In 2016 the first edition of the SAGES Manual Operating through the Endoscope was published.   At the time, this represented a review of cutting-edge new technologies that were being introduced within the field of flexible endoscopy.  Largely based on applications and data up to 2013, this served as a unique resource for clinicians and researchers to learn about this expanding field.  Since then, there has been a significant expansion of new technologies and procedures within this discipline that have meaningfully changed this entire sub-specialty.  In addition, large numbers of high-quality data have emerged that support more heartily the safety and efficacy of these techniques.  Major international societies now routinely include hands-on training and scientific content of this field in meetings and educational efforts, and many trainees and practitioners are looking for resources to improve their knowledge and technical skills sets.  For these reasons, an update on this rapidly advancing field seems appropriate at this time, given the enormous amount of new content available. Endoscopic surgical procedures allow for less invasive access for performing increasingly complex procedures.  This results in maximal benefit for patients with fewer complications, faster recovery, and less pain.  Endoscopy allows access to the gastrointestinal tract without transgressing the abdominal or chest walls, by means of a truly less invasive route.  These technologies and skills are being sought out by practitioners and asked for by patients.The proposed textbook is designed to present a comprehensive and state-of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform.  Written by experts and emerging  specialists in that field, each of these sections will address patientselection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.  A review of the existing literature addressing the particular topic will follow in each section.  Extensive endoscopic images and illustrations will make this an interactive text.  In addition to updates on most topics in the previous manual, this edition will include exciting new fields of advanced imaging, artificial intelligence and augmented imaging, applications of robotics to endoscopy, and more robust exposure of endoscopic applications for treatment of obesity, a worldwide epidemic.The subject of surgical endoscopy has changed meaningfully since publication of the first edition; now a substantial focus of major journals, scientific meetings, and online platforms.  A timely update can capture this broad subject in an accessible manual focused on technologies and data supporting these interventions.

In 2016 the first edition of the SAGES Manual Operating through the Endoscope was published.   At the time, this represented a review of cutting-edge new technologies that were being introduced within the field of flexible endoscopy.  Largely based on applications and data up to 2013, this served as a unique resource for clinicians and researchers to learn about this expanding field.  Since then, there has been a significant expansion of new technologies and procedures within this discipline that have meaningfully changed this entire sub-specialty.  In addition, large numbers of high-quality data have emerged that support more heartily the safety and efficacy of these techniques.  Major international societies now routinely include hands-on training and scientific content of this field in meetings and educational efforts, and many trainees and practitioners are looking for resources to improve their knowledge and technical skills sets.  For these reasons, an update on this rapidly advancing field seems appropriate at this time, given the enormous amount of new content available. Endoscopic surgical procedures allow for less invasive access for performing increasingly complex procedures.  This results in maximal benefit for patients with fewer complications, faster recovery, and less pain.  Endoscopy allows access to the gastrointestinal tract without transgressing the abdominal or chest walls, by means of a truly less invasive route.  These technologies and skills are being sought out by practitioners and asked for by patients.The proposed textbook is designed to present a comprehensive and state-of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform.  Written by experts and emerging  specialists in that field, each of these sections will address patientselection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.  A review of the existing literature addressing the particular topic will follow in each section.  Extensive endoscopic images and illustrations will make this an interactive text.  In addition to updates on most topics in the previous manual, this edition will include exciting new fields of advanced imaging, artificial intelligence and augmented imaging, applications of robotics to endoscopy, and more robust exposure of endoscopic applications for treatment of obesity, a worldwide epidemic.The subject of surgical endoscopy has changed meaningfully since publication of the first edition; now a substantial focus of major journals, scientific meetings, and online platforms.  A timely update can capture this broad subject in an accessible manual focused on technologies and data supporting these interventions.

Obesity is an epidemic - more than 40% of the United States population suffers from obesity and, as such, it has a high burden of weight-related conditions and diseases.  Metabolic and bariatric surgery has proven to be the most effective and durable treatment of severe obesity.  Technological advances including applications of laparoscopy, robotics and endoluminal techniques have rapidly advanced this field.  Data and outcomes examining treatments have also improved and, as providers, we have a wide spectrum of therapeutic options to treat patients.As techniques and outcomes change rapidly, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited.  The third edition of this manual is designed to present a comprehensive and state-of the-art approach to the current and future status of metabolic and bariatric surgery.  Sections will address the evolution in specific treatments available to patients, initial evaluation, and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy.  In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes.

