Telesurgery: remote knowledge translation in clinical surgery.

Abstract:

:Dissemination of new surgical knowledge, skills, and techniques across the wide spectrum of practicing surgeons in the community is often difficult and slow. This is even more problematic in countries such as Canada, where geographic distances separate a large portion of community surgeons from the large teaching centers. As an example, the penetration of advanced minimally invasive techniques in Canada has been severely hampered by the inability to provide adequate training opportunities and support for community surgeons, many of whom live in remote regions of the country. In an attempt to overcome the barriers that exist, the Centre for Minimal Access Surgery (CMAS) at McMaster University has been using broadband Internet and telecommunication systems to provide distance training and mentoring to community surgeons living in remote northern communities of Canada. This article describes our experience with telementoring and robot-assisted remote telepresence surgery and assisting, between a teaching hospital in Hamilton and two community hospitals in northern Ontario and Quebec.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Anvari M

doi

10.1007/s00268-007-9076-5

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

1545-50

issue

8

eissn

0364-2313

issn

1432-2323

journal_volume

31

pub_type

杂志文章
  • Impact of Biliary Drainage on Multidetector-Row Computed Tomography on R0 Resection of Perihilar Cholangiocarcinoma.

    abstract:BACKGROUND:Although multidetector-row computed tomography (MDCT) before biliary drainage is useful for the assessment of the resectability of perihilar cholangiocarcinoma (PHC), the impact of biliary drainage on MDCT images before surgical resection for PHC has been poorly studied, and its possible consequences for R0 ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4654-2

    authors: Hosokawa I,Shimizu H,Yoshitomi H,Furukawa K,Takayashiki T,Miyazaki M,Ohtsuka M

    更新日期:2018-11-01 00:00:00

  • Difference in patterns of Met expression in papillary thyroid carcinomas and nonneoplastic thyroid tissue.

    abstract::Met protein is a tyrosine kinase receptor for hepatocyte growth factor (HGF). c-Met has morphogenic, mitogenic, and motogenic properties and is overexpressed in many solid tumors. We studied c-met mRNA and protein expression in papillary thyroid carcinomas and nonneoplastic thyroid tissue. The c-met mRNA was detected ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002680020167

    authors: Fluge Ø,Haugen DR,Lillehaug JR,Varhaug JE

    更新日期:2001-05-01 00:00:00

  • Clinical predictors of ongoing infection in secondary peritonitis: systematic review.

    abstract:INTRODUCTION:The decision to perform a relaparotomy in patients with secondary peritonitis is based on "clinical judgment" with inherent variability among surgeons. Our objective was to review the literature on prognostic variables for ongoing abdominal infection. Predictive variables for positive findings at relaparot...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-005-0333-1

    authors: Lamme B,Mahler CW,van Ruler O,Gouma DJ,Reitsma JB,Boermeester MA

    更新日期:2006-12-01 00:00:00

  • Ranula: Current Concept of Pathophysiologic Basis and Surgical Management Options.

    abstract:BACKGROUND:There is no consensus opinion on a definitive surgical management option for ranulas to curtail recurrence, largely from the existing gap in knowledge on the pathophysiologic basis. AIM:To highlight the current scientific basis of ranula development that informed the preferred surgical approach. DESIGN:Ret...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-3901-2

    authors: Kokong D,Iduh A,Chukwu I,Mugu J,Nuhu S,Augustine S

    更新日期:2017-06-01 00:00:00

  • Diabetes Mellitus in Patients Presenting with Adhesive Small Bowel Obstruction: Delaying Surgical Intervention Results in Worse Outcomes.

    abstract:INTRODUCTION:The impact of diabetes mellitus (DM) on outcomes in patients undergoing emergency laparotomy for adhesive small bowel obstruction (ASBO) remains unknown. METHODS:Low-risk (ASA class of I and II) patients requiring emergency operation for ASBO were identified using the ACS NSQIP database. Propensity score ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-3338-4

    authors: Karamanos E,Dulchavsky S,Beale E,Inaba K,Demetriades D

    更新日期:2016-04-01 00:00:00

  • Excising the reexcision: stereotactic core-needle biopsy decreases need for reexcision of breast cancer.

    abstract::There is debate regarding use of the stereotactic core-needle biopsy (SCNB) for highly suspicious mammographic lesions. This study compares a serial group of mammography-detected breast cancer patients treated before and after the use of SCNB. We studied 113 consecutive nonpalpable breast cancers between 1994 and 1996...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900510

    authors: Kaufman CS,Delbecq R,Jacobson L

    更新日期:1998-10-01 00:00:00

  • Thoracoscopic sympathectomy for primary palmar hyperhidrosis: resection versus transection -- a prospective trial.

