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General thoracic surgery, 4th edition
Ann Thorac Surg 1995;59:56-9
PERIER AND CLAUSNIZER ISOLATED CLEFT MITRAL VALVE
sionelle et Doppler puls6. A n n Cardiol Angeiol (Paris) 1987; 36:347-50. 25. Di Segni E, Kaplinsky E, Klein HO. Color Doppler echocardiography of isolated cleft mitral valve. Roles of the cleft a n d the accessory chordae. Chest 1992;101:12-5. 26. Perier P, Deloche A, Chauvaud S, et al. Comparative evaluation of mitral valve repair a n d replacement with Starr, Bj6rk and porcine valve prostheses. Circulation 1984;70 (Suppl 1):187-92. 27. Craver JM, Cohen C, Weintraub WS. Case-matched comparison of mitral valve replacement a n d repair. A n n Thorac Surg 1990;49:964-9.
REVIEW
OF RECENT
59
28. Chachques J, Vasseur B, Perier P, Balansa B, Chauvaud S, Carpentier A. A rapid method to stabilize biological material for cardiovascular surgery. A n n N Y Acad Sci 1988;529: 184-6. 29. Chauvaud S, Jebara V, Chachques JC, et al. Valve extension with glutaraldehyde-preserved autologous pericardium. Results in mitral valve repair. J Thorac Cardiovasc Surg 1991; 102:171-8. 30. Di Segni E, Bass JL, Lucas RV, Einzig S. Isolated cleft mitral valve: a variety of congenital mitral regurgitation identified by 2-dimensional echocardiography. Am J Cardiol 1983;51: 927-31.
BOOKS
General Thoracic Surgery, 4th edition Edited by Thomas W. Shields, MD Baltimore, Williams and Wilkins, 1994 1,816 pp, illustrated, $198.00
Reviewed by Benedict D. T. Daly, MD The fourth edition of General Thoracic Surgery replaces the third edition published in 1989. In many ways the fourth edition resembles earlier ones. The organization and general format are similar. The contributors include leaders in various aspects of the science and practice of the specialty. Doctor Shields remains the author or co-author of 20% of the chapters and is clearly the principal contributor and architect of this work. The fourth edition, however, has been completely revised, updated, and expanded. It comes in two volumes with 50% more pages, a significant increase in the n u m b e r of illustrations, a more comprehensive index, expanded coverage of the newer aspects of general thoracic surgery, and significantly greater attention to the technical aspects of both common and uncomm o n thoracic procedures. The references are current through 1993 and some are as recent as early 1994. The book is divided u n d e r four headings. Under the first heading is a new a n d single chapter that introduces the specialty of general thoracic surgery and its early history. Considered u n d e r the second heading are the lung and its contiguous structures, the pleura, diaphragm, and chest wall. There are 16 sections with 101 chapters u n d e r this heading. All of the chapters have b e e n revised and several completely rewritten and reillustrated. The chapter on the lymphatics of the lung has been expanded with greater attention to the anatomy of the lobar and hilar nodes and the current theories of the routes of lymphatic drainage of the lungs to the mediastinal lymph nodes. The sections on pulmonary and tracheal resections exhaustively and authoritatively detail and illustrate all of the common operations in this area. In the chapter on lobectomy each operative maneuver is detailed for each lobe. The description of the technique of p n e u m o n e c t o m y is directed primarily to the excision of the lung in cancer patients; the author's use of a diaphragmatic flap to close a pericardial defect is interesting but probably will find little general acceptance. In the section on tracheal pneumonectomy the old concept of a two-staged procedure on the left is replaced by a more appropriate one-stage operation using a combined median sternotomy and left thoracotomy. Finally, the techniques of unilateral and bilateral mediastinal lymph node dissections are well described. The importance of staging in the m a n a g e m e n t of malignant disease is emphasized. In the section © 1995 by The Society of Thoracic Surgeons
