Analysis of the Initial Psychometric Performance of the Fundamentals of Endoscopic Surgery (FES) Skills Examination.
Matthew Lineberry, PhD1, E Matthew Ritter, MD2. 1Zamierowski Institute for Experiential Learning, University of Kansas Medical Center and Hospital, Kansas City, KS, 2Uniformed Services University/Walter Reed National Military Medical Center, Department of Surgery, Division of General Surgery & National Capital Region Simulation Consortium, Bethesda MDIntroduction: The Fundamentals of Endoscopic Surgery (FES) certification program became part… Continue Reading
- Topic:
- Education / Simulation
Analysis of Trends in Ureteral Stent Utilization for Diverticulitis Surgery
Alexander Chiu, MD, Raymond Jean, MD, Kimberly Davis, MD, MBA, Kevin Pei, MD. Yale School of Medicine, Department of SurgeryIntroduction: The benefit of prophylactic ureteral stents in colorectal surgery for diverticulitis has yet to be determined. Rationale for use include possible prevention and easier identification of ureteral injuries; others argue that the added time, costs,… Continue Reading
- Topic:
- Colorectal
Analyzing the Benefits of a Minimally Invasive Esophagectomy for Esophageal Cancer in a Veterans Affairs Medical Center.
Matthew D Skancke, MD, Fredrick Brody, MD, Gregory Trachiotis, MD. George Washington University HospitalIntroduction: Despite the advances in early detection and neoadjuvant therapy; surgical resection remains the gold standard of definitive treatment for esophageal malignancy. Minimally invasive esophagectomy (MIE) for esophageal cancer has emerged as an effective treatment. To date, there are no published studies… Continue Reading
- Topic:
- Minimally Invasive Other
Anatomic Feasibility of Percutaneous or Endoscopic Cholecysto-Enteric Fistula Creation and Stent Insertion in Acute Cholecystitis
Rebecca Zener, MD1, Lee Swanstrom, MD2, Eran Shlomovitz, MD3. 1University of Toronto Joint Department of Medical Imaging, 22. Institute of Image Guided Surgery, Strasbourg, France, 3University of Toronto Joint Department of Medical Imaging and Department of SurgeryINTRODUCTION: Lumen-apposing self-expandable cholecysto-enteric stents (LOSES) are increasingly placed as an alternative to cholecystectomy in high risk patients. The… Continue Reading
- Topic:
- Biliary
Angled Glidewires and Angiographic Catheters in the Management of a Chronic Gastrocutaneous Fistula Resulting from a Sleeve Gastrectomy Staple Line Leak: A Case Report.
Mazen Al-Mansour, MD, Katelyn Levene, MD, Sabrena F Noria, MD, PhD. Division of General and Gastrointestinal Surgery, Center for Minimally Invasive Surgery, The Ohio State University Wexner Medical Center, 558 Doan Hall, 410 West 10th Avenue, Columbus, OH, 43210, USA.Introduction: Management of a chronic gastrocutaneous fistula (GCF) secondary to sleeve gastrectomy (SG) staple line leaks… Continue Reading
- Topic:
- Case Presentations
Application of a Simple, Affordable Quality Metric Tool to Colorectal, Upper Gastrointestinal and Hepatobiliary Surgery Patients: The HARM Score.
Justin T Brady, MD1, Bona Ko, MPH, BA1, Samuel F Hohmann, PhD2, Benjamin P Crawshaw, MD1, Jennifer A Leinicke, MD, MPHS1, Scott R Steele, MD1, Knut M Augestad, MD, PhD3, Conor P Delaney, MD, PhD, MCh4. 1University Hospitals Cleveland Medical Center, 2Vizient, 3Akershus University Hospital, 4Cleveland ClinicINTRODUCTION: Quality is the major driver for both clinical… Continue Reading
- Topic:
- Outcomes and Quality
Approaches to Diagnostic Workup and Management of Small Bowel Lesions at a Tertiary Care Center
Jonathan Green, MD, Ann K Friedrich, MD, Christopher R Schlieve, MD, Kevin Barrata, MD, David Ma, MD, May Min, MD, Krunal Patel, MD, David Stein, BS, David Cave, MD, PhD, Demetrius Litwin, MD, MBA, Mitchell Cahan, MD, MBA. University of Massachusetts Medical SchoolIntroduction: Small bowel lesions (SBL) are rare, representing diagnostic and management challenges due… Continue Reading
- Topic:
- Minimally Invasive Other
Archelis, a new surgical wearable chair without electrical equipments
Hiroshi Kawahira, MD, PhD, FACS, Ayano Toriumi, BA, Yui Uema, Ryoichi Nakamura, PhD. Chiba University1. Objectives of the technology device: The numbers of laparoscopic surgery has been increasing recently. The abdominal incision scars for laparoscopic surgery are significantly smaller than that of conventional open surgery. 2. Description of the technology and method of its use… Continue Reading
Are USMLE, academic grades of general surgery residency applicants and medical students reflective of their manual dexterity?
