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  1. AU="Wile, Rachel K"
  2. AU="Vallejo, Jesús G"
  3. AU="Tarantino, Lisa M."
  4. AU="Desidério Favarato"
  5. AU=Becker Stefan
  6. AU=Siddiquie Reshma Y.
  7. AU="Ounajim, Amine"
  8. AU=Clothier Hazel J
  9. AU="Ting, Kang"
  10. AU="Bitèye, Omar"
  11. AU="Koch, Cornelia"
  12. AU="Białecki, Piotr"
  13. AU="Taylor, Maureen E"
  14. AU="Karpov, M."
  15. AU="Vogel Gonzalez, M"
  16. AU="Montevecchi, William A"
  17. AU="Vanhoni, Laura Rassi"
  18. AU="Atkins, Kristen A"
  19. AU="Sun, Zhenyu J"
  20. AU="Boton, Noah H"
  21. AU=Anderson Claire
  22. AU="Pielmus, Alexandru-Gabriel"
  23. AU="Neacsu, Ionela Andreea"
  24. AU=Keller Ray
  25. AU="Gopas, Jacob"
  26. AU="Berthelson, P R"
  27. AU="Rivera-Torres, Juan J"
  28. AU="Henriquez, Javier"
  29. AU="Adele N Burgess"
  30. AU="Spencer T. Plumb"

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  1. Artikel: Video-assisted thoracoscopic surgery (VATS) enucleation of large gastroesophageal junction leiomyoma: A case report.

    Wile, Rachel K / Barnes, Katherine E / Banks, Kian C / Velotta, Jeffrey B

    International journal of surgery case reports

    2022  Band 98, Seite(n) 107564

    Abstract: Introduction and importance: Esophageal leiomyomas are the most common benign esophageal tumors. They are typically smaller than 3 cm, but larger tumors can impede local structures to cause symptoms, including dysphagia and epigastric pain. Surgical ... ...

    Abstract Introduction and importance: Esophageal leiomyomas are the most common benign esophageal tumors. They are typically smaller than 3 cm, but larger tumors can impede local structures to cause symptoms, including dysphagia and epigastric pain. Surgical treatment of esophageal leiomyomas has historically involved open thoracotomy, but this approach is being replaced by minimally invasive approaches, including video-assisted thoracoscopic surgery (VATS).
    Case presentation: A 46-year-old female patient presented with upper abdominal pain. Computerized tomography (CT) scanning of the abdomen and chest revealed a large (6.0 × 4.0 × 3.0 cm) gastroesophageal junction (GEJ) mass. An endoscopic ultrasound (EUS) with fine needle aspiration confirmed diagnosis of esophageal leiomyoma. A right VATS esophageal mass resection was performed to enucleate the mass. An intraoperative EGD was performed to check mucosal integrity, ensure adequate lumen patency, and visualization and insufflation was negative for a mucosal leak. The post-operative course was unremarkable.
    Clinical discussion: This case report adds to the emerging evidence that VATS can be utilized for enucleation of larger leiomyomas (>5 cm in largest dimension). Additionally, the use of direct intraoperative endoscopic evaluation via esophagoscopy suggests that larger esophageal masses could potentially be enucleated with a combined VATS and endoscopic approach.
    Conclusion: The purpose of this report is to add to the limited literature on minimally invasive surgical treatment of a relatively large GEJ leiomyoma. This case highlights that VATS, in addition to simultaneous endoscopic visualization, is an efficacious and safe option for treatment of larger leiomyomas (>5 cm) and can be associated with minimal risk.
    Sprache Englisch
    Erscheinungsdatum 2022-08-31
    Erscheinungsland Netherlands
    Dokumenttyp Case Reports
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2022.107564
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Student challenges during third-year perioperative clerkships through the lens of faculty and residents: A qualitative study.

    Wile, Rachel K / Barnes, Katherine E / Charondo, Leslie B / Breyer, Kristine / Lager, Jeannette / Campbell, Andre / O'Sullivan, Patricia S

    The clinical teacher

    2024  

    Abstract: Purpose: Studies of medical students suggest they often find the transition from the pre-clinical curriculum to clinical rotations particularly challenging during perioperative clerkships. Educators could add a new perspective into students' clerkship ... ...

    Abstract Purpose: Studies of medical students suggest they often find the transition from the pre-clinical curriculum to clinical rotations particularly challenging during perioperative clerkships. Educators could add a new perspective into students' clerkship experiences and potential interventions to improve them. The purpose of this study was to examine the educator perspective on students' experiences in perioperative clerkships. The findings could inform potential curricular interventions to facilitate student transition from a didactic environment into perioperative clerkships.
    Methods: Semi-structured qualitative interviews were conducted with 16 faculty and residents in the departments of anaesthesia, obstetrics and gynaecology (OBGYN), and general surgery across multiple clinical teaching sites at one institution. Interview questions explored their perceptions of the challenges students face during their transition into perioperative clerkships and probed thoughts on curriculum interventions they believed would be the most beneficial. Interviews were recorded, transcribed and analysed thematically.
    Findings: Three themes were identified. Faculty and residents perceive that student experiences on perioperative clerkships are shaped by (1) students' ability to adapt to the specialty and operating room norms on these clerkships, (2) students' understanding of how they can meaningfully contribute to the clinical team, and (3) dedicated teaching time constraints. Interventions were suggested to address educator expectations and student gaps, such as implementing a pre-clerkship orientation across anaesthesia, general surgery and OBGYN.
    Conclusions: To facilitate the medical student transition to perioperative clerkships, interventions should aid students in adapting to clerkship norms for these specialties and clarifying their role and expectations within the care team.
    Sprache Englisch
    Erscheinungsdatum 2024-02-07
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2151518-9
    ISSN 1743-498X ; 1743-4971
    ISSN (online) 1743-498X
    ISSN 1743-4971
    DOI 10.1111/tct.13742
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Home practice for robotic surgery: a randomized controlled trial of a low-cost simulation model.

