Evaluating the degree of difficulty of laparoscopic colorectal surgery

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dc.contributor.author Dimassi, Hani
dc.contributor.author Jamali, Faek R.
dc.contributor.author Soweid, Asaad M.
dc.contributor.author Bailey, Charles
dc.contributor.author Leroy, Joel
dc.contributor.author Marescaux, Jacques
dc.date.accessioned 2015-09-29T07:10:29Z
dc.date.available 2015-09-29T07:10:29Z
dc.date.copyright 2008
dc.date.issued 2015-09-29
dc.identifier.issn 2168-6254 en_US
dc.identifier.uri http://hdl.handle.net/10725/2196
dc.description.abstract The introduction of laparoscopy has brought about great progress in current surgical practices. The benefits to patients, families, employers, and hospitals have been significant. The indications for laparoscopic surgery have gradually expanded over time as surgeons have gained more experience, with many laparoscopic procedures becoming standard practice.1- 4 The use of laparoscopic techniques in the field of colorectal surgery followed soon after the early success of laparoscopic cholecystectomy, with the first case reports published in 1991.5,6 Laparoscopy for colorectal surgery, however, has not been as readily embraced into surgical practice as other procedures, partly because of the requirement for advanced laparoscopic surgical skills and partly because of initial concerns about potential risks of tumor dissemination in malignant neoplasms. These concerns have now been addressed in randomized controlled trials that have shown that the laparoscopic approach is associated with the same significant short-term benefits without a compromise in oncological long-term outcomes.7- 10 It is therefore anticipated that there will be an increased demand for laparoscopic colorectal procedures in the future, with many surgeons entering this field. The purpose of this study is to quantify the degree of difficulty involved in the performance of various laparoscopic colorectal procedures. It aims to elucidate the specific difficulties that are likely to be encountered by breaking down each surgical procedure into its key elements. This will provide a guide for surgeons who are learning these operations so they can choose appropriately which procedures to perform first and anticipate and prepare for the difficulties they are likely to encounter. It is hoped that proper case selection based on this data will result in a lower conversion rate, thereby benefiting patients and reducing operative times and costs. en_US
dc.language.iso en en_US
dc.title Evaluating the degree of difficulty of laparoscopic colorectal surgery en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOP en_US
dc.author.idnumber 200603781
dc.author.woa N/A en_US
dc.author.department Pharmacy en_US
dc.description.embargo N/A en_US
dc.relation.journal JAMA Surgery en_US
dc.journal.volume 143 en_US
dc.journal.issue 8 en_US
dc.article.pages 762 en_US
dc.identifier.doi http://dx.doi.org/10.1001/archsurg.143.8.762 en_US
dc.identifier.ctation Jamali, F. R., Soweid, A. M., Dimassi, H., Bailey, C., Leroy, J., & Marescaux, J. (2008). Evaluating the degree of difficulty of laparoscopic colorectal surgery. Archives of Surgery, 143(8), 762-767. en_US
dc.author.email hani.dimassi@lau.edu.lb
dc.identifier.url http://archsurg.jamanetwork.com/article.aspx?articleid=600774&resultclick=1

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