For generations of trainees and surgeons at all levels of experience, Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice has been the go-to text for definitive guidance on every aspect of general surgery. As the oldest continuously published textbook of surgery in North America, the fully revised 22nd Edition continues to provide the key information, essential teaching pearls, and updated content needed to make the most informed surgical decisions and achieve optimal outcomes for patients. Concisely written and evidence-based throughout, it covers the breadth of material required for certification and practice of general surgery, highlighted by detailed, full-color intraoperative illustrations and high-quality video clips.
1. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. Contributors - p. vii 8. Preface - p. xxx 9. Foreword - p. xxxi 10. Acknowledgments - p. xxxii 11. Video contents - p. xxxvii 12. Expert insights: The Sabiston podcast - p. xxxix 13. List of Illustrations - p. xli 14. List of Tables - p. xlii 15. Section I. Surgical Training and Quality Control - p. e1 16. 1. Surgical education: Past, present, and future - p. e2 17. 2. Surgical simulation and new ways to optimize performance - p. e15 18. 3. Certification of surgeon competence - p. e34 19. 4. Preoperative risk assessment and alterations in the COVID-19 era - p. e42 20. 5. Social determinants of health and their impact on surgical outcomes - p. e58 21. 6. Critical assessment of surgical outcomes and health services research - p. e65 22. 7. Surgical quality improvement programs - p. e77 23. 8. Patient-reported outcomes - p. e89 24. 9. Safety in the surgical environment - p. e100 25. 10. Advances and training considerations in robotic surgery - p. e117 26. 11. Advances and training considerations in laparoscopic surgery - p. e130 27. 12. Advances and training considerations in endoscopy and endoscopic surgery - p. e154 28. 13. Telehealth in surgery - p. e168 29. 14. Health inequities and disparities in surgery - p. e176 30. 15. Global surgery - p. e195 31. 16. Ethics and professionalism in surgery - p. e214 32. 17. Surgeon health: Ergonomics - p. e223 33. 18. Surgeon health and well-being - p. e233 34. Section II. Perioperative Management - p. 1 35. 19. Principles of preoperative and operative surgery - p. 2 36. 20. Anesthesiology principles, pain management, and sedation - p. 38 37. 21. Optimizing surgical outcomes: Prehabilitation and rehabilitation - p. 68 38. 22. Enhanced recovery after surgery (ERAS): Evidence-based perioperative pathways to optimize outcomes - p. 74 39. 23. Wound healing - p. 88 40. 24. The evolving role of the microbiome in surgical practice - p. 117.e3 41. 25. Surgical site infections - p. 118 42. 26. Surgical complications: Overview and grading - p. 126 43. 27. Surgery in the geriatric patient - p. 144 44. 28. Surgery in the pregnant patient - p. 157 45. 29. Surgical considerations in the transgender patient - p. 177 46. 30. Surgical palliative care - p. 189 47. 31. Advanced analytics and artificial intelligence applications in surgery - p. 200.e3 48. Section III. Trauma and Critical Care - p. 201 49. 32. The inflammatory response - p. 202 50. 33. Shock, electrolytes, and fluid - p. 221 51. 34. Metabolism and nutrition in surgical patients - p. 269 52. 35. Primary soft tissue infections - p. 291 53. 36. Management of acute trauma - p. 301 54. 37. The difficult abdominal wall - p. 356 55. 38. Management of vascular trauma - p. 370 56. 39. Management of urologic trauma - p. 388 57. 40. Emergency care of musculoskeletal injuries - p. 397 58. 41. Emergency care of neurologic injuries - p. 436 59. 42. Management of pediatric trauma - p. 462 60. 43. Burns - p. 479 61. 44. The outdoors—venomous bites and stings and environmental exposure - p. 502.e3 62. 45. Management of chronic wounds - p. 503 63. 46. Surgical critical care - p. 528 64. 47. Moving operating room procedures to the intensive care unit - p. 551 65. 48. The surgeon’s role in disaster management - p. 559 66. Section IV. Transplantation and Immunology - p. 572 67. 49. Transplantation immunobiology and immunosuppression - p. 573 68. 50. Regenerative medicine and its applications to surgery - p. 614.e3 69. 51. Surgical considerations in transplant patients undergoing nontransplant-related procedures and operating in patients with portal hypertension - p. 615 70. 52. Kidney transplantation - p. 624 71. 