This manual represents the ambitious project of summarizing in a comprehensive fashion current thinking on and techniques of biliary and pancreatic surgery for surgeons, residents, and practitioners. It includes an account of the relevant anatomy and physiology as well as a review of diagnostic methods and operative management. I was at first skeptical and even cynical when I began this review and thought that no concise text could satisfy these objectives. Dr Hermann and his colleagues at the Cleveland Clinic have proved me wrong. Their extensive experience in biliary tract and pancreatic surgery is reflected throughout the text, which provides sound, rapid advice to the young surgeon in training who wishes to brush up on his facts before going to the operating room.
Occasionally I was frustrated by the lack of in-depth information and discussion and had to remind myself that this text attempts simply to highlight approaches to patient