Background: Conversion from laparoscopic to open surgery occurs in up to 30% of cases of colon and rectal surgery. Patients in whom the operation is converted to a laparotomy may have a worse outcome than after a successfully completed laparoscopic procedure. The aim of this study was to compare the outcome of converted cases based […]
Natural Orifice Translumenal Endoscopic Surgery (NOTES) is an emerging field in minimally invasive surgery that is driving the development of new technology and techniques. Before NOTES gains widespread popularity, it must be proven to be a safe and efficacious technique. There are several proposed benefits of the NOTES approach. Among these benefits are a potentially […]
Background: Colonic polyps have proven to be a premalignant stage in the development of colorectal cancer. Data have shown an increased risk of colorectal cancer in the obese population. The aim of this study was to evaluate the incidence of colonic polyps in patients who underwent bariatric surgery and compare this incidence to a population […]
Purpose: To evaluate the effects of a new natural orifice surgical device to reduce gastric pouches after Roux-en-Y gastric bypass surgery. Methods: The StomaphyX™ device is a sterile, single-use device that is Food and Drug Administration (FDA) cleared for use in endoluminal trans-oral tissue approximation and ligation in the gastrointestinal (GI) tract. We proposed that […]
INTRODUCTION: Current evaluation of trainee operative performance is based on overall impressions and rarely involves objective rating systems. We hypothesized that a new rating system would objectively differentiate between residents of variable surgical skill performing a series of standardized operative steps.METHODS: Upper level residents were instructed using an open Billroth II porcine gastrectomy model. The […]