BACKGROUND. The ACS National Surgical Quality Improvement Program (ACS NSQIP) is the first nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care. The program employs a prospective, peer controlled, validated database to quantify 30-day risk-adjusted surgical outcomes, which allows valid comparison of outcomes among all hospitals in the program. The […]
Introduction: Laparoscopic skills training is becoming the standard for educating surgical residents. Because of the specific procedure, and the difference from open surgery, it is imperative to establish unique training system to promote efficiency of learning laparoscopic skills. Recently in Japan, Japanese Society for Endoscopic Surgery (JSES) authorized technical experts (TA) who were certificated their […]
Introduction: Fundamentals of Laparoscopy (FLS) is the standard for demonstrating competency in basic laparoscopic skills. With a combination of formal and self-directed training, all senior residents in our program passed FLS. After testing is completed, it is critical that surgical residents retain the skills examined in FLS. Unfortunately, skill retention is suspect. This study assesses […]
Background: The endoscopic gastric perforation is a consequence of some endoscopic procedures and now a way to manage abdominal organs. This is the reason why endoscopists are studying a safe endoscopic repair.Methods: Ten White Landrace pigs underwent a gastric perforation of 1.8cm in diameter under general anesthesia. The opening was repaired with stitch assembled in […]
Introduction: Gastroesophageal reflux disease (GERD) is a common comorbid condition in morbidly obese gastric bypass candidates. The ideal operation for medically refractory GERD in a patient who is also morbidly obese is a laparoscopic Roux-en-Y gastric bypass (LRYGB). Unfortunately, some patients who ultimately present for bariatric surgery have previously undergone Nissen fundoplication for their GERD. […]