“Mazie was extremely proud of her family’s accomplishments, but none would have been possible without Mazie’s support and sacrifice throughout the years: she is the true hero of the Movassaghi family.”

@surgeonramirez Very nice! Great idea!

@rdrummond @Stentingwoman @EricKnauerMD Yes this is an important point we shouldn’t loose sight of. These patients are really managed best with a multidisciplinary approach to determine the cumulative intervention with the lowest risk.

@EleahPorterMD @rbarbosa91 @ElliotServaisMD @EricKnauerMD @ahmadnassar @EzraTeitelbaum @VNikolian @CPark_MD @SAGES_Updates @MBosleyMD @ericpaulimd @DouglasAdlerMD @FilipinoSurgeon @MISIRG1 @cutitoutPODCAS1 @DerbyPBunit @rdrummond @EmorySurgery @drkeithsiau

@rbarbosa91 @EricKnauerMD @ahmadnassar @EzraTeitelbaum @VNikolian @CPark_MD @SAGES_Updates @MBosleyMD @EleahPorterMD @ericpaulimd @DouglasAdlerMD @FilipinoSurgeon @MISIRG1 @cutitoutPODCAS1 @DerbyPBunit @rdrummond @EmorySurgery @drkeithsiau I do routine IOC with the robot. Was once cumbersome when playing around with different setups, but then figured out how to set up the c-arm between the arms at the beginning of the case.

@EzraTeitelbaum @EricKnauerMD @VNikolian @rbarbosa91 @CPark_MD @SAGES_Updates @MBosleyMD @EleahPorterMD @ericpaulimd @DouglasAdlerMD @FilipinoSurgeon @MISIRG1 @cutitoutPODCAS1 @DerbyPBunit @rdrummond @EmorySurgery @drkeithsiau Just had this convo in the OR last week with my residents. I wish there was a way to study how many CBD stones are from dropped cystic duct stones or how many patients with post-chole syndrome actually had retained cystic duct stones. Definitely a reason to adopt routine IOC.

@MBosleyMD @rbarbosa91 @ElliotServaisMD @EricKnauerMD @ahmadnassar @EzraTeitelbaum @VNikolian @CPark_MD @SAGES_Updates @EleahPorterMD @ericpaulimd @DouglasAdlerMD @FilipinoSurgeon @MISIRG1 @cutitoutPODCAS1 @DerbyPBunit @rdrummond @EmorySurgery @drkeithsiau Agree 100%. I see the advantage as letting the 🤖 focus on retraction while I can focus on teaching the residents the steps of the procedure. My residents in turn can solely focus on learning how to work the equipment.

@rbarbosa91 @ElliotServaisMD @EricKnauerMD @ahmadnassar @EzraTeitelbaum @VNikolian @CPark_MD @SAGES_Updates @MBosleyMD @EleahPorterMD @ericpaulimd @DouglasAdlerMD @FilipinoSurgeon @MISIRG1 @cutitoutPODCAS1 @DerbyPBunit @rdrummond @EmorySurgery @drkeithsiau It’s already been figured out! 😊After a lot of trial and error, can now place C-arm at the beginning of the case and not have to undock/move any arms at the time of fluoro.

@rbarbosa91 @skpmd 🤖chole is a step up for difficult gallbladders that would otherwise be converted to open or performed as subtotal if attempted lap.

@thebooksatchel If you get hooked by Season 1, I absolutely recommend reading the books by Hugh Howey (Wool - Shift - Dust). I’m not usually a Sci fi person, but loved the books!)

@sergiomazzola2 Dude you wrote a book?! So impressed!!!

@DrBloodandGuts Any numbers on the shortage of advanced endoscopists? How will this affect ERCP capability?

@EricKnauerMD @rbarbosa91 Look at the codes for burns. It will make you almost want to do burns. Almost.

@EricKnauerMD @rbarbosa91 @VNikolian This gave me palpitations

@DrBloodandGuts Andy this is awesome! Such a game changer for your field!

@sciqst @SurgEndosc @SAGES_Updates @UTMBSurgery @PediSurgeryUTMB @UTMBProvost @UTMBPresident Thank you for your comment! Thus far, we have found no difference in complication rates between the two approaches.

@mstotty88 approach for benign disease should be cholecystectomy, IOC, and CBDE (2/2). One anesthetic event. Shorter length of stay. Equivalent duct clearance. Better for the patient.

@rajibaji1983 @mstotty88 I’m not familiar with training in the UK, but there is a group in the US that advocates for balloon spincteroplasty as the method for CBDE because choledochoscopy is an advanced skill. I disagree with this -if surgeons can perform EGDs and colonoscopies, we can do choledochoscopy