53. Liver transplantation - p. 638 72. 54. Pancreas transplantation - p. 651 73. 55. Islet transplantation - p. 664 74. 56. Small bowel transplantation - p. 669 75. 57. Heart transplantation - p. 679 76. 58. Lung transplantation - p. 707 77. 59. Soft tissue transplantation - p. 721.e3 78. Section V. Surgical Oncology - p. 721.e32 79. 60. Tumor biology and tumor markers - p. 721.e33 80. 61. Tumor immunology and immunotherapy - p. 721.e71 81. 62. Surgical considerations in cancer patients - p. 721.e91 82. 63. Melanoma and cutaneous malignancies - p. 722 83. 64. Sarcomas of the soft tissues, retroperitoneum, and bone - p. 750 84. 65. Gastrointestinal stromal tumors - p. 778 85. 66. Benign diseases of head and neck - p. 792 86. 67. Head and neck cancer - p. 804 87. 68. Diseases of the breast - p. 819 88. 69. Plastic surgical considerations in cancer surgery - p. 866 89. 70. Peritoneal malignancy and HIPEC - p. 890 90. 71. Surgeon’s approach to lymphadenopathy - p. 897 91. 72. The spleen - p. 906 92. Section VI. Endocrine Disorders - p. 920 93. 73. The thyroid - p. 921 94. 74. Parathyroid - p. 969 95. 75. The adrenal glands - p. 986 96. 76. Pancreatic neuroendocrine tumors - p. 1019 97. 77. Neuroendocrine neoplasms (carcinoid tumors) - p. 1035 98. 78. The multiple endocrine neoplasia syndromes - p. 1042 99. Section VII. Abdominal Wall Hernias - p. 1053 100. 79. Preoperative management of the hernia patient - p. 1054 101. 80. Ventral hernias - p. 1063 102. 81. Hernias of the abdominal wall: Atypical locations - p. 1083 103. 82. Inguinal hernias - p. 1091 104. Section VIII. Alimentary Tract - p. 1107 105. 83. Benign esophageal disorders - p. 1108 106. 84. Esophageal cancer - p. 1136 107. 85. The acute abdomen - p. 1155 108. 86. Stomach - p. 1166 109. 87. Gastric cancer - p. 1192 110. 88. Biliary system - p. 1213 111. 89. The liver - p. 1249 112. 90. Secondary tumors of the liver - p. 1306 113. 91. Small intestine - p. 1320 114. 92. Exocrine pancreas - p. 1374 115. 93. Pancreatic cancer - p. 1401 116. 94. The appendix - p. 1415 117. 95. Colon and rectum - p. 1429 118. 96. Cancers of the colon, rectum, and anus - p. 1491 119. 97. Benign anorectal disorders - p. 1515 120. 98. Acute gastrointestinal hemorrhage - p. 1544 121. 99. Morbid obesity - p. 1554 122. Section IX. Vascular Surgery - p. 1579 123. 100. Hemostasis and thrombosis - p. 1580 124. 101. Contemporary management of carotid disease - p. 1603 125. 102. Aortic disease - p. 1620 126. 103. Peripheral occlusive disease - p. 1643 127. 104. Extremity amputations in the modern era: Indications, technique, and outcomes - p. 1676 128. 105. Peripheral aneurysmal disease - p. 1688 129. 106. Visceral ischemic syndromes: Acute and chronic mesenteric ischemia - p. 1709 130. 107. Dialysis access - p. 1721 131. 108. Venous disease - p. 1730 132. 109. The lymphatics - p. 1750 133. Section X. Cardiothoracic Surgery - p. 1759 134. 110. Lung, chest wall, pleura, and mediastinum - p. 1760 135. 111. Acquired heart disease: Coronary artery disease - p. 1806 136. 112. Acquired heart disease: Valvular - p. 1842 137. 113. Congenital heart disease - p. 1870 138. 114. Pulmonary embolism: Acute and chronic - p. 1908 139. 115. Percutaneous heart procedures - p. 1924.e6 140. 116. Advances in extracorporeal membrane oxygenation: Techniques, applications, and management - p. 1925 141. Section XI. Specialties in Surgery: Subspecialty Considerations Relevant for the General Surgeon - p. 1944 142. 117. Pediatric surgery - p. 1945 143. 118. Maternal-fetal surgery - p. 1981.e3 144. 119. Hand surgery - p. 1982 145. 120. Gynecologic surgery - p. 2038 146. 121. Urologic surgery - p. 2065 147. Index - p. 2095
For generations of trainees and surgeons at all levels of experience, Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice has been the go-to text for definitive guidance on every aspect of general surgery. As the oldest continuously published textbook of surgery in North America, the fully revised 22nd Edition continues to provide the key information, essential teaching pearls, and updated content needed to make the most informed surgical decisions and achieve optimal outcomes for patients. Concisely written and evidence-based throughout, it covers the breadth of material required for certification and practice of general surgery, highlighted by detailed, full-color intraoperative illustrations and high-quality video clips.
1. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. Dedication - p. v 7. Contributors - p. vii 8. Preface - p. xxx 9. Foreword - p. xxxi 10. Acknowledgments - p. xxxii 11. Video contents - p. xxxvii 12. Expert insights: The Sabiston podcast - p. xxxix 13. List of Illustrations - p. xli 14. List of Tables - p. xlii 15. Section I. Surgical Training and Quality Control - p. e1 16. 1. Surgical education: Past, present, and future - p. e2 17. 2. Surgical simulation and new ways to optimize performance - p. e15 18. 3. Certification of surgeon competence - p. e34 19. 4. Preoperative risk assessment and alterations in the COVID-19 era - p. e42 20. 5. Social determinants of health and their impact on surgical outcomes - p. e58 21. 6. Critical assessment of surgical outcomes and health services research - p. e65 22. 7. Surgical quality improvement programs - p. e77 23. 8. Patient-reported outcomes - p. e89 24. 9. Safety in the surgical environment - p. e100 25. 10. Advances and training considerations in robotic surgery - p. e117 26. 11. Advances and training considerations in laparoscopic surgery - p. e130 27. 12. Advances and training considerations in endoscopy and endoscopic surgery - p. e154 28. 13. Telehealth in surgery - p. e168 29. 14. Health inequities and disparities in surgery - p. e176 30. 15. Global surgery - p. e195 31. 16. Ethics and professionalism in surgery - p. e214 32. 17. Surgeon health: Ergonomics - p. e223 33. 18. Surgeon health and well-being - p. e233 34. Section II. Perioperative Management - p. 1 35. 19. Principles of preoperative and operative surgery - p. 2 36. 20. Anesthesiology principles, pain management, and sedation - p. 38 37. 21. Optimizing surgical outcomes: Prehabilitation and rehabilitation - p. 68 38. 22. Enhanced recovery after surgery (ERAS): Evidence-based perioperative pathways to optimize outcomes - p. 74 39. 23. Wound healing - p. 88 40. 24. The evolving role of the microbiome in surgical practice - p. 117.e3 41. 25. Surgical site infections - p. 118 42. 26. Surgical complications: Overview and grading - p. 126 43. 27. Surgery in the geriatric patient - p. 144 44. 28. Surgery in the pregnant patient - p. 157 45. 29. Surgical considerations in the transgender patient - p. 177 46. 30. Surgical palliative care - p. 189 47. 31. Advanced analytics and artificial intelligence applications in surgery - p. 200.e3 48. Section III. Trauma and Critical Care - p. 201 49. 32. The inflammatory response - p. 202 50. 33. Shock, electrolytes, and fluid - p. 221 51. 34. Metabolism and nutrition in surgical patients - p. 269 52. 35. Primary soft tissue infections - p. 291 53. 36. Management of acute trauma - p. 301 54. 37. The difficult abdominal wall - p. 356 55. 38. Management of vascular trauma - p. 370 56. 39. Management of urologic trauma - p. 388 57. 40. Emergency care of musculoskeletal injuries - p. 397 58. 41. Emergency care of neurologic injuries - p. 436 59. 42. Management of pediatric trauma - p. 462 60. 43. Burns - p. 479 61. 44. The outdoors—venomous bites and stings and environmental exposure - p. 502.e3 62. 45. Management of chronic wounds - p. 503 63. 46. Surgical critical care - p. 528 64. 47. Moving operating room procedures to the intensive care unit - p. 551 65. 48. The surgeon’s role in disaster management - p. 559 66. Section IV. Transplantation and Immunology - p. 572 67. 49. Transplantation immunobiology and immunosuppression - p. 573 68. 50. Regenerative medicine and its applications to surgery - p. 614.e3 69. 51. Surgical considerations in transplant patients undergoing nontransplant-related procedures and operating in patients with portal hypertension - p. 615 70. 52. Kidney transplantation - p. 624 71. 