    abstract::Upper dorsal sympathectomy is the only successful therapeutic method for idiopathic palmar hyperhidrosis (IPHH). However, the techniques for sympathetic ablation are still debated. The aim of this study was to compare prospectively two accepted methods for endoscopic sympathetic ablation: resection of T2-T3 ganglia ve...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-007-9160-x

    authors: Assalia A,Bahouth H,Ilivitzki A,Assi Z,Hashmonai M,Krausz MM

    更新日期:2007-10-01 00:00:00

  • Endoscopic evaluation of the quality of the anastomosis after esophagectomy with gastric tube reconstruction.

    abstract:BACKGROUND:The morbidity and mortality of anastomotic complications after esophagectomy have gradually decreased in recent years. However, swallowing difficulties and reflux continue to burden patients jeopardizing their quality of life. In the present study we performed endoscopic evaluation of the outcomes of esophag...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9664-z

    authors: Kim HK,Choi YH,Shim JH,Cho YH,Baek MJ,Sohn YS,Kim HJ

    更新日期:2008-09-01 00:00:00

  • Overview of the development of personalized genomic medicine and surgery.

    abstract::Personalized genomic medicine and surgery (PGMS) represents a new approach to health care that customizes patients' medical treatment according to their own genetic information. This new approach is the result of increased knowledge of the human genome and ways this information can be applied by physicians in the medi...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00268-011-1056-0

    authors: Brunicardi FC,Gibbs RA,Wheeler DA,Nemunaitis J,Fisher W,Goss J,Chen C

    更新日期:2011-08-01 00:00:00

  • Effects of preoperative oral carbohydrate supplementation on postoperative metabolic stress response of patients undergoing elective abdominal surgery.

    abstract:BACKGROUND:The goal of the present study was to evaluate the effects of preoperative oral carbohydrate supplementation (OCH) on the postoperative metabolic stress response of patients undergoing elective abdominal surgery. METHODS:The study was designed as a controlled, prospective, cohort study including 38 patients ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-012-1590-4

    authors: Viganò J,Cereda E,Caccialanza R,Carini R,Cameletti B,Spampinato M,Dionigi P

    更新日期:2012-08-01 00:00:00

  • Bradycardia During Laparoscopic Surgeries: A Retrospective Cohort Study.

    abstract:BACKGROUND:A recent analysis found bradycardia during laparoscopy as a potential early warning sign of cardiac arrest. Knowledge regarding bradycardia frequency and its consequences during laparoscopy is limited. METHODS:Using the computerized record database, files of 9915 patients undergoing laparoscopic surgery, be...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-04935-x

    authors: Dabush-Elisha I,Goren O,Herscovici A,Matot I

    更新日期:2019-06-01 00:00:00

  • Muscle Steatosis is an Independent Predictor of Postoperative Complications in Patients with Hepatocellular Carcinoma.

    abstract:BACKGROUND:Skeletal muscle depletion, referred to as sarcopenia, has been shown to be an independent predictor of lower disease-free and overall survivals in various kinds of diseases. The quality of skeletal muscle has recently attracted much attention as a new parameter of sarcopenia, but its impact on surgical compl...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-016-3504-3

    authors: Hamaguchi Y,Kaido T,Okumura S,Kobayashi A,Fujimoto Y,Ogawa K,Mori A,Hammad A,Hatano E,Uemoto S

    更新日期:2016-08-01 00:00:00

  • Intercostal Trocars Enable Easier Laparoscopic Resection of Liver Tumors in Segments 7 and 8.

    abstract:BACKGROUND:Laparoscopic resection of posterosuperior (PS) tumors of the liver is more difficult than that of anterolateral (AL) tumors, owing to the narrow surgical field in the PS location. In this retrospective cohort study, our aim was to determine if port insertion through the intercostal space would lead to improv...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-016-3867-5

    authors: Hirokawa F,Hayashi M,Asakuma M,Shimizu T,Inoue Y,Uchiyama K

    更新日期:2017-05-01 00:00:00

  • Musculature of the alimentary tract.

