Introduction: Laparoscopic cholecystectomy (LC) is one of the most common surgical procedures performed by non academic surgeons as well as general surgery residents, under the supervision of academic surgeons. Bile duct injury is a catastrophic complication of this procedure. There is a general perception that performance of LC in a facility with a surgical training […]
Introduction: With the advent of clinical fellowships in general surgery, there has been a continual debate over the effect on general surgical resident training. Will the fellowship interfere with chief resident experience or case volume? We hypothesize that the presence of an advanced laparoscopic fellow in our tertiary care hospital and residency has had no […]
Overview: Our patient is a 69 year old female who presented for evaluation of rightthigh mass. Initially believed to represent a soft tissue malignancy, the mass waseventually found to be a femoral hernia containing incarcerated appendix. She underwent successful simultaneous laparoscopic TAPP herniorrhaphy and appendectomy. Background: Femoral hernia containing the appendix was first described in […]
Introduction: SSL, though promising, introduces ergonomic challenges due to loss of instrument triangulation as obtained in conventional laparoscopy. This limitation makes establishing the critical view during dissection of the Triangle of Calot (TOC) difficult and has resulted in a variety of strategies to overcome the problem. This study investigates use of a novel percutaneous grasper […]
INTRODUCTION: Laparoscopic surgery presents several challenges to the novice learner. Laparoscope positioning has been suggested to affect performance. We hypothesized that an off-center laparoscope position would lead to poorer performance and increased workload of the performer. METHODS: General surgery residents (n=11) voluntarily participated in the study protocol. In a live porcine model, three trocars were […]