Twenty years of minimally invasive surgery in the Czech Republic

Duda, M; Gryga, A; Czudek, S; Skalický, Pavel

doi:10.5114/wiitm.2011.20993

Cited by 14 publications

(13 citation statements)

References 3 publications

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“…[2] Because of faster postoperative recovery and reduced postoperative complications, laparoscopic appendectomy is now being more and more widely used for treating acute appendicitis. [14], [15], [16], [17], [18] The key technical aspect in laparoscopic appendectomy is the treatment of appendix stump closure. Nowadays, stapling and endoloop techniques are the most popular ones in securing the appendix stump.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Stump Closure Techniques of the Base of the Appendix in Laparoscopic Appendectomy

Chand¹,

Singh²,

Kahlon³

et al. 2017

jemds

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BACKGROUNDAppendicitis remains one of the most common surgical diseases. Open or laparoscopic appendectomy remains the gold standard treatment for acute appendicitis. The technique of appendectomy may vary from surgeon to surgeon or from centre to centre, starting from skin incision to ligation and invagination of appendiceal stump. However, concerns still exist regarding appendiceal stump closure.The present study was conducted to compare the stump closure techniques of Endoloop versus Intracorporeal Transfixation of the base of the appendix in laparoscopic appendectomy to demonstrate the safety and feasibility in this surgery. MATERIALS AND METHODSThis prospective, non-randomised, controlled study was conducted on 60 patients with appendicitis. The patients from same population were assigned to one of the two groups alternatively; A and B, each consisting of 30 patients. The patients in Group A underwent laparoscopic appendectomy with simple endoloop ligation of the base of appendix, whereas the patients in Group B underwent laparoscopic appendectomy with intracorporeal transfixation of the base of appendix. The findings of subgroups were compared and results were evaluated by IBM-Statistical Package Social Sciences (SPSS) statistical methods. RESULTSPosition and diameter of appendix did not affect the feasibility of stump ligation with both techniques. Both techniques were comparable in terms of post-operative complications and time of appearance of bowel activity. Operative time was significantly more in intracorporeal transfixation technique. CONCLUSIONBoth the techniques are safe, sure and reliable methods for stump closure. Hence, appendix stump ligation should be left to preference of the operating surgeon.

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Section: Discussionmentioning

confidence: 99%

Comparison of Stump Closure Techniques of the Base of the Appendix in Laparoscopic Appendectomy

Chand¹,

Singh²,

Kahlon³

et al. 2017

jemds

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“…According to mandatory European interdisciplinary recommendations for the surgical treatment of obesity, bariatric surgical interventions that limit food consumption by gastric capacity reduction (restrictive methods) include: vertical banded gastroplasty (VBG), laparoscopic sleeve gastrectomy (LSG), adjustable gastric bandage (AGB), and gastric bypass (GBP). A laparoscopic approach is considered the first choice among bariatric interventions [14], as is the case in other difficult gastric surgeries [16]. In connection with QOL, Stefaniak [17] found that patients had a more positive self-perception and body image following laparoscopic surgery than after conventional surgery.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in morbid obesity: the impact of laparoscopic sleeve gastrectomy

2014

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AbstractOur aim in this prospective study was to determine the impact of laparoscopic sleeve gastrectomy on the quality of life of patients with morbid obesity in comparison with population standards. The study evaluated 76 morbidly obese patients who underwent laparoscopic sleeve gastrectomy. The short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) was used to evaluate quality of life in the following four areas: physical health, mental health, social relations, and environment. Patients completed the questionnaire before their planned operation and again 3 and 6 months after surgery. Compared with the population standard, patients with morbid obesity had significantly lower quality of life scores in the physical and mental health domains, including on independent questions related to of overall health and quality of life (p<0.001). Women scored lower on indicators of mental health than men. Three and 6 months following surgery a significant trend of body mass index (BMI) reduction was seen, as well as increased quality of life in all indicated areas (p<0.001). Laparoscopic sleeve gastrectomy treatment in morbidly obese patients reduced BMI on a long-term basis, a change seen as early as 3 months after surgery. By 6 months after surgery, patients had the same quality of life scores as the reference population.

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“…The proportion of laparoscopic colorectal operations is still increasing worldwide [11, 12], including among complicated surgical procedures [13]. As the demand for laparoscopic colorectal surgery increases, interest in the risk of conversion to open surgery grows as well.…”

Section: Discussionmentioning

confidence: 99%

Conversion risk factors in laparoscopic colorectal surgery.

Rabasová

Martínek²

2012

Videosurgery and Other Miniinvasive Techniques

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IntroductionThis study is aimed at identifying important risk factors associated with conversion of laparoscopic colorectal surgery. Laparoscopic surgery is usually associated with less operative trauma, more favourable post-operative course and lower morbidity than open surgery. However, conversion is connected with some risks according to some authors.AimTo identify the risk factors associated with conversion and to create a model to predict possible conversion for a patient before surgery.Material and methodsThe source data file contained information about 649 patients who underwent laparoscopic colorectal surgery between 2001 and 2009 at the University Hospital Ostrava, Czech Republic. Conversion to open surgery was necessary in 54 cases. The variables gender, body mass index (BMI), American Society of Anesthesiologists (ASA) classification, stage of disease, number of previous operations and operation severity were included in the analysis as the potential risk factors of conversion. Discriminant analysis was used for the data evaluation; statistical software SPSS 17 and NCSS 2004 were used for the calculations.ResultsThe created model had only low discriminating ability. The variable ASA classification was identified as the most important risk factor of conversion, followed by the variables operation severity, gender and BMI.ConclusionsDiscriminant analysis did not find the chosen input variables satisfactory enough to make a reasonable model for the prediction of conversion. The expected fact was confirmed that large bowel surgery and greater BMI mean greater risk of conversion, whereas there is no reason to refuse laparoscopy for a patient with higher ASA classification.

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Twenty years of minimally invasive surgery in the Czech Republic

Abstract: A b s t r a c t

Cited by 14 publications

References 3 publications

Comparison of Stump Closure Techniques of the Base of the Appendix in Laparoscopic Appendectomy

Comparison of Stump Closure Techniques of the Base of the Appendix in Laparoscopic Appendectomy

Health-related quality of life in morbid obesity: the impact of laparoscopic sleeve gastrectomy

Conversion risk factors in laparoscopic colorectal surgery.

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