Estimation of the Degree of Surgical Difficulty Anticipated for Pancreatoduodenectomy: Preoperative and Intraoperative Factors

Author(s):  
Hisashi Kosaka ◽  
Sohei Satoi ◽  
Yumiko Kono ◽  
Tomohisa Yamamoto ◽  
Satoshi Hirooka ◽  
...  
Keyword(s):  
2018 ◽  
Vol 17 (2) ◽  
pp. 11
Author(s):  
Krishna Gopal Bhuju ◽  
Sujita Shrestha ◽  
Riwaj Karki ◽  
Sameer Aryal

<p><strong>Aim</strong>: To study the effect of age, gender, side and impaction types on surgical difficulty during mandibular third molar extraction through the data collected over a period of one year by single maxillofacial surgeon. All the extractions were performed under the same environment and conditions.</p><p><strong>Methods</strong>: Descriptive clinical study of 401 patients was carried out between the ages of 16 to 45years. Age, gender, impaction side and impaction types (according to the winter classification) were recorded on proforma. Duration of surgery for each patient was recorded after starting incision to the completion of suture which was divided into less than 10 minutes (mild), 11 to 20 minutes (moderate) and above 21 minutes (severe). Pearson’s Chi-square test was used for data analysis and significance level was less than or equal to 0.05.</p><p><strong>Results</strong>: Among 401 participants, 225 (56.1%) were male and 176 (43.9%) were female. Mean age was 31.5 years and mean operation time was 17.59 minutes. After statistical analysis there was a significant correlation among gender and side of impaction where <em>p </em>value is 0.043 0.048 respectively.</p><p><strong>Conclusion</strong>: There is a statistically significant correlation between gender and side of impaction with duration of surgery which is considered as the objective measure of surgical difficulty whereas age and impaction types didn’t show any significant correlation. </p>


2013 ◽  
Vol 71 (5) ◽  
pp. 839-845 ◽  
Author(s):  
Ricardo Wathson Feitosa de Carvalho ◽  
Roberto Carlos Arruda de Araújo Filho ◽  
Belmiro Cavalcanti do Egito Vasconcelos

2012 ◽  
pp. 815-826
Author(s):  
Luis Ma. Lozano ◽  
Montserrat Núñez ◽  
Ester Nuñez ◽  
Josep Ma. Segur ◽  
Francisco Maculé

2020 ◽  
Vol 185 ◽  
pp. 03025
Author(s):  
Li Xiang ◽  
Lu Zheng ◽  
Li Zhicen ◽  
Zhu Wanchun ◽  
He Jintao ◽  
...  

Pediatric skull deformity requires immediate surgery as indicated by increased cranial pressure, mental retardation, impaired or absent vision, cranial deformity, and mental and spiritual defects. This study explores the application value of computer aided simulation in treatment of pediatric skull deformity. The application of computer simulation surgery in the treatment of children with pediatric skull deformity allows surgeons to be familiar with the operation process in advance. The use of computer 3D digital technology for preoperative design planning and simulation can reduce surgical difficulty to a certain extent, improve surgical efficiency, significantly increase intraoperative accuracy, and also reduce the risk of intraoperative bleeding and postoperative complications.


2019 ◽  
Vol 6 (1) ◽  
pp. 10-13
Author(s):  
Manu R. Goel ◽  
Milind D. Shringarpure ◽  
Vasant V. Shewale ◽  
Tejasvini Dehankar ◽  
Ajit Joshi

The extraction of impacted third molars is among the most common surgical procedures carried out in the field of Oral and Maxillofacial Surgery. Both the patient and dentist must therefore have scientific evidence-based information concerning the estimated level of surgical difficulty of every case to consider in referring cases of impacted third molars for specialists’ handling. We have undertaken a study in which demographic and radiological variables were considered together to evaluate the risk factors for surgical difficulty in a cohort of 100 impacted mandibular third molars. There were 13 variables evaluated for surgical difficulty. Total surgical time intervention was noted at the end of each surgery. Each variable was analysed with total surgical time intervention with univariate and multiple linear regression. Out of 13 variables, 9 were found statistically significant. The most significant predictors for surgical difficulty were Body Mass Index, Depth of impacted tooth and Retromolar space. No postoperative complications were reported.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Daniel Azoulay ◽  
Chady Salloum ◽  
Laura Llado ◽  
Emilio Ramos ◽  
Josefina Lopez-Dominguez ◽  
...  

BJS Open ◽  
2020 ◽  
Vol 4 (6) ◽  
pp. 1137-1145
Author(s):  
K. Omiya ◽  
K. Hiramatsu ◽  
T. Kato ◽  
Y. Shibata ◽  
M. Yoshihara ◽  
...  

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 114-115
Author(s):  
Shinsuke Takeno ◽  
Fumiaki Kawano ◽  
Kousei Tashiro ◽  
Rouko Hamada ◽  
Takashi Wada ◽  
...  

Abstract Background Thoracoscopic esophagectomy (TE) was reported that increased morbidity in the National Clinical Data analysis in Japan and technical proficiency is required as the esophageal surgery team. The aim of this study is to assess the degree of surgical difficulty from operation time and to applicate for esophageal surgery team-building and the education of next-generation. Methods Consecutive initial 33 cases by the same operator was statistically examined concerning the correlation between chest operation time and the empirical effect of the time shortening, BMI, obstructive pulmonary disorders, Rib cage area, tumor progression, preoperative treatment as an indicator of the degree of surgical difficulty. Rib cage area measured in the preoperative CT Imaging. Results As the factors affecting the extension of operating time, the narrower upper rib cage area correlated with the prolonged operation time in the univariate (P = 0.0279) and multivariate (P = 0.0125) analysis. Empirical time reduction (P = 0.0429) also was correlated with chest operation time. In addition, there was a significant correlation between chest operation time and blood loss (P = 0.0007). Conclusion In the training of TE, operating surgeon or first assistant should start from the patient with broad upper rib cage area in chest CT. Disclosure All authors have declared no conflicts of interest.


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