The Role of Simulation in Attaining Proficiency in Minimally Invasive Hepatopancreatobiliary Surgery

2021 ◽  
Vol 31 (5) ◽  
pp. 561-564
Author(s):  
Cameron Schlegel ◽  
Amer H. Zureikat
2021 ◽  
Vol 151 (3) ◽  
pp. 429-442
Author(s):  
Clark Chen ◽  
Ian Lee ◽  
Claudio Tatsui ◽  
Theresa Elder ◽  
Andrew E. Sloan

Abstract Introduction Laser Interstitial Thermotherapy (LITT; also known as Stereotactic Laser Ablation or SLA), is a minimally invasive treatment modality that has recently gained prominence in the treatment of malignant primary and metastatic brain tumors and radiation necrosis and studies for treatment of spinal metastasis has recently been reported. Methods Here we provide a brief literature review of the various contemporary uses for LITT and their reported outcomes. Results Historically, the primary indication for LITT has been for the treatment of recurrent glioblastoma (GBM). However, indications have continued to expand and now include gliomas of different grades, brain metastasis (BM), radiation necrosis (RN), other types of brain tumors as well as spine metastasis. LITT is emerging as a safe, reliable, minimally invasive clinical approach, particularly for deep seated, focal malignant brain tumors and radiation necrosis. The role of LITT for treatment of other types of tumors of the brain and for spine tumors appears to be evolving at a small number of centers. While the technology appears to be safe and increasingly utilized, there have been few prospective clinical trials and most published studies combine different pathologies in the same report. Conclusion Well-designed prospective trials will be required to firmly establish the role of LITT in the treatment of lesions of the brain and spine.


2010 ◽  
Vol 57 (2) ◽  
pp. 223-232 ◽  
Author(s):  
Roman Heuer ◽  
Inderbir S. Gill ◽  
Giorgio Guazzoni ◽  
Ziya Kirkali ◽  
Michael Marberger ◽  
...  

2016 ◽  
Vol 30 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Gian Piero Guerrini ◽  
Felice Lo Faso ◽  
Alessio Vagliasindi ◽  
Rosalba Lembo ◽  
Luciano Solaini ◽  
...  

2012 ◽  
Vol 32 (4) ◽  
pp. E3 ◽  
Author(s):  
Emun Abdu ◽  
Daniel F. Hanley ◽  
David W. Newell

Spontaneous intracerebral hemorrhage is a serious public health problem and is fatal in 30%–50% of all occurrences. The role of open surgical management of supratentorial intracerebral hemorrhage is still unresolved. A recent consensus conference sponsored by the National Institutes of Health suggests that minimally invasive techniques to evacuate clots appear to be a promising area and warrant further investigation. In this paper the authors review past, current, and potential future methods of treating intraparenchymal hemorrhages with minimally invasive techniques and review new data regarding the role of stereotactically placed catheters and thrombolytics.


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