Essentials of Robotic Surgery is designed to present a comprehensive and state-of-the-art approach to robotic surgery within the broad confines of general surgery. Sections address preliminary issues faced by surgeons who may be initially undertaking robotics. These areas include training, basic techniques and setup, as well as general troubleshooting.  Subsequent chapters focus on specific disease processes and the robotic applications for those procedures. Written by experts in the field, each of these sections addresses patient selection, preoperative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on other robotic platforms beyond the only current FDA approved device (Intuitive Surgical) as well as future directions, including single-site, enhanced imaging, 3-D modeling, and tele-proctoring, including to and distant site surgery. Extensive illustrations and links to video make this an interactive text that will be of great value to general surgeons and associated sub-specialists, trainees including residents and fellows, fully trained surgeons looking to start a robotic surgery practice, and experienced robotic surgeons looking to expand the types of procedures that they currently perform robotically.

Essentials of Robotic Surgery is designed to present a comprehensive and state-of-the-art approach to robotic surgery within the broad confines of general surgery. Sections address preliminary issues faced by surgeons who may be initially undertaking robotics. These areas include training, basic techniques and setup, as well as general troubleshooting.  Subsequent chapters focus on specific disease processes and the robotic applications for those procedures. Written by experts in the field, each of these sections addresses patient selection, preoperative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on other robotic platforms beyond the only current FDA approved device (Intuitive Surgical) as well as future directions, including single-site, enhanced imaging, 3-D modeling, and tele-proctoring, including to and distant site surgery. Extensive illustrations and links to video make this an interactive text that will be of great value to general surgeons and associated sub-specialists, trainees including residents and fellows, fully trained surgeons looking to start a robotic surgery practice, and experienced robotic surgeons looking to expand the types of procedures that they currently perform robotically.

This manual presents a comprehensive and state of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform. Sections address preliminary issues faced by surgeons and physicians who may be initially undertaking these new techniques. These areas include training and credentialing, as well as tools and platforms commonly used for these procedures. Subsequent chapters focus on specific disease processes and the endoscopic applications for those procedures. Each section addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on future directions and device development. Written by experts in the field, The SAGES Manual Operating Through the Endoscope is a valuable resource to experienced advanced endoscopists looking to expand the types of procedures that they currently perform, as well as trainees, including residents, fellows and medical students.

In 2016 the first edition of the SAGES Manual Operating through the Endoscope was published.   At the time, this represented a review of cutting-edge new technologies that were being introduced within the field of flexible endoscopy.  Largely based on applications and data up to 2013, this served as a unique resource for clinicians and researchers to learn about this expanding field.  Since then, there has been a significant expansion of new technologies and procedures within this discipline that have meaningfully changed this entire sub-specialty.  In addition, large numbers of high-quality data have emerged that support more heartily the safety and efficacy of these techniques.  Major international societies now routinely include hands-on training and scientific content of this field in meetings and educational efforts, and many trainees and practitioners are looking for resources to improve their knowledge and technical skills sets.  For these reasons, an update on this rapidly advancing field seems appropriate at this time, given the enormous amount of new content available. Endoscopic surgical procedures allow for less invasive access for performing increasingly complex procedures.  This results in maximal benefit for patients with fewer complications, faster recovery, and less pain.  Endoscopy allows access to the gastrointestinal tract without transgressing the abdominal or chest walls, by means of a truly less invasive route.  These technologies and skills are being sought out by practitioners and asked for by patients.The proposed textbook is designed to present a comprehensive and state-of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform.  Written by experts and emerging  specialists in that field, each of these sections will address patientselection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.  A review of the existing literature addressing the particular topic will follow in each section.  Extensive endoscopic images and illustrations will make this an interactive text.  In addition to updates on most topics in the previous manual, this edition will include exciting new fields of advanced imaging, artificial intelligence and augmented imaging, applications of robotics to endoscopy, and more robust exposure of endoscopic applications for treatment of obesity, a worldwide epidemic.The subject of surgical endoscopy has changed meaningfully since publication of the first edition; now a substantial focus of major journals, scientific meetings, and online platforms.  A timely update can capture this broad subject in an accessible manual focused on technologies and data supporting these interventions.

