Publications by authors named "S L McChesney"
Article Synopsis
- Robotic surgery is transforming minimally invasive approaches, particularly benefiting pediatric surgeons through enhanced precision due to the small surgical areas involved.
- A unique collaboration between pediatric and adult robotic surgeons facilitated the integration of robotic surgery in an academic setting, evaluating its outcomes against traditional laparoscopic techniques.
- Results showed that robotic cholecystectomy (RC) is on par with laparoscopic cholecystectomy (LC) in key metrics like procedure duration and patient recovery, highlighting the feasibility and advantages of robotic surgery for pediatric patients.
Article Synopsis
- A study analyzed the recurrence of sigmoid volvulus in patients, comparing outcomes of those who underwent prophylactic colectomy to those who only had endoscopic detorsion, particularly in frail patients.* -
- Using a national database from 2016-2019, researchers matched patient demographics and frailty scores, finding that prophylactic colectomy led to lower rates of readmission for colonic volvulus but resulted in higher complications, longer hospital stays, and higher costs.* -
- The findings suggest that while prophylactic colectomy can reduce readmission rates in frail patients, it comes with increased health risks and expenses, highlighting a complex decision-making process for treatment.*
Introduction: Circumferential resection margin (CRM) is a key quality metric and predictor of oncologic outcomes and overall survival following surgery for rectal cancer. We aimed to develop a nomogram to identify patients at risk for a positive CRM in the preoperative setting.
Methods: We performed a retrospective evaluation of the National Cancer Database from 2010 to 2014 for patients with clinical stage I-III rectal cancer who underwent total mesorectal excision.
Diverticulitis is a common indication for colorectal surgery, both in the acute and the elective setting. The anastomosis between the colon and rectum is a critical component of colectomy for diverticular disease and should be approached thoughtfully. This article reviews important surgical considerations when creating a colorectal anastomosis in the setting of diverticular disease, whether following the reversal of an end colostomy, during an acute episode of diverticulitis, or electively for chronic or complicated disease.
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