Antonio Gangemi, MD, FACS, Kevin Shi, BS, Samarth Durgam, MD, Raquel Gonzalez-Heredia, MD, PhD, Luis fernando Gonzalez-cicarelli, MD, Jayant Radhakrishnan, MD, FACS, Pier cristoforo Giulianotti. University of IllinoisIntroduction: Manual dexterity represents an important component of a surgical trainee performance. However, the selection of surgical residents currently includes only their academic performance, letters of recommendation, and… Continue Reading
- Topic:
- Education / Simulation
Artificial Palpation with Da Vinci Surgical Robot Using a Novel Haptic Feedback System
Yen-Yi Juo, MD, MPH1, Ahmad Abiri2, Anna Tao2, Jake Pensa2, Christina Hanna3, Syed J Askari2, Warren Grundfest, MD4, Erik Dutson, MD1. 1Department of Surgery, University of California, Los Angeles, 2Department of Bioengineering, University of California, Los Angeles, 3Center for Advanced Surgical and Interventional Technology, University of California, Los Angeles, 4Department of Bioengineering, Electrical Engineering, and… Continue Reading
Assessment of anastomosis following transanal total mesorectal excision for rectal cancer
Shinichiro Mori, MD, PhD, Yoshiaki Kita, MD, PhD, Kenji Baba, MD, PhD, Masayuki Yanagi, MD, Kan Tanabe, MD, Yasuto Uchikado, MD, PhD, Hiroshi Kurahara, MD, PhD, Takaaki Arigami, MD, PhD, Yoshikazu Uenosono, MD, PhD, Yuko Mataki, MD, PhD, Masahiko Sakoda, MD, PhD, Akihiro Nakajo, MD, PhD, Kosei Maemura, MD, PhD, Shoji Natsugoe, MD, PhD. Department… Continue Reading
- Topic:
- Colorectal
Assessment of Resident Laparoscopic Skills: Operating Room Autonomy and Simulator Performance
Rachel H Mathis, MD, Amber W Trickey, PhD, Erica Emery, MS, Gordon Hafner, MD, Jonathan Dort, MD. Inova Fairfax Medical CenterINTRODUCTION: Given the rising need for quantifiable methods of characterizing resident technical skills, we developed a Short Messaging Service (SMS)-based rating system using the Zwisch 4-point scale for autonomy, to evaluate resident performance of laparoscopic… Continue Reading
- Topic:
- Education / Simulation
Assessment of the feasibility and safety of experts coaching trainees: Review of laparoscopic hepatectomy results
Shigenori Ei1, Osamu Itano2, Go Oshima1, Masanori Odaira1, Keichiro Kitahama1, Hiroshi Uchida1, Shingo Maeda1, Yasumasa Koyama1, Satoshi Aiko1. 1Department of Surgery, Eiju general hospital, Tokyo, Japan, 2Department of surgery, Keio university, Tokyo, JapanBackground: The availability of laparoscopic hepatectomy remains limited to a relatively small number of institutions because of insufficient hepatic and laparoscopic surgical experience… Continue Reading
- Topic:
- Liver and Pancreas
Association Between Postoperative Prealbumin Levels and Excess Weight Loss in Patients Undergoing Laparoscopic Sleeve Gastrectomy
Jonathan Imran, MD, Tarik Madni, MD, Audra Clark, MD, Erica Hodgman, MD, Tjasa Hranjec, MD, Daniel Scott, MD, Sara Hennessy, MD. University Of Texas Southwestern Medical CenterBackground: Laparoscopic sleeve gastrectomy (LSG) is an effective treatment for morbid obesity and is becoming increasingly popular in bariatric surgery. The resulting alteration in gastrointestinal anatomy after LSG may… Continue Reading
- Topic:
- Metabolic / Obesity
Association of esophageal motility and gastro-esophageal reflux with underlying disease in patients with end-stage lung disease
Takahiro Masuda, Saurabh Singhal, Sreeja Biswas Roy, Michael Smith, Jasmine Huang, Sumeet K Mittal, Ross M Bremner. Norton Thoracic Institute; St. Joseph’s Hospital and Medical CenterINTRODUCTION: There is a high prevalence of esophageal dysmotility and pathological reflux in patients with advanced lung disease. Aim of this study is to understand the association of esophageal motility… Continue Reading
- Topic:
- Foregut