It seems like I never opened it after purchasing it. There are no writings, folds, or stains, and I think it's in good condition. Please forgive any oversight of minor stains, as it's been stored by a private individual. "Thoracoscopic and Laparoscopic Combined Esophageal Cancer Radical Surgery: From Surgery to Perioperative Management" Department of Gastroenterological and General Surgery, Showa University Price: ¥8000 #ShowaUniversityDepartmentofGastroenterologicalandGeneralSurgery #book #nature/medicalscience/health