53. Liver transplantation - p. 638 72. 54. Pancreas transplantation - p. 651 73. 55. Islet transplantation - p. 664 74. 56. Small bowel transplantation - p. 669 75. 57. Heart transplantation - p. 679 76. 58. Lung transplantation - p. 707 77. 59. Soft tissue transplantation - p. 721.e3 78. Section V. Surgical Oncology - p. 721.e32 79. 60. Tumor biology and tumor markers - p. 721.e33 80. 61. Tumor immunology and immunotherapy - p. 721.e71 81. 62. Surgical considerations in cancer patients - p. 721.e91 82. 63. Melanoma and cutaneous malignancies - p. 722 83. 64. Sarcomas of the soft tissues, retroperitoneum, and bone - p. 750 84. 65. Gastrointestinal stromal tumors - p. 778 85. 66. Benign diseases of head and neck - p. 792 86. 67. Head and neck cancer - p. 804 87. 68. Diseases of the breast - p. 819 88. 69. Plastic surgical considerations in cancer surgery - p. 866 89. 70. Peritoneal malignancy and HIPEC - p. 890 90. 71. Surgeon’s approach to lymphadenopathy - p. 897 91. 72. The spleen - p. 906 92. Section VI. Endocrine Disorders - p. 920 93. 73. The thyroid - p. 921 94. 74. Parathyroid - p. 969 95. 75. The adrenal glands - p. 986 96. 76. Pancreatic neuroendocrine tumors - p. 1019 97. 77. Neuroendocrine neoplasms (carcinoid tumors) - p. 1035 98. 78. The multiple endocrine neoplasia syndromes - p. 1042 99. Section VII. Abdominal Wall Hernias - p. 1053 100. 79. Preoperative management of the hernia patient - p. 1054 101. 80. Ventral hernias - p. 1063 102. 81. Hernias of the abdominal wall: Atypical locations - p. 1083 103. 82. Inguinal hernias - p. 1091 104. Section VIII. Alimentary Tract - p. 1107 105. 83. Benign esophageal disorders - p. 1108 106. 84. Esophageal cancer - p. 1136 107. 85. The acute abdomen - p. 1155 108. 86. Stomach - p. 1166 109. 87. Gastric cancer - p. 1192 110. 88. Biliary system - p. 1213 111. 89. The liver - p. 1249 112. 90. Secondary tumors of the liver - p. 1306 113. 91. Small intestine - p. 1320 114. 92. Exocrine pancreas - p. 1374 115. 93. Pancreatic cancer - p. 1401 116. 94. The appendix - p. 1415 117. 95. Colon and rectum - p. 1429 118. 96. Cancers of the colon, rectum, and anus - p. 1491 119. 97. Benign anorectal disorders - p. 1515 120. 98. Acute gastrointestinal hemorrhage - p. 1544 121. 99. Morbid obesity - p. 1554 122. Section IX. Vascular Surgery - p. 1579 123. 100. Hemostasis and thrombosis - p. 1580 124. 101. Contemporary management of carotid disease - p. 1603 125. 102. Aortic disease - p. 1620 126. 103. Peripheral occlusive disease - p. 1643 127. 104. Extremity amputations in the modern era: Indications, technique, and outcomes - p. 1676 128. 105. Peripheral aneurysmal disease - p. 1688 129. 106. Visceral ischemic syndromes: Acute and chronic mesenteric ischemia - p. 1709 130. 107. Dialysis access - p. 1721 131. 108. Venous disease - p. 1730 132. 109. The lymphatics - p. 1750 133. Section X. Cardiothoracic Surgery - p. 1759 134. 110. Lung, chest wall, pleura, and mediastinum - p. 1760 135. 111. Acquired heart disease: Coronary artery disease - p. 1806 136. 112. Acquired heart disease: Valvular - p. 1842 137. 113. Congenital heart disease - p. 1870 138. 114. Pulmonary embolism: Acute and chronic - p. 1908 139. 115. Percutaneous heart procedures - p. 1924.e6 140. 116. Advances in extracorporeal membrane oxygenation: Techniques, applications, and management - p. 1925 141. Section XI. Specialties in Surgery: Subspecialty Considerations Relevant for the General Surgeon - p. 1944 142. 117. Pediatric surgery - p. 1945 143. 118. Maternal-fetal surgery - p. 1981.e3 144. 119. Hand surgery - p. 1982 145. 120. Gynecologic surgery - p. 2038 146. 121. Urologic surgery - p. 2065 147. Index - p. 2095
