A5048539124- Surgical Simulation and Training
- Biomedical Ethics and Regulation
- Breast Cancer Treatment Studies
- Bariatric Surgery and Outcomes
- Breast Implant and Reconstruction
- Cardiac, Anesthesia and Surgical Outcomes
- Anatomy and Medical Technology
- Global Cancer Incidence and Screening
- Minimally Invasive Surgical Techniques
- Gallbladder and Bile Duct Disorders
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Diverticular Disease and Complications
- Colorectal Cancer Surgical Treatments
- Esophageal and GI Pathology
- Delphi Technique in Research
- Pancreatic and Hepatic Oncology Research
- Radiation Dose and Imaging
- Renal and Vascular Pathologies
- Intraperitoneal and Appendiceal Malignancies
- Breast Lesions and Carcinomas
- Gastroesophageal reflux and treatments
- Healthcare cost, quality, practices
- Health and Medical Research Impacts
- History of Medical Practice
- Enhanced Recovery After Surgery
University of Bristol
2021-2024
Bristol Royal Infirmary
2021-2024
NIHR Bristol Biomedical Research Centre
2021-2024
National Institute for Health Research
2021-2024
University Hospitals Bristol NHS Foundation Trust
2021-2022
University Hospitals Bristol and Weston NHS Foundation Trust
2022
Bristol Hospital
2021
Gloucestershire Hospitals NHS Foundation Trust
2017-2019
Cheltenham General Hospital
2019
Royal Free London NHS Foundation Trust
2015
A 67-year-old lady was found to have a giant appendicolith during colorectal cancer screening colonoscopy, following positive faecal occult blood test. Computed tomography confirmed the presence of calcified within base appendix, which otherwise appeared normal. Appendicoliths are widely believed be major cause acute appendicitis via obstruction appendix lumen, although this is disputed due lack strong evidence. They may also chronic abdominal pain. All few cases appendicoliths reported so...
The development of innovative invasive procedures and devices are essential to improving outcomes in healthcare. However, how these introduced into practice has not been studied detail. Lotus study will follow a wide range 'case studies' new and/or being NHS trusts explore what information is communicated patients, modified over time selected reported.This qualitative use ethnographic approaches investigate introduced. Consultations which the innovation discussed be audio-recorded understand...
Abstract Aim New and modified surgical procedures devices are often introduced into clinical practice without adequate evidence of their safety efficacy. To promote systematic evaluation innovations, the IDEAL IDEAL-D frameworks outline recommendations for study design governance according to stage innovation. However, determining innovation can be difficult, hindering use such frameworks. There is a need detailed understanding what means, how it determined. The aim this understand concept...
Abstract Introduction The IDEAL framework describes a series of stages through which surgical innovations typically pass. For each stage, the makes recommendations with intention improving quality research in surgery. Its adoption has been slow despite publication practical guidance. It recognized that determining stage innovation an invasive procedure or device can be problematic, and this issue may hindering framework. aim study is to develop algorithm for any device. Methods Multiple data...
Abstract Aim Robotic techniques are increasingly being adopted by gastrointestinal surgeons. It is important to understand the learning curves (LCs) for robotic surgery, protect patients from harm caused surgeon inexperience. The aim of this study was summarise reports LC three procedures: cholecystectomy, oesophagectomy and Roux-en-Y gastric bypass (RYGB). Method Three systematic reviews were conducted trainee led RoboSurg Collaborative. Systematic searches identified primary clinical...
Abstract Aim Pancreaticoduodenectomy (PD) is most commonly performed using open surgical techniques. Minimal access approaches have reduced the morbidity of many types surgery, however technical limitations hindered widespread adoption laparoscopic methods for PD. There has been increasing use robots to facilitate a minimal approach, motivated by improved visualisation, ergonomics and dexterity compared standard methods. Methods safe introduction novel techniques are lacking, way in which...
Abstract Aim Robotic surgery is increasingly being adopted by gastrointestinal surgeons. The IDEAL Collaboration has recommended evaluation of the learning curve (LC) for such surgical innovations. It not known how curves have been reported robotic procedures. aim this study was to summarise LCs were measured three procedures: cholecystectomy, oesophagectomy and Roux-en-Y gastric bypass (RYGB). Method Three systematic reviews conducted trainee led RoboSurg Collaborative identified primary...