on lung cancer, the recent advances in molecular biology and immunology are detailed. The principles of chemotherapy and radiation therapy are reviewed as well as their application in the nonoperative a n d adjuvant settings. The section on the neoadjuvant approach is cautious but probably should be more enthusiastic in light of the more recent literature and my own experience. The physiology of the pleura and pleural space are detailed. The section on pleural tumors has been expanded to include the new concept of solitary fibrous tumors of the pleura rather than the older and inappropriate discussion of benign pleural mesotheliomas. Recent advances in treatment and resection of malignant pleural mesotheliomas are finely detailed. The section on transplantation has been completely rewritten and expanded, and a chapter on video-assisted thoracic surgery has been added. Discussion devoted to the esophagus occurs u n d e r the third heading in the b o o k and coverage of this organ has been greatly increased. The anatomy, physiology, and diagnosis of esophageal disease all are detailed in several chapters devoted to this difficult organ. Two chapters are devoted to trauma, eight to benign esophageal disease including inflammatory diseases with a detailed discussion of Chagas' disease, and five to malignant esophageal disease. The section on operative procedures in the m a n a g e m e n t of esophageal disease is up to date and authoritatively details and extensively illustrates each of the major approaches to esophageal resection and replacement in a step-by-step approach. Each of these chapters reflects the personal experience of the contributing authors and is full of detail not easily found otherwise. Consideration of the mediastinum falls within the final heading of the book. It has been updated including a new chapter on video-assisted thoracic surgery. The coverage is complete; however, more comprehensive coverage of mediastinal disease can be found in Dr Shields" book Mediastinal Surgery. It is to be hoped that this book will be incorporated into the text in the next edition. General Thoracic Surgery is an important work. It defines the field of general thoracic surgery in a comprehensive fashion and provides a foundation of knowledge for those working in the field. The in-depth descriptions of the technical aspects of operations are a must for all learning these procedures. Finally, the book provides a readily available, almost encyclopedic but easily readable resource for the practitioner, resident, and medical student confronted with the diversity and complexity of conditions encountered in general thoracic surgical practice.
Boston, Massachusetts 0003-4975/95/$9.50 0003-4975(94)00871-4
PERIER AND CLAUSNIZER ISOLATED CLEFT MITRAL VALVE
sionelle et Doppler puls6. A n n Cardiol Angeiol (Paris) 1987; 36:347-50. 25. Di Segni E, Kaplinsky E, Klein HO. Color Doppler echocardiography of isolated cleft mitral valve. Roles of the cleft a n d the accessory chordae. Chest 1992;101:12-5. 26. Perier P, Deloche A, Chauvaud S, et al. Comparative evaluation of mitral valve repair a n d replacement with Starr, Bj6rk and porcine valve prostheses. Circulation 1984;70 (Suppl 1):187-92. 27. Craver JM, Cohen C, Weintraub WS. Case-matched comparison of mitral valve replacement a n d repair. A n n Thorac Surg 1990;49:964-9.
REVIEW
OF RECENT
59
28. Chachques J, Vasseur B, Perier P, Balansa B, Chauvaud S, Carpentier A. A rapid method to stabilize biological material for cardiovascular surgery. A n n N Y Acad Sci 1988;529: 184-6. 29. Chauvaud S, Jebara V, Chachques JC, et al. Valve extension with glutaraldehyde-preserved autologous pericardium. Results in mitral valve repair. J Thorac Cardiovasc Surg 1991; 102:171-8. 30. Di Segni E, Bass JL, Lucas RV, Einzig S. Isolated cleft mitral valve: a variety of congenital mitral regurgitation identified by 2-dimensional echocardiography. Am J Cardiol 1983;51: 927-31.
