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Current Issue

Volume 50, Number 10
October 2021

Image Credit: iStock.com/UnitoneVector

A Singapore retrospective review examined over 300 cases of laparoscopic liver resection (LLR) performed by a single surgeon without prior LLR experience. The findings revealed that open conversion rates significantly decreased among patients who underwent a totally minimally invasive approach, including robotic-assisted procedures. The study also determined trends, predictors and impact of open conversion to preempt perioperative outcomes and morbidity.

Major concerns of LLR are discussed, with learning points highlighted throughout the learning curve. In adopting such a procedure, surgeons should select cases with complexities appropriate to their level of experience to minimise the need for open convers

Laparoscopic liver resection: Global diffusion and learning curve

Laparoscopic liver resection (LLR) is being utilised with increasing frequency worldwide, as initial concerns about the safety and feasibility of LLR, such as the...

Potentially avoidable readmissions: Understanding drivers and technology-enabled solutions

Hospital admissions places high resource demands on the health system, and is a major cost-driver in Singapore and globally.1-3 Admissions have and will continue...

Evolution and trends in the adoption of laparoscopic liver resection in Singapore: Analysis of 300 cases

Over the past few decades, the introduction of laparoscopic surgery has been the biggest game changer in abdominal surgery.1 However, although the first laparoscopic...

Factors and experiences associated with unscheduled 30-day hospital readmission: A mixed method study

Readmission leads to a greater demand for healthcare services, especially hospital beds, and contributes to the rising healthcare costs.1,2 With estimated one-third of the...

Immunomodulator use in paediatric severe sepsis and septic shock

Paediatric sepsis is one of the main causes of childhood mortality.1 Globally, paediatric severe sepsis and septic shock accounts for 6.2% to 23.1% of...

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