Publications
2252 results found
Aggarwal R, Darzi A, 2006, Technical-skills training in the 21st century, NEW ENGLAND JOURNAL OF MEDICINE, Vol: 355, Pages: 2695-2696, ISSN: 0028-4793
- Author Web Link
- Cite
- Citations: 160
Paloc C, Bello F, Kitney R I, et al., 2006, Online Multiresolution Volumetric Mass Spring Model for Real Time Soft Tissue Deformation, MICCAI 2002, Pages: 219-226
Sains PS, Darzi A, 2006, Revolutionary telemedicine: Remote presence robots in healthcare, British Journal of Intensive Care, Vol: 16, Pages: 112-115, ISSN: 0961-7930
Constantinides VA, Tekkis PP, Fazil A, et al., 2006, Fast-track failure after cardiac surgery: Development of a prediction model, CRITICAL CARE MEDICINE, Vol: 34, Pages: 2877-2884, ISSN: 0090-3493
- Author Web Link
- Cite
- Citations: 41
Kinross J, Warren O, Darzi A, 2006, ATLS versus ETC: Time for a decision?, ANNALS OF EMERGENCY MEDICINE, Vol: 48, Pages: 761-762, ISSN: 0196-0644
- Author Web Link
- Cite
- Citations: 3
Aggarwal R, Tully A, Grantcharov T, et al., 2006, Virtual reality simulation training can improve technical skills during laparoscopic salpingectomy for ectopic pregnancy, BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Vol: 113, Pages: 1382-1387, ISSN: 1470-0328
- Author Web Link
- Cite
- Citations: 96
Mayer EK, Winkler MH, Aggarwal R, et al., 2006, Robotic prostatectomy: the first UK experience, INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, Vol: 2, Pages: 321-328, ISSN: 1478-5951
- Author Web Link
- Cite
- Citations: 26
Panesar SS, Athanasiou T, Nair S, et al., 2006, Early outcomes in the elderly: a meta-analysis of 4921 patients undergoing coronary artery bypass grafting - comparison between off-pump and on-pump techniques, HEART, Vol: 92, Pages: 1808-1816, ISSN: 1355-6037
- Author Web Link
- Cite
- Citations: 98
Tilney HS, Constantinides V, Ioannides AS, et al., 2006, Pouch-anal anastomosis vs straight ileoanal anastomosis in pediatric patients: a meta-analysis, JOURNAL OF PEDIATRIC SURGERY, Vol: 41, Pages: 1799-1808, ISSN: 0022-3468
- Author Web Link
- Cite
- Citations: 37
Sains PS, Tilney HS, Purkayastha S, et al., 2006, Outcomes following laparoscopic versus open repair of incisional hernia, WORLD JOURNAL OF SURGERY, Vol: 30, Pages: 2056-2064, ISSN: 0364-2313
- Author Web Link
- Cite
- Citations: 38
Kneebone R, Nestel D, Yadollahi F, et al., 2006, Assessing procedural skills in context: exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI), MEDICAL EDUCATION, Vol: 40, Pages: 1105-1114, ISSN: 0308-0110
- Author Web Link
- Cite
- Citations: 91
Heriot AG, Tekkis PP, Darzi A, et al., 2006, Surgery for local recurrence of rectal cancer, COLORECTAL DISEASE, Vol: 8, Pages: 733-747, ISSN: 1462-8910
- Author Web Link
- Cite
- Citations: 65
Tekkis PP, Smith JJ, Heriot AG, et al., 2006, A national study on lymph node retrieval in resectional surgery for colorectal cancer, DISEASES OF THE COLON & RECTUM, Vol: 49, Pages: 1673-1683, ISSN: 0012-3706
- Author Web Link
- Cite
- Citations: 116
Van Herzeele I, Aggarwal R, Choong A, et al., 2006, Carotid artery stenting performed on a virtual reality simulator differentiates level of procedural experience and technical skill, 18th Annual Transcatheter Cardiovascular Therapeutics Symposium, Publisher: EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC, Pages: 242M-242M, ISSN: 0002-9149
Heald RJ, O'Neill BDP, Moran B, et al., 2006, MRI in predicting curative resection of rectal cancer - New dilemma in multidisciplinary team management, BMJ-BRITISH MEDICAL JOURNAL, Vol: 333, Pages: 808-808, ISSN: 1756-1833
- Author Web Link
- Cite
- Citations: 10
Purkayastha S, Tekkis PP, Lanitis S, et al., 2006, A comparison of segmental vs subtotal/total colectomy for colonic Crohn's disease: a meta-analysis., Colorectal Dis, Vol: 8, Pages: 723-724, ISSN: 1462-8910
