INTRODUCTION: Studies conducted in urban centers examining the relationship between CT scans, negative appendectomies and appendiceal perforation are not applicable to rural centers due to higher proportion of older adults, difficult access and absence of management algorithms at most centers.METHODS AND PROCEDURES: Retrospective analysis of all patients who underwent appendectomies from January 2000 to June […]
Introduction: Since its introduction nearly thirty years ago, laparoscopic appendectomy (LA) has gained wide acceptance. We sought to analyze the costs of the LA procedure and to compare these to those resulting from open appendectomy (OA).Methods and Procedures: A retrospective cohort of subjects undergoing both LA and OA at our institution, a 165-bed urban teaching […]
Introduction: Both biliary injury and biliary malignancy can be devastating to patients and their families. Surgeons are rarely formally trained in giving bad news to patients. The aim of our study was to examine and compare disclosure of iatrogenic and incidental operative findings among surgical residents. Methods: General surgery residents (PGY1-PGY5) performed a laparoscopic cholecystectomy […]
Introduction: Improved tumor downstaging and complete response rates of rectal cancer treated with neoadjuvant therapy have been observed. There has been concern that the detrimental, local effect of radiation makes this approach unsuitable for excision. We compared 2 groups of patients undergoing comparable TEM surgery, with and without neoadjuvant radiation. Methods: All patients undergoing TEM […]
Laparoscopy is slowly becoming an established technique for liver resection. This procedure still is limited to centers with experience in both hepatic and laparoscopic surgery. Preliminary reports include mainly minor resections for benign liver conditions or hand assisted resections and show some advantage in terms of postoperative recovery. The authors present their video with laparoscopic […]