Biomedical subjects

R B Lim

Publications and source records attributed to R B Lim.

4 recordsLinked to original sources

PubMed2000

Sentinel lymphadenectomy in gynecologic and solid malignancies other than melanoma and breast cancer.

The role of sentinel lymphadenectomy in the management of malignancies other than melanoma and breast cancer is being increasingly explored. Improved staging of solid tumors holds great promise for refining treatment recommendations and gaining insight into the biologic behavior of these malignancies. This article summarizes the growing experiences with sentinel lymphadenectomy in solid tumors other than cutaneous melanoma and breast cancer.

Carcinoma, Non-Small-Cell Lung↗

PubMed2000

The cell cycle.

The cell cycle and the cell cycle control system are the engines that drive life. They allow for the processes of cell renewal and the growth of organisms, under controlled conditions. The control system is essential for the monitoring of normal cell growth and replication of genetic material and to ensure that normal, functional daughter cells are produced at completion of each cell cycle. Although certain clinical applications exist which take advantage of the events of the cell cycle, our understanding of its mechanisms and how to manipulate them is infantile. The next decades will continue to see the effort of many researchers focused upon unlocking the mysteries of the cell cycle and the cell cycle control system.

Animals↗

PubMed2000

Telementored laparoscopic cholecystectomy: a pilot study.

Few laparoscopic surgical experts exist relative to the number of surgeons needing training in laparoscopic surgical techniques. This study tested application of telemedicine technology in the mentoring of surgeons during laparoscopic cholecystectomy. Our Surgical Telementoring Suite provided real-time audio and video telecommunication to the operating room. Data points for telementored laparoscopic cholecystectomy (TLC, n = 6) were compared to age and sex-matched controls having standard laparoscopic cholecystectomy (SLC, n = 6) with mentors physically present in the operating room. TLC data were also compared between cases performed with a staff surgeon and resident as mentorees (SRM, n = 3), versus two residents as mentorees (RRM, n = 3). Data were analyzed with chi-square testing. The level of statistical significance was set at p < 0.05. No major operative complications occurred in either group (p > 0.05). Total operative times were similar (92.2 +/- 18.4 minutes SLC vs. 94.7 +/- 25.3 minutes TLC, p > 0.05). Additional data compared between SRM and RRM groups included time to establishment of a pneumoperitoneum of 12-15 mm Hg (7.0 +/- 6.1 minutes SRM vs. 6.7 +/- 2.9 minutes RRM), time to placement of all four trocars (13.0 +/- 3.6 minutes SRM vs. 10.3 +/- 3.1 minutes RRM, time to isolation and proximal clipping of the cystic duct (38.0 +/- 12.1 minutes SRM vs. 55.7 +/- 29.0 minutes RRM), and time to removal of the gallbladder (77.3 +/- 25.4 minutes vs. 77.7 +/- 27.5 minutes RRM). For all data points, p > 0.05. We conclude that telementoring is a safe, effective method for teaching the techniques of LC. This is true for operating teams composed of surgical residents, with or without staff surgeons present.

Adolescent↗

PubMed1998

Necrotizing fasciitis after tumescent liposuction.

We report a case of necrotizing fasciitis after tumescent liposuction, a new and increasingly popular plastic surgery procedure. After radical surgical debridement and staged full-thickness skin grafting, the patient ultimately recovered. The significance and recognition of this serious complication is emphasized.

Adult↗