Background: Colorectal cancer can be prevented by the detection and removal of adenomatous polyps. Studies suggest that polyp detection rate (PDR) may be affected by timing of colonoscopy due to endoscopist fatigue later in the day. The aim of our study is to assess the influence of the timing variables on PDR in a cohort of consecutive elective colonoscopies performed only by 4 certified endoscopists.
Methods: Univariate analysis and multivariate logistic regression analysis were performed on
Introduction: The objective of this study is to determine if colonoscopy quality is associated with the annual case volume of endoscopists.
Methods: A retrospective cohort study was performed on 3235 patients who underwent colonoscopy in the city of St. John’s, NL between January and June 2012. Using the electronic medical record system, including the endoscopy procedure report, the nursing record of the endoscopy, and the pathology report, data on subjects were collected on completion of co
INTRODUCTION:
The goal of this study was to compare surgeon stress and workload between single incision laparoscopic cholecystectomy (SILC) and 4-port laparoscopic cholecystectomy during an ongoing randomized trial. Despite patient satisfaction and preference, SILC may expose surgeons to an excessively high workload and stress that may impact surgeon health and performance.
METHODS AND PROCEDURES:
During a double-blind randomized controlled trial comparing patient outcomes for single port ver
Background: Ultrasonically activated devices have been used to achieve complete hemobiliary stasis as well as gallbladder dissection in the classic four-port laparoscopic cholecystectomy with encouraging results. The aim of this prospective study was to compare the surgical outcome of single-port laparoscopic cholecystectomy (SPLC) performed by the harmonic shears to that performed by the conventional clip & cautery technique.
Methods: Patients with symptomatic uncomplicated gallstone disease w
Background:
Bile duct injury (BDI) after laparoscopic cholecystectomy (LC) continues to have significant cost impact on our health care system, and can represent a significant source of morbidity for patients. We undertook a population-based assessment of the national experience with bile duct injury between 2001 and 2011 and compared this to our report for the prior decade.
Methods:
We utilized the Nationwide Inpatient Sample (NIS) for the years 2001 to 2011. All patients who underwent lap