OBJECTIVES: Currently, skills labs are becoming increasingly important in the field of medical education. The aims of this study are to objectively assess psychomotor skill acquisition for surgical residents and medical students by five-day training using a box trainer.MATERIALS AND METHODS: Twelve surgical residents (SR group) with minimum experience of laparoscopic surgery and 9 medical […]
Background:Gastric Bypass is an increasingly common procedure. Associated rare complications have a related increased occurrence. Marginal ulceration at the gastrojejunal anastomosis has a reported incidence of 5 to 12%. In most instances these ulcers can be managed conservatively using acid suppression with proton pump inhibitors and sucralfate. There is a troublesome subset of this population, […]
Background:Primary laparoscopic hiatal hernia repair is associated with up to a 42% recurrence rate. This has lead to the use of mesh for crural repair, which has resulted in an improved recurrence rate (0-24%). However, mesh complications have been reported. Methods:We compiled three cases and our senior author contacted other experienced esophageal surgeons who provided […]
INTRODUCTION: The risk of anastomotic leak in the laparoscopic colorectal resection with the Double Stapling Technique (DST) increases when the endo-linearstapler (ELS) is used more than three times in dividing the distal rectum. The anastomotic breakdown may be caused by the low blood perfusion at the site of gStaple on Stapleh. Therefore, it is important […]
Objective: The aim of this study was to identify factors affected by surgeon’s experience of laparoscopic resection for rectal cancer.Methods: A total of 200 consecutive resections between June1995 and August 2007 were analyzed in an attempt to define a learning curve. These resections were divided into three groups, which were operated on by surgeons with […]