    Wile, Rachel K / Brian, Riley / Rodriguez, Natalie / Chern, Hueylan / Cruff, Jason / O'Sullivan, Patricia S

    Journal of robotic surgery

    2023  Band 17, Heft 5, Seite(n) 2527–2536

    Abstract: Pre-operative simulated practice allows trainees to learn robotic surgery outside the operating room without risking patient safety. While simulation practice has shown efficacy, simulators are expensive and frequently inaccessible. Cruff (J Surg Educ 78( ...

    Abstract Pre-operative simulated practice allows trainees to learn robotic surgery outside the operating room without risking patient safety. While simulation practice has shown efficacy, simulators are expensive and frequently inaccessible. Cruff (J Surg Educ 78(2): 379-381, 2021) described a low-cost simulation model to learn hand movements for robotic surgery. Our study evaluates whether practice with low-cost home simulation models can improve trainee performance on robotic surgery simulators. Home simulation kits were adapted from those described by Cruff (J Surg Educ 78(2): 379-381, 2021). Hand controllers were modified to mimic the master tool manipulators (MTMs) on the da Vinci Skills Simulator (dVSS). Medical students completed two da Vinci exercises: Sea Spikes 1 (SS1) and Big Dipper Needle Driving (BDND). They were subsequently assigned to either receive a home simulation kit or not. Students returned two weeks later and repeated SS1 and BDND. Overall score, economy of motion, time to completion, and penalty subtotal were collected, and analyses of covariance were performed. Semi-structured interviews assessed student perceptions of the robotic simulation experience. Thirty-three medical students entered the study. Twenty-nine completed both sessions. The difference in score improvement between the experimental and control groups was not significant. In interviews, students provided suggestions to increase fidelity and usefulness of low-cost robotic home simulation. Low-cost home simulation models did not improve student performance on dVSS after two weeks of at-home practice. Interview data highlighted areas to focus future simulation efforts. Ongoing work is necessary to develop low-cost solutions to facilitate practice for robotic surgery and foster more inclusive and accessible surgical education.
    Mesh-Begriff(e) Humans ; Robotic Surgical Procedures/methods ; Clinical Competence ; Computer Simulation ; Robotics/education ; Students, Medical ; Simulation Training
    Sprache Englisch
    Erscheinungsdatum 2023-08-02
    Erscheinungsland England
    Dokumenttyp Randomized Controlled Trial ; Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-023-01688-7
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Outcomes of Anastomotic Evaluation Using Indocyanine Green Fluorescence during Minimally Invasive Esophagectomy.

    Banks, Kian C / Barnes, Katherine E / Wile, Rachel K / Hung, Yun-Yi / Santos, Jesse / Hsu, Diana S / Choe, Giye / Elmadhun, Nassrene Y / Ashiku, Simon K / Patel, Ashish R / Velotta, Jeffrey B

    The American surgeon

    2022  Band 89, Heft 12, Seite(n) 5124–5130

    Abstract: Background: Limited evidence exists assessing whether anastomotic evaluation using indocyanine green fluorescence (IGF) during minimally invasive esophagectomy (MIE) predicts or improves outcomes. We hypothesized that IGF helps surgeons predict ... ...

    Abstract Background: Limited evidence exists assessing whether anastomotic evaluation using indocyanine green fluorescence (IGF) during minimally invasive esophagectomy (MIE) predicts or improves outcomes. We hypothesized that IGF helps surgeons predict anastomotic complications and reduces anastomotic leaks after MIE.
    Methods: In September 2019, our institution began routinely using IGF for intraoperative evaluation of anastomoses during MIE. Data were collected from patients undergoing MIE in the two years before and after this technology began being routinely used. Baseline characteristics and outcomes, including anastomotic leak, in patients who underwent indocyanine green fluorescence evaluation (ICG) and those who did not (nICG) were compared. Outcomes were also compared between ICG patients with normal versus abnormal fluorescence.
    Results: Overall, 181 patients were included. Baseline demographic and clinical characteristics did not differ between the ICG and nICG groups. ICG patients experienced higher rates of anastomotic leak (10.2% vs. 1.6%,
    Discussion: Abnormal intraoperative IGF was associated with increased rate of anastomotic leak, suggesting predictive potential of IGF. However, its use was associated with an increased leak rate and higher mortality. Further studies are warranted to assess possible physiologic effects of indocyanine green on the esophageal anastomosis.
    Mesh-Begriff(e) Humans ; Indocyanine Green ; Anastomotic Leak/etiology ; Esophagectomy/adverse effects ; Fluorescence ; Anastomosis, Surgical/adverse effects
    Chemische Substanzen Indocyanine Green (IX6J1063HV)
    Sprache Englisch
    Erscheinungsdatum 2022-11-03
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348221138084
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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