Purpose: To evaluate differences in short- and long-term outcomes of patients with colonic Crohn's disease (CD) undergoing either subtotal/total colectomy with ileorectal anastomosis (IRA) or segmental colectomy(SC). Method: Comparative studies from 1988 to 2002, of subtotal/total colectomy and IRA vs SC, were used. The study end points included surgical and overall recurrence, time to recurrence, postoperative morbidity and incidence of permanent stoma. Meta-analytical tools were used to evaluate the study outcomes. Results: Six studies, consisting of a total of 488 patients (223-IRA and 265-SC) were included. Meta-analysis suggested no significant difference between IRA and SC in recurrence of CD. Time to recurrence was longer in the IRA group by 4.4 years (95%CI, 3.1-5.8), P < 0.001. There was no difference in postoperative complications (OR = 1.4, 95%CI, 0.16-12.74) or the need for a permanent stoma between the two groups (OR = 2.75, 95%CI, 0.78-9.71). Patients with two or more colonic segments involved were associated with lower re-operation rate in the IRA group, a difference which did not reach statistical significance (P = 0.177). Conclusions: Both procedures were equally effective as treatment options for colonic CD, however, patients in the SC group exhibited recurrence earlier than those in the IRA group. The choice of operation is dependent on the extent of colonic disease, with a trend towards better outcomes with IRA for two or more colonic segments involved.
Kneebone R, Nestel D, Wetzel C, et al., 2006, The human face of simulation: Patient-focused simulation training, ACADEMIC MEDICINE, Vol: 81, Pages: 919-924, ISSN: 1040-2446
- Author Web Link
- Cite
- Citations: 132
Kneebone R, Nestel D, Chrzanowska J, et al., 2006, The perioperative specialist practitioner: developing and evaluating a new surgical role, QUALITY & SAFETY IN HEALTH CARE, Vol: 15, Pages: 354-358, ISSN: 1475-3898
- Author Web Link
- Cite
- Citations: 8
Kneebone RL, Nestel D, Chrzanowska J, et al., 2006, Innovative training for new surgical roles - the place of evaluation, MEDICAL EDUCATION, Vol: 40, Pages: 987-994, ISSN: 0308-0110
- Author Web Link
- Cite
- Citations: 7
Undre S, Healey AN, Darzi A, et al., 2006, Observational assessment of surgical teamwork: A feasibility study, WORLD JOURNAL OF SURGERY, Vol: 30, Pages: 1774-1783, ISSN: 0364-2313
- Author Web Link
- Cite
- Citations: 105
Undre S, Healey AN, Darzi A, et al., 2006, Observational assessment of surgical teamwork: a feasibility study., World J Surg, Vol: 30, Pages: 1774-1783, ISSN: 0364-2313
BACKGROUND: Teamwork is fundamental to effective surgery, yet there are currently no measures of teamwork to guide training, evaluate team interventions or assess the impact of teamwork on outcomes. We report the first steps in the development of an observational assessment of teamwork and preliminary findings. METHOD: We observed 50 operations in general surgery from a single operating theater using a measure of teamwork specifically developed for use in the operating theater. The OTAS (Observational Teamwork Assessment for Surgery) comprises a procedural task checklist centered on the patient, equipment and communications tasks and ratings on team behavior constructs, namely: communication, co-operation, co-ordination, shared-leadership and monitoring. RESULTS: Ratings of overall team performance were reasonably high, though variable, but there was evidence that clinically significant steps were being missed which at the very least eroded safety margins. There was, for instance, a frequent failure to check both surgical and anesthetic equipment and a failure to confirm the procedure verbally, patient notes were missing in about one-eighth of the cases and delays or changes occurred in over two-thirds of the cases. CONCLUSIONS: This study takes an initial step towards developing measures of team performance in surgery that are defined in relation to tasks and behaviors of the team. The observational method of assessment is feasible and can provide a wealth of potentially valuable research data. However, for these measures to be used for formal assessment, more research is needed to make them robust and standardized.
