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| http://dx.doi.org/10.1308/rcsann.2009.91.6.513 | DOI Listing |
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Quick and Easy Application Method of TachoSil®️ During Laparoscopic and Robotic Liver Resections.
Cureus
April 2023
Gastroenterological Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, JPN.
TachoSil®️, a fibrin sealant patch, is a sheet-type hemostatic agent. Therefore, it is technically demanding to put it on the target place especially in laparoscopic surgeries due to the motion restriction of straight-fixed instruments. This article describes a quick and easy technique of TachoSil application during laparoscopic liver surgeries, by sewing it to the laparoscopic gauze in advance.
View Article and Find Full Text PDFPractice does not always make perfect: need for selection curricula in modern surgical training.
Surg Endosc
September 2017
Department of Surgery, University of Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Background: It is hypothesized that not all surgical trainees are able to reach technical competence despite ongoing practice. The objectives of the study were to assess a trainees' ability to reach technical competence by assessing learning patterns of the acquisition of surgical skills. Furthermore, it aims to determine whether individuals' learning patterns were consistent across a range of open and laparoscopic tasks of variable difficulty.
View Article and Find Full Text PDFOptimizing the Selection of General Surgery Residents: A National Consensus.
J Surg Educ
November 2017
Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada; Division of General Surgery, St. Michael's Hospital, Toronto, Ontario, Canada.
Background: Surgical programs strive to recruit trainees who will graduate as competent surgeons; however, selection processes vary between institutions. The purpose of the present study was to (1) solicit program directors' (PDs) opinions on the proportion of trainees who have difficulty achieving competence and (2) establish consensus on the desired attributes of general surgery (GS) candidates and the technical skills that would be most indicative of future performance.
Methods: Delphi consensus methodology was used.
Easy method for fixation of the anvil using a one-handed sliding-knot technique after laparoscopic total gastrectomy.
Asian J Endosc Surg
November 2015
Department of Surgery, Kanagawa Prefectual Ashigarakami Hospital, Matsuda, Japan.
Introduction: When esophagojejunostomy is performed using a circular stapler after laparoscopic total gastrectomy, fixing the anvil to the end of the esophagus is challenging. We describe an easy method for fixation of the anvil using a one-handed sliding-knot technique after the anvil has been inserted into the esophagus.
Materials And Surgical Technique: After removing the stomach, the main operator makes a whip stitch at the end of the esophagus using a long piece of monofilament string.
Towards a better knot: Using mechanics methods to evaluate three knot-tying techniques in laparo-endoscopic single-site surgery.
J Minim Access Surg
December 2015
Department of Minimally Invasive Surgery, East Hospital, Tongji University, School of Medicine, Shanghai 200120, China.
Introduction: Knot tying is difficult but important for laparo-endoscopic single-site surgery (LESS). There are several techniques for LESS knot-tying. However, objective assessment of these skills has not yet been established.
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