scholarly journals The integration of minimally invasive surgery in surgical practice in a Canadian setting: results from 2 consecutive province-wide practice surveys of general surgeons over a 5-year period

2015 ◽  
Vol 58 (2) ◽  
pp. 92-99 ◽  
Author(s):  
Julie Hallet ◽  
Olivier Mailloux ◽  
Mony Chhiv ◽  
Roger Grégoire ◽  
Jean-Pierre Gagné
2012 ◽  
Vol 94 (1) ◽  
pp. 17-23 ◽  
Author(s):  
SR Aspinall ◽  
S Nicholson ◽  
RD Bliss ◽  
TWJ Lennard

INTRODUCTION Surgeon-based ultrasonography (SUS) for parathyroid disease has not been widely adopted by British endocrine surgeons despite reports worldwide of accuracy in parathyroid localisation equivalent or superior to radiology-based ultrasonography (RUS). The aim of this study was to determine whether SUS might benefit parathyroid surgical practice in a British endocrine unit. METHODS Following an audit to establish the accuracy of RUS and technetium sestamibi (MIBI) in 54 patients, the accuracy of parathyroid localisation by SUS and RUS was compared prospectively with operative findings in 65 patients undergoing surgery for primary hyperparathyroidism (pHPT). RESULTS The sensitivity of RUS (40%) was below and MIBI (57%) was within the range of published results in the audit phase. The sensitivity (64%), negative predictive value (86%) and accuracy (86%) of SUS were significantly greater than RUS (37%, 77% and 78% respectively). SUS significantly increased the concordance of parathyroid localisation with MIBI (58% versus 32% with RUS). CONCLUSIONS SUS improves parathyroid localisation in a British endocrine surgical practice. It is a useful adjunct to parathyroid practice, particularly in centres without a dedicated parathyroid radiologist, and enables more patients with pHPT to benefit from minimally invasive surgery.


2019 ◽  
Vol 87 (2) ◽  
pp. 62-63
Author(s):  
Emily Dzongowski ◽  
Dino D'Andrea

Dr. Schlachta received his undergraduate and medical degrees from McGill University. With a keen interest in various types of surgery, he then completed a surgery internship at Toronto General Hospital before choosing to pursue residency in general surgery here at Western. Subsequently, he returned to Toronto for a fellowship in advanced minimally invasive surgery and subsequently worked as a staff surgeon at the Wellesley Hospital and St. Michael’s Hospital, where he was the head of the division. Finally, Dr. Schlachta was recruited back to London to serve as the medical director of Canadian Surgical Technologies & Advanced Robotics (CSTAR) in 2005. He presently holds this position, as well as cross-appointment as a Professor in the Departments of Surgery and Oncology. He has been involved in numerous Canadian and world firsts in robotic gastrointestinal surgery. We had the opportunity to speak with Dr. Schlachta to discuss his surgical practice, current research, and the technology at CSTAR.


2012 ◽  
Vol 27 (4) ◽  
pp. 1267-1272 ◽  
Author(s):  
Edward P. Dominguez ◽  
Cory Barrat ◽  
Lynn Shaffer ◽  
Ryan Gruner ◽  
Donald Whisler ◽  
...  

2011 ◽  
Vol 33 (2) ◽  
pp. 105-115 ◽  
Author(s):  
Henk W. R. Schreuder ◽  
Guid Oei ◽  
Mario Maas ◽  
Jan C. C. Borleffs ◽  
Marlies P. Schijven

2004 ◽  
Vol 171 (4S) ◽  
pp. 448-448
Author(s):  
Farjaad M. Siddiq ◽  
Patrick Villicana ◽  
Raymond J. Leveillee

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