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Surgery, Gastroenterolog, Laparoscopy.

M S Raghu Prasad, Muniyandi Manivannan, Govindan Manoharan, S M Chandramohan
BACKGROUND: Most of the commercially available virtual reality-based laparoscopic simulators do not effectively evaluate combined psychomotor and force-based laparoscopic skills. Consequently, the lack of training on these critical skills leads to intraoperative errors. OBJECTIVES: To assess the effectiveness of the novel virtual reality-based simulator, this study analyzed the combined psychomotor (i.e., motion or movement) and force skills of residents and expert surgeons...
September 2016: Journal of Surgical Education
G Mattioli, A Barabino, M Aloi, S Arrigo, T Caldaro, M Carlucci, S Cucchiara, P De Angelis, G Di Leo, M T Illiceto, P Impellizzeri, L Leonelli, G Lisi, G Lombardi, S Martelossi, M Martinelli, E Miele, A Randazzo, C Romano, C Romeo, E Romeo, F Selvaggi, S Valenti, L Dall'Oglio
BACKGROUND AND AIMS: Recent epidemiological studies showed an increase in ulcerative colitis among children, especially in its aggressive form, requiring surgical treatment. Although medical therapeutic strategies are standardized, there is still no consensus regarding indications, timing and kind of surgery. This study aimed to define the surgical management of paediatric ulcerative colitis and describe attitudes to it among paediatric surgeons. METHODS: This was a retrospective cohort study...
July 2015: Journal of Crohn's & Colitis
Christof Mittermair, Jan Schirnhofer, Eberhard Brunner, Katharina Pimpl, Christian Obrist, Michael Weiss, Helmut G Weiss
Single incision laparoscopy (SIL) has become an emerging technology aiming at a further reduction of abdominal wall trauma in minimally invasive surgery. Available data is encouraging for the safe application of standardized SIL in a wide range of procedures in gastroenterology and hepatology. Compared to technically simple SIL procedures, the merit of SIL in advanced surgeries, such as liver or colorectal interventions, compared to conventional laparsocopy is self-evident without any doubt. SIL has already passed the learning curve and is routinely utilized in expert centers...
November 14, 2014: World Journal of Gastroenterology: WJG
Jacek Piątkowski, Marek Jackowski, Jacek Szeliga
INTRODUCTION: Esophageal hiatal hernias are the most frequent types of internal hernias. This condition involves disturbance of normal functioning of the stomach cardiac mechanism and reflux of the gastric contents to the esophagus. AIM: To evaluate postoperative results in our Clinic and the comparison of these results to data from the literature. MATERIAL AND METHODS: One hundred and seventy-eight patients underwent surgery due to esophageal hiatal hernia at the Clinic of General, Gastroenterological and Oncological Surgery, Collegium Medicum, Bydgoszcz, Nicolaus Copernicus University, Torun, Poland, from 2006 to 2011...
March 2014: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
A H van Dijk, M Lamberts, C J H M van Laarhoven, J P H Drenth, M A Boermeester, P R de Reuver
Gallstone disease is one of the most common problems in the gastroenterology and is associated with significant morbidity. It may present as stones in the gallbladder (cholecystolithiasis) or in the common bile duct (choledocholithiasis). At the end of the 1980s laparoscopy was introduced and first laparoscopic cholecystectomy was performed in 1985. The laparoscopic technique for removing the gallbladder is the current treatment of choice, although indications for open surgery exist. To perform laparoscopic cholecystectomy as safe as possible multiple safety measures were developed...
February 2014: Best Practice & Research. Clinical Gastroenterology
A Fetti, F Zaharie, M Geza, F Graur, R Scurtu, R Seiceanu, V Binţinţan, R Motocu, T Mocanu, L Fetti, C Ciuce, C Iancu
UNLABELLED: The aim of this study was to establish the efficiency, safety and feasibility of laparoscopic surgery for rectal cancer by assessing the short-term outcomes. MATERIALS AND METHODS: In this prospective clinical study, from 2008 to 2011, 60 patients with laparoscopic resection for rectal cancer were included, treated in "Prof. Dr. Octavian Fodor" Gastroenterology and Hepatology Institute, Department of Surgery and Surgery Clinic I, Cluj-Napoca. RESULTS: Surgical procedures included 38 abdominal-perineal resections, 21 anterior resections and 1 Hartmann procedure...
