Ingestion of a foreign body is a frequent and wellknown medical problem with several diagnostic and therapeutic approaches.Usually,ingested foreign bodies pass through the alimentary tract without incident.In some cas...Ingestion of a foreign body is a frequent and wellknown medical problem with several diagnostic and therapeutic approaches.Usually,ingested foreign bodies pass through the alimentary tract without incident.In some cases,they can be lodged in the appendix and may cause appendicitis.We report a case of a 29-year old woman,suffering from mental illness,with a safety pin lodged in the appendix.Initially,the patient consulted for abdominal pain.After a period of waiting,during which time the foreign body did not move,a colonoscopy was performed but failed to see the safety pin.Then,the patient underwent a laparoscopic appendectomy.Pathological examination showed an ulcerative appendicitis.展开更多
Background: To investigate the learning curve of “robotic surgery” versus “conventional laparoscopy” in two trials of the FLS program in a population of medical students with no experience in laparoscopy. Methods:...Background: To investigate the learning curve of “robotic surgery” versus “conventional laparoscopy” in two trials of the FLS program in a population of medical students with no experience in laparoscopy. Methods: A prospective trial. Students, all novices in training and surgical practice, were randomized into 2 groups: the “traditional laparoscopy” group and the “robotic assistance” group. Students were evaluated during two tests from the FLS: peg transfer and intracorporeal knot tying. Results: The median laparoscopic knot completion time was significantly lower in the “robotic surgery” group (p = 0.038). Conclusions: Robotic assistance training in neophytes is effective in improving the completion time of laparoscopic knots.展开更多
文摘Ingestion of a foreign body is a frequent and wellknown medical problem with several diagnostic and therapeutic approaches.Usually,ingested foreign bodies pass through the alimentary tract without incident.In some cases,they can be lodged in the appendix and may cause appendicitis.We report a case of a 29-year old woman,suffering from mental illness,with a safety pin lodged in the appendix.Initially,the patient consulted for abdominal pain.After a period of waiting,during which time the foreign body did not move,a colonoscopy was performed but failed to see the safety pin.Then,the patient underwent a laparoscopic appendectomy.Pathological examination showed an ulcerative appendicitis.
文摘Background: To investigate the learning curve of “robotic surgery” versus “conventional laparoscopy” in two trials of the FLS program in a population of medical students with no experience in laparoscopy. Methods: A prospective trial. Students, all novices in training and surgical practice, were randomized into 2 groups: the “traditional laparoscopy” group and the “robotic assistance” group. Students were evaluated during two tests from the FLS: peg transfer and intracorporeal knot tying. Results: The median laparoscopic knot completion time was significantly lower in the “robotic surgery” group (p = 0.038). Conclusions: Robotic assistance training in neophytes is effective in improving the completion time of laparoscopic knots.
