Background: The surge of robotic surgery over the last decade emphasizes the need for a robotics curriculum during general surgery residency. We hypothesized that the implementation of a robotic surgery resident training curriculum would have a positive impact on the general surgery residency experience during and post-graduation.
Materials/methods: Current post-graduate year 1 through 5 residents and previously graduated residents were surveyed regarding their robotic curriculum experience during residency and post-graduation. Additionally, ACGME operative case were analyzed to determine robotic case volume and to compare two different time periods of the robotics curriculum: July 2017-June 2020 (early) and January 2022-June 2023 (late).
Results: Among current residents (n = 44), 19 (43%) responded to the survey regarding their robotic curriculum experience, and 17 (89%) were satisfied with the curriculum. Of the graduated residents (n = 33), 25 (75%) responded to the survey, of which 24 (96%) felt the curriculum prepared them for their future practice. Regarding ACGME case logs, 1,091 robotic cases were performed by current residents, compared to 352 cases between 2017 and 2020. The case averages by PGY-level significantly increased 3.1 times from the early (70.4 cases per PGY level) to the late time period (218.2 cases per PGY level) (p = 0.024).
Conclusions: Overall, our robotics curriculum has had a positive impact on resident training. Current and graduated residents are satisfied with the curriculum; there has also been significant growth in the operative case volume. This study suggests that a robotic training curriculum has value during residency and in clinical practice.
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http://dx.doi.org/10.1007/s00464-024-11441-2 | DOI Listing |
Curr Med Chem
January 2025
Laboratory of Angiopathology Institute of General Pathology and Pathophysiology, 8, Baltiiskaya Street, 125315, Moscow, Russia.
This review discusses the possibility of inheritance of some diseases through mutations in mitochondrial DNA. These are examples of many mitochondrial diseases that can be caused by mutations in mitochondrial DNA. Symptoms and severity can vary widely depending on the specific mutation and affected tissues.
View Article and Find Full Text PDFWorld J Diabetes
January 2025
Department of General Thoracic Surgery, Liaoning Electric Power Center Hospital, Shenyang 110000, Liaoning Province, China.
Background: At present, the existing internal medicine drug treatment can alleviate the high glucose toxicity of patients to a certain extent, to explore the efficacy of laparoscopic jejunoileal side to side anastomosis in the treatment of type 2 diabetes, the report is as follows.
Aim: To investigate the effect of jejunoileal side-to-side anastomosis on metabolic parameters in patients with type 2 diabetes mellitus (T2DM).
Methods: We retrospectively analyzed the clinical data of 78 patients with T2DM who were treated jejunoileal lateral anastomosis.
World J Gastrointest Oncol
January 2025
Department of General Surgery, Hospital General de Requena, Requena 46340, Spain.
In this editorial we examine the article by Wu published in the . Surgical resection for peritoneal metastases from colorectal cancer (CRC) has been gradually accepted in the medical oncology community. A randomized trial (PRODIGE 7) on cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) failed to prove any benefit of oxaliplatin in the overall survival of patients with peritoneal metastases from colorectal origin.
View Article and Find Full Text PDFWorld J Gastrointest Oncol
January 2025
Department of General and Pediatric Surgery, Bolzano Central Hospital - SABES, Bolzano 39100, Trentino-Alto Adige, Italy.
Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality worldwide, with advanced stages posing significant treatment challenges. Although hepatic arterial infusion chemotherapy (HAIC) has emerged as a promising modality for treating advanced HCC, particularly in Asian clinical practice, its adoption in Western medicine remains limited due to a lack of large-scale randomized controlled trials. This editorial reviews and comments on the meta-analysis conducted by Zhou , which evaluates the efficacy and safety of HAIC and its combination strategies for advanced HCC.
View Article and Find Full Text PDFWorld J Gastrointest Oncol
January 2025
Department of Medical College, Jinan University, Guangzhou 510000, Guangdong Province, China.
Background: Gallbladder neuroendocrine carcinoma (NEC) represents a subtype of gallbladder malignancies characterized by a low incidence, aggressive nature, and poor prognosis. Despite its clinical severity, the genetic alterations, mechanisms, and signaling pathways underlying gallbladder NEC remain unclear.
Case Summary: This case study presents a rare instance of primary gallbladder NEC in a 73-year-old female patient, who underwent a radical cholecystectomy with hepatic hilar lymphadenectomy and resection of liver segments IV-B and V.
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