    abstract::Leiomyomas and leiomyosarcomas are derived from smooth muscle tissues. Smooth muscle cells also surround the blood vessels that supply the alimentary tract. These cells have at times been said to contribute to the formation of smooth muscle tumors in the alimentary canal. With such an abundance of smooth muscle, there...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689910063

    authors: Skandalakis JE

    更新日期:2000-04-01 00:00:00

  • Comparative study of carbohydrate antigen 195 and carcinoembryonic antigen for the diagnosis of pancreatic carcinoma.

    abstract::The expression CA195 in serum, defined by monoclonal antibody CC3C195 (IgM), was studied in 67 patients with pancreatic cancer and in 138 patients with biliary or pancreatic benign disease. The results were compared with carcinoembryonic antigen (CEA) expression. The overall sensitivity of the CA195 assay (> 12 U/ml) ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/pl00013182

    authors: Andicoechea A,Vizoso F,Alexandre E,Martínez A,Cruz Díez M,Riera L,Martinez E,Ruibal A

    更新日期:1999-03-01 00:00:00

  • Proximal stenosis of the bile ducts: results with a new surgical endoprosthesis.

    abstract::A new endoprosthesis designed for surgical intubation of neoplastic strictures of the proximal biliary tract has been developed. The technical aspects of intubation by this endoprosthesis are discussed, and the results in the first 25 patients are given. The results suggest that this device was well tolerated. Mortali...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01671165

    authors: Sezeur A,Kracht M,Fagniez PL,Rey P,Leandri J,Julien M,Malafosse M

    更新日期:1989-01-01 00:00:00

  • Liver Resection Versus Embolization for Recurrent Hepatocellular Carcinoma.

    abstract:BACKGROUND:Despite curative resection, hepatocellular carcinoma (HCC) has a high probability of recurrence. We validated the potential role of liver resection (LR) for recurrent HCC. METHODS:Patients with intrahepatic recurrence with up to three lesions were included. We compared survival times of patients undergoing ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05225-2

    authors: Midorikawa Y,Takayama T,Moriguchi M,Yagi R,Yamagishi S,Nakayama H,Aramaki O,Yamazaki S,Tsuji S,Higaki T

    更新日期:2020-01-01 00:00:00

  • Waiting Too Long: The Contribution of Delayed Surgical Access to Pediatric Disease Burden in Somaliland.

    abstract:BACKGROUND:Delayed access to surgical care for congenital conditions in low- and middle-income countries is associated with increased risk of death and life-long disabilities, although the actual burden of delayed access to care is unknown. Our goal was to quantify the burden of disease related to delays to surgical ca...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05239-w

    authors: Smith ER,Concepcion TL,Shrime M,Niemeier K,Mohamed M,Dahir S,Ismail EA,Poenaru D,Rice HE,Global Initiative for Children’s Surgery.

    更新日期:2020-03-01 00:00:00

  • Taeniectomy Versus Transverse Coloplasty as Neorectum After Low Rectal Resection.

    abstract:PURPOSE:Restorative surgery for rectal cancer is usually criticized by its functional outcomes. The aim of this study is to assess the efficacy "taeniectomy" pouch in comparison with transverse coloplasty pouch. STUDY DESIGN:This was a prospective controlled study. Most patients who were candidate for low rectal resec...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-04890-z

    authors: Farag A,Mashhour AN,Elbarmelgi MY

    更新日期:2019-04-01 00:00:00

  • Laparoscopy-assisted gastrectomy for early gastric cancer in young and elderly patients.

    abstract::Open gastric surgery in elderly patients is associated with higher morbidity and mortality rates than those reported among younger individuals. Therefore, minimally invasive surgery may have a larger impact on the elderly compared to the younger age group. The objective of this study was to evaluate the experience of ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-0208-5

    authors: Mochiki E,Ohno T,Kamiyama Y,Aihara R,Nakabayashi T,Asao T,Kuwano H

    更新日期:2005-12-01 00:00:00

  • Long-term survival after resection of proximal bile duct carcinoma (Klatskin tumors).

    abstract::This retrospective study in 79 surgically treated patients with a proximal bile duct carcinoma revealed 12 patients with a median age of 59.5 years (range 21-73 years) who survived more than 5 years. These 12 patients were analyzed to identify specific patient characteristics for long-term survival. Fifteen patients d...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900571

    authors: Gerhards MF,van Gulik TM,Bosma A,ten Hoopen-Neumann H,Verbeek PC,Gonzalez Gonzalez D,de Wit LT,Gouma DJ

    更新日期:1999-01-01 00:00:00

  • Clinical outcome in acute small bowel obstruction after surgical or conservative management.

