This cohort study compares outcomes including hospital length of stay and 30-day rates of complications after nonelective subtotal cholecystectomy vs total cholecystectomy among patients with cholecystitis.
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| http://dx.doi.org/10.1001/jamasurg.2022.3146 | DOI Listing |
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Preclinical evaluation of a surgical assistant robot for use in minimally invasive abdominal surgeries.
Biomed Eng Lett
January 2025
Colorectal Cancer Center, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.
In recent years, robotic assistance has become increasingly used and applied in minimally invasive surgeries. A new cooperative surgical robot system that includes a joystick-guided robotic scope holder was developed in this study, and its feasibility for use in minimally invasive abdominal surgery was evaluated in a preclinical setting. The cooperative surgical robot consists of a six-degree-of-freedom collaborative robot arm and a one-degree-of-freedom bidirectional telescopic end-effector specializing in surgical assistance.
View Article and Find Full Text PDFHealthcare economic burden of unresolved slipping rib syndrome.
JTCVS Open
December 2024
Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, WVa.
Objective: To evaluate the healthcare costs associated with unresolved slipping rib syndrome (SRS).
Methods: Data pertaining to patients who underwent operative repair for SRS at our academic institution were analyzed retrospectively. Duration of symptoms, previous management efforts, number of healthcare provider consultations, imaging studies, adjunctive surgical and pain management procedures performed to treat the symptoms, and prior unsuccessful SRS operations were catalogued.
Safety and cost of selective histopathological analysis for detecting cancer in surgical specimens: a systematic review.
ANZ J Surg
January 2025
Department of Surgery, The Univeristy of Adelaide, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Article Synopsis
- The systematic review investigates the effectiveness and cost benefits of a selective histopathology approach for cancer detection, rather than the usual routine analysis of surgical specimens.
- It analyzed data from 11 studies involving over 26,000 patients who underwent various surgical procedures, identifying a low rate of cancer diagnoses but noting substantial cost savings.
- The conclusion emphasizes that while this selective method doesn’t significantly increase missed cancer diagnoses, there are concerns regarding legal protections for surgeons who opt out of routine histopathological analysis.
Frequency of Gallbladder Carcinoma in Patients Operated for Symptomatic Cholelithiasis.
Cureus
December 2024
Department of General Surgery, Fauji Foundation Hospital, Peshawar, PAK.
Background Gallbladder carcinoma (GBC) is a rare but highly aggressive malignancy, often discovered incidentally during cholecystectomy for symptomatic cholelithiasis. Despite significant geographic variation, the association between gallstones and GBC is well-documented, with chronic inflammation from gallstones potentially contributing to carcinogenesis. Objective This study aims to determine the prevalence of incidental GBC in patients undergoing cholecystectomy for symptomatic cholelithiasis at a tertiary care hospital in Peshawar, Pakistan.
View Article and Find Full Text PDFminimally invasive surgery is the surgery of the present and has become the "gold standard" for the most pathologies. The training of surgeons in minimally invasive techniques is mandatory required to be carried out during the residency program. In Romania, there is no national minimally invasive surgical training program, only universities and certain university hospitals are concerned with this aspect.
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