tag:blogger.com,1999:blog-2760353953251845523.post7894776512442644575..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Laparoscopic Gastric GIST resectionJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-2760353953251845523.post-73925892852980396822009-07-18T10:25:06.271-04:002009-07-18T10:25:06.271-04:00Good questions radinc. Open gastric resections us...Good questions radinc. Open gastric resections usually result in 7-10 day hospitalizations, signif post op pain. Minimally invasive surgery reduces pain, allows patients to return to life quicker. But these are difficult things to quantify. From a hard line cost perspective, much of minimally invasive surgery can be difficult to justify. Patient demand, referring doctor expectations also play a role...Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-60209784282481021912009-07-18T09:13:45.006-04:002009-07-18T09:13:45.006-04:00great post,buckeye,and nice job!great post,buckeye,and nice job!nemsovahttps://www.blogger.com/profile/17363251836593530505noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-89453779703192138532009-07-17T23:51:54.149-04:002009-07-17T23:51:54.149-04:00I dunno, I always think you surgeons are getting t...I dunno, I always think you surgeons are getting too fancy with the laparoscopic tools. <br /><br />I mean you have to take the thing out so you need to make a 5cm incision anyway. So why not make a 15 cm incision, get in there and get out in 20 minutes rather than dick around with laparoscopic toys for an hour or more. <br /><br />The biggest risk in this relatively minimal surgery is sedation time, isn't it?<br /><br />I remember when I was a med student and laparoscopy was getting hot a guy did a "lap-hand assisted" splenectomy. It took 3 hours and he had to make a 20cm incision to take the giant spleen out anyway. What if the thing ruptured that would have really been a huge fiasco.<br /><br />later<br />radincradincnoreply@blogger.com