We retrospectively reviewed 801 consecutive patients undergoing a laparoscopic cholecystectomy. These were performed in a single institution between January 2006 and December 2008. Of these patients, 18 were HIV positive. Of the 18 HIV positive patients, 11 were actively taking HAART medication. The CD4 count was available in 14 patients (mean 264, range 33-500). 3 […]
Objectives: The Fundamentals of Laparoscopy Surgery (FLS) is a validated program endorsed by SAGES to teach and assess laparoscopic technical skill. One of the common criticisms of the FLS program, however, is the necessity of the presence of an experienced proctor, to set up the system, as well as to provide assessment and constructive feedback. […]
The patient is a 53 yo F with stage III symptomatic rectocele. 1. Installation/ PositioningThe patient is in gynecological position. We used 4 trocars. 2. Exposure to/of the operative fieldThanks to a pronounced Trendelenburg position the sigmoid loop is retracted appropriately. The uterus is fixed on the anterior abdominal wall.Findings: Douglas pouch is enlarged. Excces […]
Background/Aims: The aim of this study was to determine the feasibility and technical aspects of a new endoluminal surgical procedure: transvaginal laparoscopically assisted endoscopic cholecystectomy. Methodology: Three female patients underwent transvaginal laparoscopically assisted endoscopic cholecystectomy (age range: 40, 61 and 33 years). Pneumoperitoneum was created through 5mm supraumbilical incision. Through the posterior fornix of the […]
Purpose, Method As we previously reported, the Japan Society of Endoscopic Surgery (JSES) has founded the Endoscopic Surgical Skill Qualification System (ESSQS) in 2004. Applicants were requested to submit unedited videotapes that recorded laparoscopic procedures. Submitted videotapes were evaluated with prepared criteria, namely general (60 pts) and procedure specific (40 pts) criteria, in a double […]