November 2012: Chirurgia
Ning Li, Jun Jiang, Xiaobo Feng, Weiwei Ding, Jianlei Liu, Jieshou Li
BACKGROUND: Surgery is indicated for chronic constipation refractory to conservative therapy. The treatment of combined slow-transit constipation and obstructive defecation is controversial. OBJECTIVE: The aim of the study is to describe the Jinling procedure and examine safety, effectiveness, and quality of life over 4 years of follow-up. DESIGN: The study is a retrospective review of prospectively gathered data in a patient registry database...
January 2013: Diseases of the Colon and Rectum
A C Critchley, A W Phillips, S M Bawa, P V Gallagher
INTRODUCTION: Laparoscopic surgery has become increasingly popular for elective surgery but it has gained slow transference to emergency surgery. The management of perforated peptic ulcers (PPU) laparoscopically is an accepted strategy yet it still remains infrequently used. The purpose of this study was to analyse the utility and outcomes of laparoscopy versus open repair for PPU in a district general hospital. In addition, we evaluated whether the subspecialty of the on-call consultant affected the method of repair performed and the training opportunities for trainee surgeons...
November 2011: Annals of the Royal College of Surgeons of England
F Marek, V Procházka, Z Kala, J Dolina, T Pavlík
AIM: Gastroesophageal reflux disorder (GERD) is a serious health problem in the Western world, with prevalence rates between 9 and 42%. The correct preoperative diagnostics including assessment of symptomatology is a prerequisite for the establishment of adequate therapy, including surgery. The aim of this study was to assess the quality of life in patients with GERD, based on their preoperative symptomatology. METHODS: From IX/2004 to XII/2008, a total of 237 patients underwent antireflux procedures in the Brno Faculty Hospital (FN Brno) Surgical Clinic...
March 2011: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Mark R Wilson, Jamie M Poolton, Neha Malhotra, Karen Ngo, Elizabeth Bright, Rich S W Masters
BACKGROUND: The purpose of the present study was to develop and validate a multidimensional, surgery-specific workload measure (the SURG-TLX), and to determine its utility in providing diagnostic information about the impact of various sources of stress on the perceived demands of trained surgical operators. As a wide range of stressors have been identified for surgeons in the operating room, the current approach of considering stress as a unidimensional construct may not only limit the degree to which underlying mechanisms may be understood but also the degree to which training interventions may be successfully matched to particular sources of stress...
September 2011: World Journal of Surgery
O S Vasnev, A V Nikanorov, D O Kim, A A Masharova, O B Ianova
Surgical treatment of patients with neuromuscular diseases of the esophagus is a separate issue, and the approach to antireflux surgery they differ from fundoplication for gastroesophageal reflux disease. At the Central Research Institute of Gastroenterology in 2010 yr were 17 patients with neuromuscular diseases of the esophagus laparoscopic fundoplication. Analysis of results showed the effectiveness of laparoscopic fundoplication in patients with severe esophageal motility.
2011: Experimental & Clinical Gastroenterology
J Jähne
No abstract text is available yet for this article.
June 2011: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Emad Hamdy
BACKGROUND/AIMS: The short-term outcomes of laparoscopic antireflux surgery (LARS) in treatment of gastroesophageal reflux disease (GERD) are quite good, but some long-term studies have shown that the early good results are worsening with time.The aim of this study was to evaluate retrospectively, the long-term outcome of LARS with special attention to determinant factors. METHODOLOGY: From August 1994 (start of Mansoura program) to June 2004, 250 patients underwent LARS at the Mansoura gastroenterology surgical center, Mansoura University, Egypt...
January 2011: Hepato-gastroenterology
Akihiko Horiguchi, Ichiro Uyama, Masahiro Ito, Shin Ishihara, Yukio Asano, Toshiyuki Yamamoto, Yoshinori Ishida, Shuichi Miyakawa
BACKGROUND: In the field of gastroenterological surgery, laparoscopic surgery has advanced remarkably, and now accounts for most gastrointestinal operations. This paper outlines the current status of and future perspectives on robot-assisted laparoscopic pancreatectomy. METHODS: A review of the literature and authors' experience was undertaken. RESULTS: The da Vinci Surgical System is a robot for assisting laparoscopy and is safer than conventional endoscopes, thanks to the 3-dimensional hi-vision images it yields, high articular function with the ability to perform 7 types of gripping, scaling function enabling 2:1, 3:1, and 5:1 adjustment of surgeon hand motion and forceps motions, a filtering function removing shaking of the surgeon's hand, and visual magnification...