Reese GE, Constantinides VA, Simillis C, et al., 2006, Diagnostic precision of anti-<i>Saccharomyces cerevisiae</i> antibodies and perinuclear antineutrophil cytoplasmic antibodies in inflammatory bowel disease, AMERICAN JOURNAL OF GASTROENTEROLOGY, Vol: 101, Pages: 2410-2422, ISSN: 0002-9270
- Author Web Link
- Cite
- Citations: 170
Purkayastha S, Chow A, Athanasiou T, et al., 2006, Does serum procalcitonin have a role in evaluating the severity of acute pancreatitis? A question revisited, WORLD JOURNAL OF SURGERY, Vol: 30, Pages: 1713-1721, ISSN: 0364-2313
- Author Web Link
- Cite
- Citations: 23
Jones CM, Athanasiou T, Dunne N, et al., 2006, Multi-slice computed tomography in coronary artery diseasel, EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol: 30, Pages: 443-450, ISSN: 1010-7940
- Author Web Link
- Cite
- Citations: 17
Smith JJ, Tilney HS, Heriot AG, et al., 2006, Social deprivation and outcomes in colorectal cancer, BRITISH JOURNAL OF SURGERY, Vol: 93, Pages: 1123-1131, ISSN: 0007-1323
- Author Web Link
- Cite
- Citations: 41
Saleh GM, Voyazis Y, Hance J, et al., 2006, Evaluating surgical dexterity during corneal suturing, ARCHIVES OF OPHTHALMOLOGY, Vol: 124, Pages: 1263-1266, ISSN: 0003-9950
- Author Web Link
- Cite
- Citations: 52
Datta V, Bann S, Aggarwal R, et al., 2006, Technical skills examination for general surgical trainees., Br J Surg, Vol: 93, Pages: 1139-1146, ISSN: 0007-1323
BACKGROUND: The technical skills of surgical trainees are difficult to assess and compare objectively. This study involved a structured, multistation, technical skills examination that enables the stratification of surgical trainees. METHODS: Twenty-two surgeons (five basic surgical trainees, eight junior specialist trainees, four senior specialist trainees and five consultants) participated in the study. All undertook a five-station technical skills examination consisting of three synthetic simulations (bowel anastomosis, vascular anastomosis, saphenofemoral dissection) and two virtual reality-based (flexible sigmoidoscopy and laparoscopy) assessment stations. Video-based analyses and in-built computer scoring were used to measure each surgeon's performance. The mean rank was determined for each variable, and the sum of the mean ranks produced a total score. RESULTS: There was a significant improvement in overall performance with increasing seniority (P<0.001). Significant differences were observed between basic surgical trainees and junior specialist trainees (P=0.019), and between junior and senior specialist trainees (P=0.048), but not between senior trainees and consultants. CONCLUSION: This examination successfully differentiated surgical skill, both between surgeons with different grades of experience and within the target study group of specialist trainees. The examination is feasible in terms of the timeframe needed to complete tasks, cost, and efficiency in performing video-based assessments.
Datta V, Bann S, Mandalia M, et al., 2006, The surgical efficiency score: a feasible, reliable, and valid method of skills assessment, AMERICAN JOURNAL OF SURGERY, Vol: 192, Pages: 372-378, ISSN: 0002-9610
- Author Web Link
- Cite
- Citations: 74
Aggarwal R, Boshier P, Hanna G, et al., 2006, Gaze-down three-dimensional 'open-box' training shortens the laparoscopic learning curve, 61st Annual Session of the Surgical Forum 2006 Clinical Congress, Publisher: ELSEVIER SCIENCE INC, Pages: S77-S77, ISSN: 1072-7515
This data is extracted from the Web of Science and reproduced under a licence from Thomson Reuters. You may not copy or re-distribute this data in whole or in part without the written consent of the Science business of Thomson Reuters.