Encounter with Laparoscopic Surgery and Starting from Zero

Zero ischaemia laparoscopic nephron-sparing surgery by re-suturing

AIM OF THE STUDY To report a pre-suture technique in laparoscopic nephron-sparing surgery (LNSS), which could help reduce and even avoid ischaemia for the treatment of renal cell carcinoma. MATERIAL AND METHODS Between January and June 2013 we treated 14 patients presenting with renal tumours. The mean age was 46 years and average tumour size was 2.4 cm in diameter determined by computed tomo...

Starting From Zero: An Exploration of Contemporary Issues in Haiti

Haitians have been battered from all sides for centuries, almost without respite, with horrors ranging from slavery to extortion, widespread corruption, a cholera epidemic, abject poverty, crumbling infrastructure, hurricanes, and massive earthquakes. Especially when building on rubble, and with needs far outweighing funding, both immediate crises and long term challenges can be overwhelming. U...

Starting a new laparoscopic liver surgery program: initial experience and improved efficiency.

BACKGROUND Owing to the anatomic complexity of the liver and the risk of hemorrhage, most liver resections are still performed using an open procedure. We evaluated the outcomes of introducing a laparoscopic liver program to a community teaching hospital. METHODS We retrospectively reviewed laparoscopic liver resections performed between August 2010 and July 2013 at St. Joseph's Health Centre...

Robot-assisted surgery compared with open surgery and laparoscopic surgery.

Starting a Laparoscopic Surgery Programme in the Second Largest Teaching Hospital in Ghana.

BACKGROUND Komfo Anokye Teaching Hospital (KATH) is the second largest hospital in Ghana. Two years have elapsed after performance of the first laparoscopic cholecystectomy. OBJECTIVES To examine our experience and lessons learned. DESIGN Retrospective review. SETTING Komfo Anokye Teaching Hospital (KATH). SUBJECTS We reviewed leadership support, the role of a surgeon champion, training...