In 2016 the first edition of the SAGES Manual Operating through the Endoscope was published.   At the time, this represented a review of cutting-edge new technologies that were being introduced within the field of flexible endoscopy.  Largely based on applications and data up to 2013, this served as a unique resource for clinicians and researchers to learn about this expanding field.  Since then, there has been a significant expansion of new technologies and procedures within this discipline that have meaningfully changed this entire sub-specialty.  In addition, large numbers of high-quality data have emerged that support more heartily the safety and efficacy of these techniques.  Major international societies now routinely include hands-on training and scientific content of this field in meetings and educational efforts, and many trainees and practitioners are looking for resources to improve their knowledge and technical skills sets.  For these reasons, an update on this rapidly advancing field seems appropriate at this time, given the enormous amount of new content available. Endoscopic surgical procedures allow for less invasive access for performing increasingly complex procedures.  This results in maximal benefit for patients with fewer complications, faster recovery, and less pain.  Endoscopy allows access to the gastrointestinal tract without transgressing the abdominal or chest walls, by means of a truly less invasive route.  These technologies and skills are being sought out by practitioners and asked for by patients.The proposed textbook is designed to present a comprehensive and state-of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform.  Written by experts and emerging  specialists in that field, each of these sections will address patientselection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.  A review of the existing literature addressing the particular topic will follow in each section.  Extensive endoscopic images and illustrations will make this an interactive text.  In addition to updates on most topics in the previous manual, this edition will include exciting new fields of advanced imaging, artificial intelligence and augmented imaging, applications of robotics to endoscopy, and more robust exposure of endoscopic applications for treatment of obesity, a worldwide epidemic.The subject of surgical endoscopy has changed meaningfully since publication of the first edition; now a substantial focus of major journals, scientific meetings, and online platforms.  A timely update can capture this broad subject in an accessible manual focused on technologies and data supporting these interventions.

Obesity is an epidemic - more than 40% of the United States population suffers from obesity and, as such, it has a high burden of weight-related conditions and diseases.  Metabolic and bariatric surgery has proven to be the most effective and durable treatment of severe obesity.  Technological advances including applications of laparoscopy, robotics and endoluminal techniques have rapidly advanced this field.  Data and outcomes examining treatments have also improved and, as providers, we have a wide spectrum of therapeutic options to treat patients.As techniques and outcomes change rapidly, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited.  The third edition of this manual is designed to present a comprehensive and state-of the-art approach to the current and future status of metabolic and bariatric surgery.  Sections will address the evolution in specific treatments available to patients, initial evaluation, and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy.  In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes.

Essentials of Robotic Surgery is designed to present a comprehensive and state-of-the-art approach to robotic surgery within the broad confines of general surgery. Sections address preliminary issues faced by surgeons who may be initially undertaking robotics. These areas include training, basic techniques and setup, as well as general troubleshooting.  Subsequent chapters focus on specific disease processes and the robotic applications for those procedures. Written by experts in the field, each of these sections addresses patient selection, preoperative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on other robotic platforms beyond the only current FDA approved device (Intuitive Surgical) as well as future directions, including single-site, enhanced imaging, 3-D modeling, and tele-proctoring, including to and distant site surgery. Extensive illustrations and links to video make this an interactive text that will be of great value to general surgeons and associated sub-specialists, trainees including residents and fellows, fully trained surgeons looking to start a robotic surgery practice, and experienced robotic surgeons looking to expand the types of procedures that they currently perform robotically.

Essentials of Robotic Surgery is designed to present a comprehensive and state-of-the-art approach to robotic surgery within the broad confines of general surgery. Sections address preliminary issues faced by surgeons who may be initially undertaking robotics. These areas include training, basic techniques and setup, as well as general troubleshooting.  Subsequent chapters focus on specific disease processes and the robotic applications for those procedures. Written by experts in the field, each of these sections addresses patient selection, preoperative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on other robotic platforms beyond the only current FDA approved device (Intuitive Surgical) as well as future directions, including single-site, enhanced imaging, 3-D modeling, and tele-proctoring, including to and distant site surgery. Extensive illustrations and links to video make this an interactive text that will be of great value to general surgeons and associated sub-specialists, trainees including residents and fellows, fully trained surgeons looking to start a robotic surgery practice, and experienced robotic surgeons looking to expand the types of procedures that they currently perform robotically.

This manual presents a comprehensive and state of the-art approach to the diverse applications of surgical techniques and procedures through the endoscopic platform. Sections address preliminary issues faced by surgeons and physicians who may be initially undertaking these new techniques. These areas include training and credentialing, as well as tools and platforms commonly used for these procedures. Subsequent chapters focus on specific disease processes and the endoscopic applications for those procedures. Each section addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on future directions and device development. Written by experts in the field, The SAGES Manual Operating Through the Endoscope is a valuable resource to experienced advanced endoscopists looking to expand the types of procedures that they currently perform, as well as trainees, including residents, fellows and medical students.