IntroductionCystic neoplasms of pancreas represent less than 10 percent of all cystic lesions and less than 1 percent of all exocrine pancreatic neoplasms. They can be benign or malignant. Mucinous cystic neoplasms are the most common cystic pancreatic tumors accounting for 45 to 50 percent. These neoplasms have a natural evolution from benign to malignant […]
In an effort to make laparoscopic surgical procedures even less invasive, single port access and natural orifice transgastric endoscopic surgical (NOTES) approaches have been developed over the past several years. However, the need to maintain basic surgical working principles, such as proper tissue retraction to create tension and counter-tension, is still of critical importance if […]
Objective: We hypothesize that minimally invasive pyloroplasty provides subjective and objective improvement in gastroparesis in patients without secondary GERD. Gastroparesis is a chronic digestive disorder leading to severe and life altering nausea, vomiting, bloating and abdominal pain. Improvements in gastric emptying scintigraphy (GES) times have previously been correlated with symptom improvement. Surgeons are increasingly asked […]
Introduction: Duplication of the alimentary tract is an uncommon occurrence (1 of 4500 births) in pediatric patients and can affect any portion of the gastrointestinal track. The esophagus and ileum are most common site, and gastric duplication cysts represent 4-8% of all alimentary track. Symptoms often occur by 2 years and can include nausea, vomiting, […]
Background: Surgical team training is emerging as an important component of patient safety. One pattern of teamwork is the Shared Mental Model, where all members are “on the same page,” and have a common set of knowledge, expectations, and skills. The feasibility and value of having assistant surgical technologists share the same basic skill sets […]