Background: Regional variation in the performance of surgical procedures exists, and indicates an inefficient health care system. Variation in the performance of minimally invasive surgical procedures has not been studied. The goal of this study was to examine regional variation in the performance of common minimally invasive surgical procedures.
Methods: Five surgical procedure groups that can be readily performed via open or minimally invasive techniques were selected: cholecystectomy, append
BACK GROUND; total mesorctal excison(TME) minimizes urinary dysfunction, facilitating autonomic nerve preservation during rectal caancer surgery. However urinary catheter drainage for several days after TME is acommon surgical practice, despite insufficient evidence supporting its routine use
PURPOSE The aim of this study was to evaluate optimal duration of urinary catheter drainage after TME
METHODS Between april 2011 to july 2014, 120 consecutive patients underwent resection for Rectal cance
We reported two cases of esophageal submucosal tumor treated by thoracoscopic enucleation.
Case 1 is that of a 61-year-old woman who was refered to our hospital for examination of a posterior mediastinal tumor by computed tomography. An esophageal submucosal tumor was suspected,and we planned thoracoscopic enucleation with the patient in a prone position.Following esophagomyotomy,the tumor was enucleated, and the esophageal muscle layer was sutured thoracoscopically .Pathological analysis revea
INTRODUCTION
Laparoscopic appendectomy has been shown to decrease postoperative length of stay as compared to open appendectomy in the management of acute appendicitis. Computerized Tomography (CT) is increasingly being used as an adjunct in the diagnosis of acute appendicitis. An appendix with thickness greater than 7 mm is generally suggestive of acute appendicitis. However, size of the appendix and its impact on duration of surgery, postoperative length of stay and postoperative complicatio
INTRODUCTION
Submucosal tumor (SMT) of the esophagus is treated surgically, if the patient has any symptom or if there is a possibility of malignancy. The enucleation of the tumor is often performed under endoscopic procedure, however this is not necessarily easy. In some cases, intraoperative detection of the tumor is difficult. Esophagus is located in the narrow space that we have difficulty developing an optimal surgical field. In addition, the capsule of the tumor is so delicate that there