Background: There is interest in the use of simulation for the assessment of laparoscopic skills. We have previously demonstrated good correlation between FLS simulator performance and intraoperative performance. Motion analysis metrics can discriminate between surgeons of different experience levels. We investigated whether the addition of motion analysis to the basic FLS simulator score improved the […]
Background: Anastomotic leakage, bleeding and local recurrence remain serious complications of laparoscopic colorectal surgery. We aimed to study the usefulness of routine intraoperative endoscopy (RIOE) in elective laparoscopic colorectal surgery with distal anastomosis to predict postoperative anastomotic failure. Method: A retrospective review of 244 consecutive patients between January 2004 and May 2007 was performed. While […]
Background: Hand-assisted laparoscopic colon resection (HALCR) is an approach which may lessen the need for conversion, shorten operative time, and decrease disposable costs while maintaining the benefits of minimally-invasive surgery. The aim of this study was to compare the clinical outcomes of patients who underwent colon or rectal resections for cancer/adenoma, diverticulitis, or inflammatory bowel […]
INTRODUCTION: With the recent introduction of hand-assist devices in laparoscopic colorectal surgery, there is renewed interest in the impact of incision length. The aim of this study is to define the impact of incision length on short-term postoperative outcomes.METHODS: Consecutive patients undergoing laparoscopic left-sided colorectal resection by 4 surgeons from 4 different academic centers from […]
Background: Weight gain (WG) following initial weight loss (WL) success or inadequate initial WL (IWL) from Roux-en-Y gastric bypass (RNYGB) is a problem for many patients. Often, this may due to dilation of the gastrojejunostomy (GJ). Effective endoscopic management would avoid the morbidity of surgical revision. We hypothesized that endoscopic sclerotherapy (ES) of the GJ […]