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  1. Article ; Online: Functional outcomes after low anterior resection: an important consideration.

    Tou, Samson

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2017  Volume 19, Issue 5, Page(s) 415–416

    MeSH term(s) Fecal Incontinence ; Humans ; Rectal Neoplasms ; Treatment Outcome
    Language English
    Publishing date 2017
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.13648
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Setting a benchmark in surgical training - robotic training under the European School of Coloproctology, ESCP.

    Gomez Ruiz, M / Tou, S / Matzel, K E

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2019  Volume 21, Issue 4, Page(s) 489–490

    MeSH term(s) Benchmarking ; Colorectal Surgery/education ; Europe ; Humans ; Robotic Surgical Procedures/education ; Robotic Surgical Procedures/methods
    Language English
    Publishing date 2019-03-11
    Publishing country England
    Document type Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.14592
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: European expert consensus on a structured approach to training robotic-assisted low anterior resection using performance metrics.

    Tou, S / Gómez Ruiz, M / Gallagher, A G / Matzel, K E

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2020  Volume 22, Issue 12, Page(s) 2232–2242

    Abstract: Aim: The aim was to develop and operationally define 'performance metrics' that characterize a reference approach to robotic-assisted low anterior resection (RA-LAR) and to obtain face and content validity through a consensus meeting.: Method: Three ... ...

    Abstract Aim: The aim was to develop and operationally define 'performance metrics' that characterize a reference approach to robotic-assisted low anterior resection (RA-LAR) and to obtain face and content validity through a consensus meeting.
    Method: Three senior colorectal surgeons with robotic experience and a senior behavioural scientist formed the Metrics Group. We used published guidelines, training materials, manufacturers' instructions and unedited videos of RA-LAR to deconstruct the operation into defined, measurable components - performance metrics (i.e. procedure phases, steps, errors and critical errors). The performance metrics were then subjected to detailed critique by 18 expert colorectal surgeons in a modified Delphi process.
    Results: Performance metrics for RA-LAR had 15 procedure phases, 128 steps, 89 errors and 117 critical errors in women, 88 errors and 118 critical errors in men. After the modified Delphi process the final performance metrics consisted of 14 procedure phases, 129 steps, 88 errors and 115 critical errors in women, 87 errors and 116 critical errors in men. After discussion by the Delphi panel, all procedure phases received unanimous consensus apart from phase I (patient positioning and preparation, 83%) and phase IV (docking, 94%).
    Conclusion: A robotic rectal operation can be broken down into procedure phases, steps, with errors and critical errors, known as performance metrics. The face and content of these metrics have been validated by a large group of expert robotic colorectal surgeons from Europe. We consider the metrics essential for the development of a structured training curriculum and standardized procedural assessment for RA-LAR.
    MeSH term(s) Benchmarking ; Clinical Competence ; Consensus ; Delphi Technique ; Female ; Humans ; Male ; Robotic Surgical Procedures
    Language English
    Publishing date 2020-08-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15269
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Less is more: re-evaluating systematic reviews.

    Schlichtemeier, S / Tou, S / Parks, R / Engel, A

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2018  Volume 20, Issue 8, Page(s) 662–663

    MeSH term(s) Editorial Policies ; Guidelines as Topic ; Humans ; Periodicals as Topic ; Systematic Reviews as Topic
    Language English
    Publishing date 2018-08-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.14230
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: What surgeons can learn from other professionals - And not just from the pilots!

    Tou, Samson / Wolthuis, Albert / Gallagher, Anthony G

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2021  Volume 23, Issue 12, Page(s) 3059–3060

    MeSH term(s) Humans ; Pilots ; Surgeons
    Language English
    Publishing date 2021-12-28
    Publishing country England
    Document type Editorial
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15998
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Do surgical skills affect outcomes?

    Tou, S / Gómez Ruiz, M / Gallagher, A G / Eardley, N J / Matzel, K E

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2020  Volume 22, Issue 12, Page(s) 1826–1829

    MeSH term(s) Clinical Competence ; General Surgery/education ; Humans ; Internship and Residency
    Language English
    Publishing date 2020-09-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15316
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A proposed system for standardized terminology in minimally invasive surgery - a video vignette.

    Zawadzki, M / Gómez Ruiz, M / Tou, S / Jeffels, A / Matzel, K E

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2020  Volume 22, Issue 12, Page(s) 2346–2347

    MeSH term(s) Humans ; Minimally Invasive Surgical Procedures ; Transanal Endoscopic Surgery
    Language English
    Publishing date 2020-09-16
    Publishing country England
    Document type Letter ; Video-Audio Media
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15309
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Robotic low anterior resection: how to maximise success in difficult surgery.