BOOKS
General Thoracic Surgery, 4th edition Edited by Thomas W. Shields, MD Baltimore, Williams and Wilkins, 1994 1,816 pp, illustrated, $198.00
Reviewed by Benedict D. T. Daly, MD The fourth edition of General Thoracic Surgery replaces the third edition published in 1989. In many ways the fourth edition resembles earlier ones. The organization and general format are similar. The contributors include leaders in various aspects of the science and practice of the specialty. Doctor Shields remains the author or co-author of 20% of the chapters and is clearly the principal contributor and architect of this work. The fourth edition, however, has been completely revised, updated, and expanded. It comes in two volumes with 50% more pages, a significant increase in the n u m b e r of illustrations, a more comprehensive index, expanded coverage of the newer aspects of general thoracic surgery, and significantly greater attention to the technical aspects of both common and uncomm o n thoracic procedures. The references are current through 1993 and some are as recent as early 1994. The book is divided u n d e r four headings. Under the first heading is a new a n d single chapter that introduces the specialty of general thoracic surgery and its early history. Considered u n d e r the second heading are the lung and its contiguous structures, the pleura, diaphragm, and chest wall. There are 16 sections with 101 chapters u n d e r this heading. All of the chapters have b e e n revised and several completely rewritten and reillustrated. The chapter on the lymphatics of the lung has been expanded with greater attention to the anatomy of the lobar and hilar nodes and the current theories of the routes of lymphatic drainage of the lungs to the mediastinal lymph nodes. The sections on pulmonary and tracheal resections exhaustively and authoritatively detail and illustrate all of the common operations in this area. In the chapter on lobectomy each operative maneuver is detailed for each lobe. The description of the technique of p n e u m o n e c t o m y is directed primarily to the excision of the lung in cancer patients; the author's use of a diaphragmatic flap to close a pericardial defect is interesting but probably will find little general acceptance. In the section on tracheal pneumonectomy the old concept of a two-staged procedure on the left is replaced by a more appropriate one-stage operation using a combined median sternotomy and left thoracotomy. Finally, the techniques of unilateral and bilateral mediastinal lymph node dissections are well described. The importance of staging in the m a n a g e m e n t of malignant disease is emphasized. In the section © 1995 by The Society of Thoracic Surgeons
on lung cancer, the recent advances in molecular biology and immunology are detailed. The principles of chemotherapy and radiation therapy are reviewed as well as their application in the nonoperative a n d adjuvant settings. The section on the neoadjuvant approach is cautious but probably should be more enthusiastic in light of the more recent literature and my own experience. The physiology of the pleura and pleural space are detailed. The section on pleural tumors has been expanded to include the new concept of solitary fibrous tumors of the pleura rather than the older and inappropriate discussion of benign pleural mesotheliomas. Recent advances in treatment and resection of malignant pleural mesotheliomas are finely detailed. The section on transplantation has been completely rewritten and expanded, and a chapter on video-assisted thoracic surgery has been added. Discussion devoted to the esophagus occurs u n d e r the third heading in the b o o k and coverage of this organ has been greatly increased. The anatomy, physiology, and diagnosis of esophageal disease all are detailed in several chapters devoted to this difficult organ. Two chapters are devoted to trauma, eight to benign esophageal disease including inflammatory diseases with a detailed discussion of Chagas' disease, and five to malignant esophageal disease. The section on operative procedures in the m a n a g e m e n t of esophageal disease is up to date and authoritatively details and extensively illustrates each of the major approaches to esophageal resection and replacement in a step-by-step approach. Each of these chapters reflects the personal experience of the contributing authors and is full of detail not easily found otherwise. Consideration of the mediastinum falls within the final heading of the book. It has been updated including a new chapter on video-assisted thoracic surgery. The coverage is complete; however, more comprehensive coverage of mediastinal disease can be found in Dr Shields" book Mediastinal Surgery. It is to be hoped that this book will be incorporated into the text in the next edition. General Thoracic Surgery is an important work. It defines the field of general thoracic surgery in a comprehensive fashion and provides a foundation of knowledge for those working in the field. The in-depth descriptions of the technical aspects of operations are a must for all learning these procedures. Finally, the book provides a readily available, almost encyclopedic but easily readable resource for the practitioner, resident, and medical student confronted with the diversity and complexity of conditions encountered in general thoracic surgical practice.
Boston, Massachusetts 0003-4975/95/$9.50 0003-4975(94)00871-4