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Endoscopic Surgery of the Potential Anatomical Spaces

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“Anatomical potential spaces” is an attractive and no more abstract concept that offers new perspectives to a surgical world that is rapidily changing and becoming more complex.

Powerful new technologies demand our attention and testify that our clinical work and research are deeply influenced by surgical innovations. These latter dramatically modified approaches to treatment through the introduction of entirely new interventions such as minimally invasive surgical procedures, whose real appeal is represented by less invasiveness.

This constantly evolving research environment has gained large acceptance by surgeons accustomed to prompt adaptation to a new trend and inclined to nimble behaviour in the face of innovations. This behaviour, however, requires a rigorous control in order to lead to more reliable, evidence-based practice and to slow or halt the enthusiasm for some harmful or unhelpful treatments, especially if they are proven to be no better than standard procedures.

This particular area of concern has received our attention: to understand whether innovations should be considered as evolutionary variations on a standard procedure or the first stage of what should become recognized as a formal surgical research project.

"Potential anatomical spaces" have attracted surgeons in the past and in recent years. Due to the development of modern imaging techniques and the advent of minimally invasive surgery, access to these spaces has become a real surgical option. The purpose of this book is to document the challenges related to "potential anatomical spaces", traditionally described as "hidden" spaces. The spread of video-assisted surgery and its application in the management of diseases involving organs or anatomical structures placed in the "potential spaces" (neck, mediastinum, pro-peritoneum and retro-peritoneum, subfacial space of the leg, and axilla), has rendered their surgical anatomy less abstract.

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