Introduction: The severe liver bed bleeding is one of the common problems during the laparoscopic cholecystectomy. Most of the bleeding is from injured middle hepatic vein (MHV), and from portal vein (PV) occasional as well. Dynamic flow investigation by the doppler ultrasonography (DUS) is useful to find the depth of the vein from the liver […]
Introduction: This study reports the adaptation of three tasks to the ProMIS® device and validates the use of these laparoscopic simulation tasks to differentiate novices from experts. Despite years of laparoscopic skill education, few tasks have been validated, and even fewer have been adapted to various simulator platforms and re-validated. Methods: The bean drop, block […]
INTRODUCTION. The purpose of this study is to determine the typical forces that instruments must be able to exert on tissue when performing surgery in the abdomen while accessing the tissue through natural orifices. The feasibility of NOTES is currently limited by a number of factors including the lack of suitable instruments. Current instruments are […]
Objective: Cholecystectomy performed using the Single Incision Laparoscopic Surgery (SILS) technique should not cost significantly more or less than standard multiport cholecystectomy. Single access techniques are becoming more common for a multitude of laparoscopic procedures. Criticism has revolved around potential costs associated with increased operative time and use of innovative equipment. Methods: Retrospective cost data […]
INTRODUCTION: Traditionally laparoscopic cholecystectomies are done with dissection just in the region of Calot’s triangle. With the advent of single incision laparoscopic cholecystectomies, the Calot’s triangle approach makes the procedure technically difficult to perform. In our seres of single incision laparoscopic cholecystectomies,the fundus first approach made the procedure technically easier and easily reproducible. METHODS AND […]