Ulusal cerrahi dergisi最新文献_第3页

How we do it: Laparoscopic cholecystectomy in patients with severe obesity. 治疗方法:重度肥胖患者的腹腔镜胆囊切除术。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5452

T. Russell, S. Aroori

{"title":"How we do it: Laparoscopic cholecystectomy in patients with severe obesity.","authors":"T. Russell, S. Aroori","doi":"10.47717/turkjsurg.2021.5452","DOIUrl":"https://doi.org/10.47717/turkjsurg.2021.5452","url":null,"abstract":"The number of patients with obesity is set to rise, as is the proportion with severe obesity. These patients are a high-risk subgroup who present addi- tional challenges to the surgeon when performing laparoscopic cholecystectomy. It is important that all surgeons who perform this procedure have a safe strategy they can revert to. This article outlines our approach. After obtaining pneumoperitoneum via a supra-umbilical incision, we advise placing a fascial suture before proceeding with the operation. This allows for high-quality closure, reduces the incidence of incisional hernia, and reduces the risk of inadvertent bowel injury. We also advise the repositioning of the patient on the operating table prior to port placement such that an ergonomic set-up can be achieved. In addition to standard ports, we use an additional twelve-millimetre port in the left upper quadrant. A fan retractor can be inserted via this port and used to gently retract the duodenum inferiorly. This provides adequate exposure for Calot's dissection and arguably reduces the risk of injury to a fatty liver. This technique can also be used in non-obese patients in whom Calot's dissection is particularly challenging, for instance in those who undergo delayed cholecystectomy.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"37 4 1","pages":"413-416"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45325922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Letter to: Risk factors for conversion to open surgery in laparoscopic cholecystectomy: A single center experience. 致:腹腔镜胆囊切除术转为开放手术的危险因素:单中心经验。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5392

Surenthiran Theva Darshini, Marianne Jia Jiah Wong, Syed Sharizman Syed Abdul Rahim, F. Hayati

引用次数: 0

Video game experience affects performance, cognitive load, and brain activity in laparoscopic surgery training 视频游戏体验影响腹腔镜手术训练中的表现、认知负荷和大脑活动

Ulusal cerrahi dergisi Pub Date : 2021-09-17 DOI: 10.21203/rs.3.rs-904919/v1

H. O. Keles, Ahmet Omurtag

{"title":"Video game experience affects performance, cognitive load, and brain activity in laparoscopic surgery training","authors":"H. O. Keles, Ahmet Omurtag","doi":"10.21203/rs.3.rs-904919/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-904919/v1","url":null,"abstract":"\u0000 BACKGROUND\u0000\u0000Video games can be a valuable tool for surgery training. Individuals who interact or play video games, tend to have a better visuospatial ability when compared to non-gamers. Numerous studies suggest that video game experience is associated with faster acquisition, greater sharpening, and longer retention of laparoscopic skills. Given the neurocognitive complexity of surgery skill, multimodal approaches are required to understand how video game playing enhances laparoscopy skill.\u0000\u0000METHODS\u0000\u0000Data from thirteen surgeons with varying levels of laparoscopy experience and no video game experience, and 27 students with no laparoscopy experience and varying levels of video game experience performed standard laparoscopic training tasks. Their performance, subjective cognitive loading, and prefrontal cortical activity were recorded and analyzed.\u0000\u0000RESULTS\u0000\u0000The surgeons performed the tasks significantly faster, had significantly lower cognitive load as well as less left prefrontal activation, relative to the non-gamer novices. In gamer novices, the task completion time decreased significantly with increasing game experience. The cognitive load decreased significantly with increasing gaming experience in gamer novices and with laparoscopy experience in surgeons.\u0000\u0000CONCLUSION\u0000\u0000Our results suggest that along the dimensions of performance, cognitive load, and brain activity, the effects of video gaming experience on novice laparoscopy trainees are similar to those of real-world laparoscopy experience on surgeons. We believe that the neural underpinnings of surgery skill and its links with gaming experience need to be investigated further using wearable functional brain imaging.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46875443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of a local model for measuring the work of surgeons. 发展衡量外科医生工作的本地模式。

Ulusal cerrahi dergisi Pub Date : 2021-08-10 DOI: 10.21203/rs.3.rs-764251/v1

S. Forootan, S. Hajebrahimi, A. Janati, Behzad Najafi, M. Asghari-Jafarabadi

{"title":"Development of a local model for measuring the work of surgeons.","authors":"S. Forootan, S. Hajebrahimi, A. Janati, Behzad Najafi, M. Asghari-Jafarabadi","doi":"10.21203/rs.3.rs-764251/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-764251/v1","url":null,"abstract":"Objectives\u0000The Relative Value Unit (RVU) is the main method of calculating surgeons' reimbursements and a tool for measuring the work of surgeons. Existing evidence shows that the work Relative Value Unit (wRVU) does not accurately represent surgeon's work. Therefore, the current study attempted to develop a local model to measure surgeons' work.\u0000\u0000\u0000Material and Methods\u0000This study was conducted in two main phases of determining the metrics and model development using quantitative and qualitative approaches from December 2019 to April 2021. Literature review, focused group discussions, and interviews were used to collect data. Con- tent analysis and Exploratory Data Analysis techniques were applied to analyze data.\u0000\u0000\u0000Results\u0000The findings demonstrated that patient's conditions (age, severity of disease at referring time, and comorbidities), disease specifications (time, complexity, physical effort, and risk), and provider characteristic (surgeon's willingness, imposed stress, and surgeon's skill) were important by 17, 51, and 32%, respectively, in determining surgeons' work.\u0000\u0000\u0000Conclusion\u0000Determining a fixed value for each procedure does not accurately estimate the amount of required surgeon's work for any procedure. Many factors, such as the patient's condition, surgeon's characteristics, and disease specification affect surgeons' work in the operation room. Proper measurement of the surgeon's work is an important step towards establishing equity in payment in the health system.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"37 4 1","pages":"371-378"},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44586874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Rare Case of Multiple Gastric Duplication Cysts in an Adult 成人多发胃重复囊肿1例

Ulusal cerrahi dergisi Pub Date : 2020-12-08 DOI: 10.47717/turkjsurg.2020.4933

Baris Zulfikaroglu, O. Akgul, M. Ozmen

引用次数: 0

COVID-19’lu Hastalarda Genel Cerrahi Ameliyathane Uygulamaları 新冠肺炎医院普通外科应用

Ulusal cerrahi dergisi Pub Date : 2020-03-18 DOI: 10.5578/turkjsurg.202002

Ahmet Karaca, M. Ozmen, A. Uçar, A. C. Yasti, Seher Demirer

引用次数: 12

Single-stage treatment with ERCP and laparoscopic cholecystectomy versus two-stage treatment with ERCP followed by laparoscopic cholecystectomy within six to eight weeks: a retrospective study ERCP和腹腔镜胆囊切除术单阶段治疗与6至8周内ERCP和胆囊切除术两阶段治疗的回顾性研究

Ulusal cerrahi dergisi Pub Date : 2019-09-23 DOI: 10.5578/turkjsurg.4204

Bahtiyar Muhammedoğlu