Laparoscopic Surgery

Latest Issue of OR Manager
April 2024
Home Surgery/Specialties > Laparoscopic Surgery

How gamification improves OR training, outcomes

Takeaways From mobile phone apps to immersive virtual reality surgery experiences, digital tools make healthcare training more interactive, more engaging, and more fun for everyone from nurses to surgeons. Modern procedures—including minimally invasive techniques and robotic surgery—require 50 to 100 cases for a surgeon to reach a safe proficiency level…

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By: Brita Belli
March 22, 2024
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Study: Postop emergency appendectomy complications more likely for Black children

Editor's Note In a recent study, black children undergoing emergency appendectomy had a four times greater risk of postoperative complications than white children, independent of socioeconomic status or type of appendicitis. Anaesthesia, the journal of the Association of Anaesthetists, published the findings February 22. Researchers note that this is the…

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By: Matt Danford
February 26, 2024
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Study on cholecystectomy robotic surgery raises safety concerns

Editor's Note Despite the increasing prevalence of robotic-assisted surgery, recent data on cholecystectomy results indicates minimally invasive laparoscopic methods could be a safer option. Published in JAMA Surgery on September 20, the nationally representative study of Medicare beneficiary cholecystectomy patients showed a higher rate of bile duct injury (0.7%) for…

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By: Matt Danford
December 22, 2023
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Video laryngoscopy leads to higher success rates than direct laryngoscopy

Editor's Note Video laryngoscopy was found to lead to higher intubation success rates over direct laryngoscopy in critically ill adult patients, an August 2023 randomized controlled trial published by the The New England Journal of Medicine shows. The findings were consistent whether they were intubated in an emergency room or…

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By: Brita Belli
October 30, 2023
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Procedure leading to faster recovery for hysterectomy patients may reverse decline in vaginal hysterectomies

Editor's Note This recent study published in early 2023 by the Journal of the Society of Laparoscopic & Robotic Surgeons highlights that the total number of benign hysterectomies being performed in the US has decreased, with vaginal hysterectomies declining by 19% over 2 years. Only 12% of hysterectomies for benign…

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By: Tarsilla Moura
August 18, 2023
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Study: Surgeon communication with patients on innovative procedures

Editor's Note This study from the UK finds that patients are not given sufficient information about innovative surgical procedures and their potential risks and uncertainties. Researchers collected data on seven cases, using preoperative interviews with surgeons, audio-recorded consultations during which innovative procedures were discussed between surgeons and patients, and postoperative…

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By: Judy Mathias
August 15, 2023
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Effect of alcohol flush on endoscope channel drying, microbial outgrowth

Editor's Note This study by researchers at Steris, Mentor, Ohio, finds that flushing flexible endoscope channels with reduced concentrations of alcohol may prevent microbial outgrowth while reducing drying time. Among the findings: Flushing endoscope channels with isopropyl alcohol (70%-30% concentration) prevented Pseudomonas aeruginosa outgrowth during storage. A 70% alcohol concentration…

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By: Judy Mathias
June 22, 2023
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Automatic surgical skill assessment using AI

Editor's Note This Japanese study finds that an automatic surgical skill assessment with artificial intelligence (AI) is more objective than a manual video review-based skill assessment, and it can reduce the time consuming and labor intensive human burden of manual review.. A total of 120 intraoperative videos of laparoscopic colorectal…

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By: Judy Mathias
June 7, 2023
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Effectiveness of alcohol flush, drying cycles of AERs

Editor's Note This study, led by researchers at the University of Pittsburgh School of Medicine, finds that air flush cycles used in automated endoscope reprocessors (AERs) may not adequately dry endoscope channels, particularly narrow air/water channels. Endoscopes were reprocessed per protocol with a 3-minute or 10-minute air flush following reprocessing.…

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By: Judy Mathias
April 24, 2023
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Single-use items contribute two-thirds of carbon footprint in the OR

Editor's Note In this study from the UK, researchers find that two-thirds of carbon contributions in the OR can be attributed to single-use items and one-third to reusable products used in five common surgical procedures. The mean average carbon footprint includes: 85.5 kg CO2e (carbon dioxide equivalents) for knee arthroplasty…

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By: Judy Mathias
April 18, 2023
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