dedication,
motivation, persistence, resilience, integrity, equanimity, core values, ethics, and courage; along with
a wide variety of additional, often unique, virtues
which comprise the individual essence and character of each of the multitude of surgeons throughout
the world.
Stanley J.Dudrick, MD, FACS- Chap. 26 in this
book
Introduction
Signicant advancements have been made in surgical decision-making that surgeons have
embraced and further developed since the publication of the rst edition of this book. Major
noteworthy developments include large scale
R. Lati (*)
Department of Surgery, The University of Arizona,
Tucson, AZ, USA
Tucson Medical Center, Department of Surgery,
Tucson, AZ, USA
e-mail: Lati@surgery.arizona.edu
A. Smiley
Department of Surgery, University of Arizona,
Tucson, AZ, USA
advances in robotic assisted surgery in most
major and community hospitals in the USA and
applied to every surgical discipline. In addition,
the advent of electronic health records have
increased support systems, genomic research and
molecular proling have enabled personalized
surgical approaches, and advanced imaging technologies and target cell immunotherapy for cancer and other diseases in daily practice have had
a profound impact on surgical decision-making.
Finally all these advancements combined collectively have helped in more precise, individualized, and optimal surgical decision-making,
improving patient outcomes and quality of care.
In summary the following is noteworthy:
1. Minimally Invasive Surgery (MIS): Over the
past decade, MIS techniques have expanded to
numerous surgical specialties, including general surgery, urology, gynecology, and orthopedics. These procedures involve smaller
incisions, specialized instruments, and often
the use of laparoscopes or endoscopes for
visualization. Benets include reduced damage to surrounding tissues, less postoperative
pain, shorter hospital stays, and faster recovery times for patients. Surgeons now have a
broader range of minimally invasive options
to consider when planning surgeries.
2. Robotic-assisted Surgery: Robotic surgical
systems, such as the da Vinci Surgical System,
have made signicant strides in the last
decade. These systems offer enhanced visual-
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2024
R. Lati (ed.), Surgical Decision-Making, https://doi.org/10.1007/978-3-031-67391-7_1
3