Cost analysis of robot-assisted choledochotomy and common bile duct exploration as an option for complex choledocholithiasis.

Aim: The aim of this study is to evaluate the clinical outcomes and cost-effectiveness of elective, robot-assisted choledochotomy and common bile duct exploration (RCD/CBDE) compared to open surgery for ERCP refractory choledocholithiasis.

Method: A prospective database of all RCD/CBDE has been maintained since our first procedure in April 2007 though April 2016. With ethics approval, this database was compared with all contemporaneous elective open procedures (OCD/CBDE) performed since March 2005.

Robot-assisted common bile duct exploration as an option for complex choledocholithiasis.

Background: This study aimed to describe the authors' early experience with robot-assisted common bile duct exploration (CBDE) for choledocholithiasis refractory to endoscopic therapy and to compare the outcomes with those of equivalent patients undergoing an open technique.

Methods: At our institution, 55 CBDEs were performed between 2005 and 2010. All 19 robot-assisted cases were unselected elective referrals for stone disease.

Severe stricturing Crohn's disease of the duodenum: A case report and review of surgical options.

Introduction: Duodenal Crohn's disease is a rare clinical entity that occurs in 0.5-4.0% of patients with Crohn's disease.

Impact of an outpatient appendectomy protocol on clinical outcomes and cost: a case-control study.

Background: Although elective outpatient surgery is commonplace, surgeons remain hesitant to discharge patients the same day after emergent surgery. We created a formal protocol to select patients for early discharge after laparoscopic appendectomy for acute appendicitis, and we assessed its safety and potential cost savings.

Study Design: We matched patients who were discharged early from the recovery room with similar patients from a control group on the basis of age ± 3 years, presence or absence of a comorbidity, laparoscopic procedure, and nonperforated appendicitis; we compared them to assess the impact of early discharge on morbidity, return visits to the emergency room, and total cost incurred by our institution.

A massive left paraduodenal fossa hernia as an unusual cause of small bowel obstruction.

We present our experience in diagnosing and treating a case of a massive left paraduodenal fossa hernia, containing over 30% of the small bowel, presenting with a history of recurrent incomplete small bowel obstruction.

Getting started with robotics in general surgery with cholecystectomy: the Canadian experience.

Background: The value of robotics in general surgery may be for advanced minimally invasive procedures. Unlike other specialties, formal fellowship training opportunities for robotic general surgery are few. As a result, most surgeons currently develop robotic skills in practice.

Laparoscopic compared with open adrenalectomy for resection of pheochromocytoma: a review of 47 cases.

Objective: We conducted a retrospective cohort study to determine whether laparoscopic adrenalectomy (LA) is a safe and effective therapy for the management of pheochromocytoma, as compared with open adrenalectomy (OA).

Methods: We collected pertinent data on 47 pheochromocytoma resections from 44 patient charts. Perioperative outcomes of 30 LAs were compared with 14 OAs.

Severe necrotizing pancreatitis following combined hepatitis A and B vaccination.

Necrotizing pancreatitis is a severe form of pancreatitis and is associated with substantial morbidity and mortality. We report a case of necrotizing pancreatitis that developed following combined hepatitis A and B vaccination. No other causes of pancreatitis could be determined.