    abstract:BACKGROUND:Small bowel obstruction (SBO) is characterized by a high rate of recurrence. In the present study, we aimed to compare the outcomes of patients managed either by conservative treatment or surgical operation for an episode of SBO. METHODS:The outcomes of all patients hospitalized at a single center for acute...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2733-6

    authors: Meier RP,de Saussure WO,Orci LA,Gutzwiller EM,Morel P,Ris F,Schwenter F

    更新日期:2014-12-01 00:00:00

  • Reconstruction after gastrectomy and quality of life.

    abstract::To evaluate quality of life and functional results following surgery for gastric cancer we studied 104 patients with no evidence of disease at a minimum of 12 months postoperatively. Patients were treated with total gastrectomy and jejunal pouch reconstruction according to Hunt-Lawrence-Rodino (n = 59) or simple esoph...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF00294722

    authors: Buhl K,Lehnert T,Schlag P,Herfarth C

    更新日期:1995-07-01 00:00:00

  • Health care delivery systems: effects on surgical education in the United Kingdom.

    abstract::Surgical education in the United Kingdom has evolved to meet the need of the National Health Service (NHS) for a relatively small body of consultants practicing autonomously and carrying ultimate clinical responsibility for their patients. This form of specialist practice is markedly different from that found in most ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF00298916

    authors: Brearley S

    更新日期:1994-09-01 00:00:00

  • Clinical, radiological, and manometric profile in 145 patients with untreated achalasia.

    abstract:BACKGROUND:Esophageal achalasia is characterized by the absence of esophageal peristalsis and by a dysfunctional lower esophageal sphincter (LES). Descriptions of clinical, radiological, and manometric findings in patients with achalasia usually have been based on small numbers of patients. This study was designed to d...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9656-z

    authors: Fisichella PM,Raz D,Palazzo F,Niponmick I,Patti MG

    更新日期:2008-09-01 00:00:00

  • Cardiopulmonary assessment: is improvement needed?

    abstract::Clinical parameters alone have repeatedly been proven unreliable in assessing cardiopulmonary status, especially in hemodynamically unstable patients. To learn if we had a diagnostic problem in our hospital, we compared physician assessment of cardiac index (CI) and thoracic fluid content (TFC) to values obtained usin...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00268-004-2073-z

    authors: Van De Water JM,Dalton ML,Parish DC,Vogel RL,Beatty JC,Adeniyi SO

    更新日期:2005-01-01 00:00:00

  • Leukocyte activation by isolated hyperthermic liver and limb perfusion due to malignancy.

    abstract::Fourteen patients with liver tumor malignancy and sixteen patients with malignant melanoma localized to one limb were studied regarding leukocyte activation with the release of polymorphonuclear neutrophilic (PMN) elastase and of neopterin and formation of cytokines (TNF-alpha and IL-6) during the surgical treatment. ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF00299787

    authors: Arnestad JP,Bengtsson A,Bengtson JP,Hafström L,Redl H,Schlag G

    更新日期:1995-11-01 00:00:00

  • Ethical issues in surgical innovation.

    abstract::Innovation is responsible for most advances in the field of surgery. Innovative approaches to solving clinical problems have significantly decreased morbidity and mortality for many surgical procedures, and have led to improved patient outcomes. While innovation is motivated by the surgeon's expectation that the new a...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2568-1

    authors: Miller ME,Siegler M,Angelos P

    更新日期:2014-07-01 00:00:00

  • Pancreaticoduodenal resection for malignancy in a low-volume center: long-term outcomes from a developing country.

    abstract:BACKGROUND:The technical complexity of pancreatic resection has made it a specialized procedure performed in high-volume centers. It has been shown that patients operated on in high-volume pancreatobiliary centers have fewer complications and better survival. The purpose of this study was to share our experience with a...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2644-6

    authors: Bhatti AB,Yusuf MA,Kazmi SA,Syed AA

    更新日期:2014-10-01 00:00:00

  • Assessment of Capacity to Meet Lancet Commission on Global Surgery Indicators in the Federal Capital Territory, Abuja, Nigeria.

    abstract:BACKGROUND:This is a baseline assessment of surgical capacity in the Federal Capital Territory (FCT), in preparation for the creation of a National Surgical, Obstetric, Anesthesia, and Nursing Plan. METHODS:In October 2017, all 10 of the 11 secondary hospitals in FCT that provide surgical and/or obstetric care were su...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4835-z

    authors: Anderson JE,Ndajiwo AB,Nuhu SA,Lawal OA,Amedu JO,Ameh EA

    更新日期:2019-03-01 00:00:00