July 2011: Journal of Hepato-biliary-pancreatic Sciences
C Max Schmidt
BACKGROUND: Necrotizing pancreatitis is the most severe end of the spectrum of acute pancreatitis. Interventional treatment (i.e., "who, when, and how") of necrotizing pancreatitis is an ongoing source of considerable controversy. Novel minimally invasive strategies are being increasingly employed to perform pancreatic necrosectomy. METHODS: The Society for Surgery of the Alimentary Tract, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy recently convened a State-of-the-Art Conference to analyze the experience and evidence that these minimally invasive treatments are beneficial in select patients with necrotizing pancreatitis...
July 2011: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
O S Vasnev, A V Nikanorov, O V Ishchenko
Antireflux surgery in recent years become a standard treatment for complicated forms of gastroesophageal reflux disease (GERD). Complicated forms of GERD are usually the result of the availability of hiatal hernia (HH). Acquired shortening of the esophagus is a natural complication of severe reflux esophagitis developing on a background of sliding HH. Among surgeons disagree about the appropriateness of the laparoscopic antireflux interventions for patients with a shortening of the esophagus. On the basis of the Central Research Institute of Gastroenterology 35 patients were performed to laparoscopic surgery by truncation of the esophagus...
2010: Experimental & Clinical Gastroenterology
G Kähler
The structure of disciplines in human medicine is in a constant state of flux. The dominating processes in the past were specialization and differentiation but nowadays we are faced with a new phenomena: new combinations of specialties which are dealing with the same organ systems and therefore the relationships have to be restructured. In many fields this re-defining process is unspectacular but between gastroenterology and abdominal surgery there are above-average problems which need to be analyzed.The overlap between both fields is particularly large...
December 2010: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Takuji Ozaki, Akira Tokunaga, Naoto Chihara, Masanori Yoshino, Hideki Bou, Masao Ogata, Masanori Watanabe, Hideyuki Suzuki, Eiji Uchida
The efficacy of total colonoscopy following a positive result of the fecal occult blood test (FOBT) for the early detection of colorectal cancer and polyps was evaluated. A total of 1,491 patients with positive FOBT results underwent total colonoscopy at the Institute of Gastroenterology, Nippon Medical School, Musashi Kosugi Hospital, from April 2002 through July 2009. Abnormalities were found in 1,312 of the 1,491 patients (88.0%). Ninety-six of the 1,491 patients (6.4%) were found to have early cancer, but 59 patients (4...
August 2010: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
M Kleemann, A Kühling, P Hildebrand, R Czymek, S Limmer, H Wolken, U Roblick, H P Bruch, C Bürk
BACKGROUND: To date laparoscopic hepatic surgery is only common in a few centres for a specific selected patient group. The intention of this survey was to estimate the current state of affairs for laparoscopic hepatic surgery in Germany at 2008. MATERIALS AND METHODS: A questionnaire was prepared and sent out by e-mail in May 2009 to the members of the DGAV (German Society of General and Visceral Surgery). The feedback was evaluated anonymously. RESULTS: A total of 181 answers were received by 31st July 2009 (return rate of 15...
December 2010: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Toshiyuki Mori, Taizo Kimura, Masaki Kitajima
The Japan Society for Endoscopic Surgery (JSES) has established an Endoscopic Surgical Skill Qualification System and started examination in 2004. Non-edited videotapes were assessed by two judges in a double-blinded fashion with strict criteria. Two kinds of criteria, namely common and procedure-specific, were prepared. The common criteria were designed to evaluate set-ups, autonomy of the operator, display of the surgical field, recognition of surgical anatomy, co-operation of the surgical team. The procedure-specific criteria were made to assess the operation in a step-by-step fashion...
2010: Minimally Invasive Therapy & Allied Technologies: MITAT
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