    Toh, J W T / Peirce, C / Tou, S / Chouhan, H / Pfeffer, F / Kim, S H

    Techniques in coloproctology

    2020  Volume 24, Issue 7, Page(s) 747–755

    Abstract: Minimally invasive laparoscopic low or ultra-low anterior resection may present as a complex, technically difficult challenge to even the most experienced of colorectal surgeons. This is because, within the narrow confines of the pelvis, there is usually ...

    Abstract Minimally invasive laparoscopic low or ultra-low anterior resection may present as a complex, technically difficult challenge to even the most experienced of colorectal surgeons. This is because, within the narrow confines of the pelvis, there is usually limited visibility, and difficult manoeuvrability of rigid laparoscopic instrumentation with resulting poor access. The utilisation of robotic technology makes sense within the narrow confines of the pelvis. Several studies including recent meta-analyses of randomized controlled trials and propensity-score-matched cohorts have shown reduced rates of conversion to open. Some studies have also shown benefits including improved short-term outcomes and oncological benefits. However, robotic ultra-low anterior resection has a steep learning curve and many of the benefits of robotic surgery have not been fully realised, because the majority of surgeons are in the early phase of the learning curve. This 'How I do It' article provides a detailed description of the important technical points that may help in maximising success in performing robotically assisted laparoscopic ultra-low anterior resection.
    MeSH term(s) Humans ; Laparoscopy ; Proctectomy ; Rectal Neoplasms/surgery ; Robotic Surgical Procedures ; Robotics
    Language English
    Publishing date 2020-05-11
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-020-02227-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Treatment for complex anal fistula, are we any wiser?

    Schlichtemeier, Steven / Tou, Samson

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2018  Volume 20, Issue 12, Page(s) 1067–1068

    MeSH term(s) Digestive System Surgical Procedures/methods ; Humans ; Rectal Fistula/surgery ; Treatment Outcome
    Language English
    Publishing date 2018-12-01
    Publishing country England
    Document type Editorial
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.14464
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Absence of known feline MYH7 and MYBPC3 variants in a diverse cohort of cats with hypertrophic cardiomyopathy.

    O'Donnell, K / Adin, D / Atkins, C E / DeFrancesco, T / Keene, B W / Tou, S / Meurs, K M

    Animal genetics

    2021  Volume 52, Issue 4, Page(s) 542–544

    Abstract: Hypertrophic cardiomyopathy (HCM) is the most common cause of heart disease in the domestic cat with a genetic predisposition in a few breeds. In the Maine Coon and Ragdoll breeds, two variants associated with the HCM phenotype have been identified in ... ...

    Abstract Hypertrophic cardiomyopathy (HCM) is the most common cause of heart disease in the domestic cat with a genetic predisposition in a few breeds. In the Maine Coon and Ragdoll breeds, two variants associated with the HCM phenotype have been identified in the cardiac myosin binding protein C gene (MYBPC3; p.Ala31Pro and p.Arg820Trp respectively), and a single variant has been identified in the myosin heavy chain gene (MYH7; p.Glu1883Lys) in one domestic cat with HCM. It is not known if these variants influence the development of HCM in other cohorts of the feline population. The objective of this study was to evaluate the presence of the known MYBPC3 and MYH7 variants in a population of cats with HCM. DNA was isolated from samples collected from non-Ragdoll and non-Maine Coon domestic cats diagnosed with HCM through the North Carolina State University College of Veterinary Medicine and genotyped for the three variants. One-hundred and three DNA samples from cats with HCM were evaluated from domestic shorthair, domestic longhair and purebred cats. All samples were wt for the MYBPC3 and MYH7 variants. Although this study was limited by its inclusion of cats from one tertiary hospital, the lack of these MYBPC3 and MYH7 variants in this feline HCM population indicates that the clinical utility of genetic testing for these variants may be isolated to the two cat breeds in which these variants have been identified. Further studies to identify the causative variants for the feline HCM population are warranted.
    MeSH term(s) Animals ; Cardiomyopathy, Hypertrophic/genetics ; Cardiomyopathy, Hypertrophic/veterinary ; Carrier Proteins/genetics ; Carrier Proteins/metabolism ; Cat Diseases/genetics ; Cat Diseases/metabolism ; Cats ; Female ; Genetic Variation ; Male ; Myosin Heavy Chains/genetics ; Myosin Heavy Chains/metabolism
    Chemical Substances Carrier Proteins ; Myosin Heavy Chains (EC 3.6.4.1)
    Language English
    Publishing date 2021-05-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 632766-7
    ISSN 1365-2052 ; 0268-9146 ; 0268-9154
    ISSN (online) 1365-2052
    ISSN 0268-9146 ; 0268-9154
    DOI 10.1111/age.13074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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