Minimal access, whenever feasible, in the performance of most general surgical procedures is now well established. However, many areas still need clari? cation. They range from indications and contraindications to the optimal route of access, as well as to choices to be made among the various procedures possible for any single surgical problem. This M- ual is unique in that unlike most manuals it is not so much a "how to" but more a "when to," the...