Laparoscopic Surgery

Latest Issue of OR Manager
October 2017
Home Surgical/Anesthesia > Surgery/Specialties > Laparoscopic Surgery

CMS star ratings not linked to surgical outcomes

Editor's Note High Centers for Medicare & Medicaid Services (CMS) Overall Hospital Quality Star Ratings were not associated with improved patient outcomes in advanced laparoscopic abdominal surgery, this study finds. Morbidity at low-star hospitals was higher for colorectal surgery but not for bariatric or hiatal hernia surgery, and no significant…

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By: Judy Mathias
July 5, 2017
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Total laparoscopic vs abdominal hysterectomy for stage I endometrial cancer

Editor's Note For women with stage I endometrial cancer, the use of total abdominal hysterectomy compared with total laparoscopic hysterectomy resulted in equivalent disease-free survival at 4.5 years and no difference in overall survival in this study. Of 760 women included in the analysis, disease-free survival at 4.5 years was…

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By: Judy Mathias
March 29, 2017
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Robotic vs conventional laparoscopic cholecystectomy

Editor's Note Robotic cholecystectomy was associated with greater operative times but with similar safety and outcomes as conventional laparoscopic cholecystectomy, in this study. The analysis included 13 studies involving 1,589 cholecystectomy patients (921 laparoscopic, 668 robotic). Operative time for the robot-assisted procedure was 128.0 minutes vs 115.3 minutes for laparoscopic.…

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By: Judy Mathias
March 3, 2017
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Study finds large colorectal polyps pose low cancer risk

Editor's Note In the majority of patients with large or difficult to remove colorectal polyps, the incidence of cancer is much lower than previously thought, suggesting advanced endoscopic treatments may be a viable option to traditional colon resection, this study finds. Of 439 patients who had a colectomy at the…

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By: Judy Mathias
July 6, 2016
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Arthroscopic hip surgery may not be best option for arthritis

Editor's Note Arthroscopic surgery may not be the best option for patients over 60 years of age with hip arthritis, this study finds. Though most patients prefer minimally invasive hip arthroscopy rather than total hip replacement, researchers from the Hospital for Special Surgery, New York City, found that more than…

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By: Judy Mathias
May 19, 2016
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Recipe for a Collaborative Ambulatory Surgery Center

After this session you’ll be able to: 1. Develop tools and strategies to promote teamwork. 2. Understand best practices for encouraging your ambulatory surgery center (ASC) to collaborate with the anesthesia department. 3. Determine new processes and quality improvement projects with which you can challenge your staff. Why this is…

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Research projects potential cost savings with wider use of MIS

Though minimally invasive surgery (MIS) is associated with lower postoperative complication rates, little is known about the cost savings resulting from the reduced rates. Researchers led by Martin Makary, MD, professor of surgery at Johns Hopkins University School of Medicine, Baltimore, designed a study to calculate the projected cost savings…

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By: OR Manager
April 17, 2015
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Oregon surgery center is pioneer in outpatient hysterectomy

Surgeons perform about 600,000 hysterectomies per year in the US, but less than 1% of these take place in ambulatory surgery centers (ASCs). Richard Rosenfield, MD, is trying to change that. Before he founded Pearl Surgi-Center in Portland, Oregon, Dr Rosenfield performed outpatient hysterectomies at several local hospitals as an…

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By: OR Manager
July 15, 2014
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Will single-incision laparoscopic surgery become mainstream?

Whether called SILS (single-incision laparoscopic surgery), LESS (laparoendoscopic single-site surgery), SPA (single-port access) surgery, or SAS (single-site access surgery), to name a few, these techniques have one thing in common—they are performed through a single site, usually the umbilicus. Single-site surgery is capturing interest, and surgeons are asking to try…

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By: OR Manager
January 1, 2010
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