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Article
After Laparoscopic Heller Myotomy, Do Emergency Department Visits or Readmissions Predict Poor Long-Term Outcomes?
Laparoscopic Heller myotomy is a first-line treatment for achalasia. To improve outcomes after myotomy and to determine if poor early results predict later outcomes, emergency department (ED) visits and readmi...
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Article
Laparoscopic Heller myotomy for achalasia: results after 10 years
Laparoscopic Heller myotomy was first undertaken in the early 1990s, and appreciable numbers of patients with 10-year follow-up periods are now available. This study was undertaken to determine long-term outco...
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Article
Consensus statement of the consortium for laparoendoscopic single-site surgery
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Article
Medical Comorbidities Should Not Deter the Application of Laparoscopic Fundoplication
Laparoscopic Nissen fundoplication offers significant improvement in gastroesophageal reflux disease (GERD) symptom severity and frequency. This study was undertaken to determine the impact of preoperative med...
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Article
Laparoendoscopic single-site Heller myotomy with anterior fundoplication for achalasia
Laparoendoscopic single-site (LESS) surgery is beginning to include advanced laparoscopic operations such as Heller myotomy with anterior fundoplication. However, the efficacy of LESS Heller myotomy has not be...
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Article
Pancreatic Adenocarcinoma: Complete Tumor Extirpation Improves Survival Benefit Despite Larger Tumors for Patients Who Undergo Distal Pancreatectomy and Splenectomy
Patients with pancreatic adenocarcinoma have poor survival. Presumably, tumors in the body or tail of the pancreas, due to paucity of symptoms, present later than patients with tumors in the head of the pancre...
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Article
Consensus statement of the consortium for LESS cholecystectomy
Many surgeons attempting Laparo-Endoscopic Single Site (LESS) cholecystectomy have found the operation difficult, which is inconsistent with our experience. This article is an attempt to promote a standardized...
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Article
Laparoendoscopic single site (LESS) vs. conventional laparoscopic fundoplication for GERD: is there a difference?
This report details our experience with laparoendoscopic single site (LESS) fundoplication for GERD and provides a comparison to earlier contiguous patients undergoing conventional laparoscopic fundoplication.
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Article
Does the cost of robotic cholecystectomy translate to a financial burden?
Robotic application to cholecystectomy has dramatically increased, though its impact on cost of care and reimbursement has not been elucidated. We undertook this study to evaluate and compare cost of care and ...
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Article
SAGES TAVAC safety and effectiveness analysis: da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA)
The da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) is a computer-assisted (robotic) surgical system designed to enable and enhance minimally invasive surgery. The Food and Drug Administration ...
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Article
Technique of robotic left hepatectomy : how we approach it
Minimally invasive technique has been adopted as the standard of care in many surgical fields within general surgery. Hepatobiliary surgery, however, is lacking behind due to the complex nature of the operatio...
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Article
Technical approach of robotic total right hepatic lobectomy: How we do it?
Despite advantages of minimally invasive surgery, many hepatobiliary surgeons are hesitant to offer this approach for major hepatic resection due to concerns of difficulty in liver manipulation, bleeding contr...
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Article
Robotic choledochoduodenostomy for benign distal common bile duct stricture: how we do it
Benign bile duct stricture poses a significant challenge for gastroenterologists and general surgeons due to the inherent nature of the disease, difficulty in sustaining long-term solutions and fear of pitfall...
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Article
Robotic hepatectomy for benign and malignant liver tumors
Minimally invasive hepatectomy for benign and malignant liver lesions has gained popularity in the past decade due to improved perioperative outcomes when compared to conventional ‘open’ technique. We aim to i...
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Article
The impact of body mass index on perioperative outcomes after robotic liver resection
High body mass index (BMI) is associated with other multiple comorbidities such as non-alcoholic fatty liver disease, steatohepatitis, liver cirrhosis, and cardiopulmonary diseases, which can impact the periop...
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Article
Doing more with less: our decade of experience with laparo-endoscopic single site Heller myotomy supports its application
Achalasia is a rare esophageal motility disorder that affects 1 in 100,000 individuals. Currently, laparoscopic Heller myotomy with anterior fundoplication is the ‘gold standard’ therapy for achalasia, allevia...
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Article
Does preoperative MELD score affect outcomes following robotic hepatectomy for liver tumors?
The model for end-stage liver disease (MELD) score is objective, reproducible, and it has shown to predict mortality related to cirrhosis. This study was undertaken to investigate safety of robotic hepatectomy...
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Article
Robotic Resection of a Type IIIB Klatskin Tumor
Perihilar cholangiocarcinoma (Klatskin tumor) is one of the most challenging hepatobiliary cancers to treat due to its critical location and tendency to involve nearby vascular structures in the portal hepatic...
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Article
The effect of diabetes on major robotic hepatectomy
Studies regarding the influence of diabetes on perioperative outcomes after major hepatectomy are conflicting. The objective of this study is to analyze the effects of diabetes on patients undergoing robotic m...
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Article
The effect of the robotic platform in hepatectomy after prior liver and non-liver abdominal operations: a comparative study of clinical outcomes
Improvements in outcomes after primary hepatectomy have increased the eligibility of patients for reoperative hepatectomies, but this can be fraught with technical difficulties, particularly via a minimally in...