Endoskopie 2010; 19(1): 3
Endoskopie 2010; 19(1): 6-8
The program of colorectal surgery in the Center of robotic surgery Krajská zdravotní i. c. Laparoscopy colorectal surgery is an established praxis in a repertory in Czech surgery. We would like to introduce next modality of mini invasive access in operating of colorectal – robotic assisted surgery with concept da Vinci. On the file of 55 patients, who undergo surgery of left colon end rectum, we perform the first expierience with this miniinvasive technics, who is in our department established
Endoskopie 2010; 19(1): 9-13
Aim: The aim of this study was to evaluate the functional and clinical results after surgical treatment in the patients with complete rectal prolaps during three years period in the Ist Dept of Surgery St. Ann´s University Hospital, Brno. Methods: Between May 2006 and May 2009 37 patients underwent surgical therapy -robotic assisted resection suture rectopexy, anterior sling (Ripstein) or posterior sling (Wells) rectopexy. Before the operation a detailed clinical history was collected, and the patients were studied by inspection and digital examination of the anorectum, endoscopy, pancolonic transit time, defecography, anorectal manometry...
Endoskopie 2010; 19(1): 14-16
Purpose of the study: Drawing on their experience, the authors reflect on the current options of robot-assisted vascular surgery. Applied methods: The robotic vascular surgery team has proposed surgical procedures for individual types of vascular reconstructions. The surgeons succeeded in finding both the most favourable port placement to allow comfortable use of the robotic system, and in modifying the currently used transperitoneal approach. Results: There has been no mortality in the presented group; in four cases (2.7 %) it was necessary to convert to classical surgery. Four patients (2.7 %) suffered post-operative complications. A technical...
Endoskopie 2010; 19(1): 17-20
The following article outlines the history and technical parametres of the Da Vinci robotic system. It explains the advantages as well as disadvantages of the system. The indication and number of robotic operations conducted in the Czech Republic are also included and that since the first operation in 2005 till now. Between 1 October 2005 and 19 March 2010 there were 3,086 such operations conducted in CR. The authors also discuss their 4-year experience of working with the system. Key word: robotic surgery.
Endoskopie 2010; 19(1): 21-27
The main cause of unilateral recurrent laryngeal nerve palsy is iatrogenous injury. The treatment is conservative, surgical or combination of both. We present a retrospective cohort of 10 patients with miscellaneous etiologie factors causing a unilateral laryngeal nerve palsy. The surgical treatment methods included a thyroplasty and a nerve suture of injured nerve. Indication of surgical tratment as well as functional results of various methods are discussed.
Endoskopie 2010; 19(1): 29-33
The upper gastrointestinal bleeding is one of the most serious events in surgery. There were 191 patients treated because of upper gastrointestinal bleeding from January 2006 to December 2008 on the 1st Department of Surgery P. J. Šafarik University in Košice, Slovakia. Urgent gastroscopy was performed in 182 (96 %) patients. Averaged each patient underwent 1,53 gastroscopic interventions. Mortality of this group was 2,09 % (4 patients). Sufficiency of upper gastrointestinal bleeding treatment in our conditions is similar to that of the other authors results. Urgent gastroscopic intervention is the most important part of the upper gastrointestinal...
Endoskopie 2010; 19(1): 34-36
Laparoscopic pyeloplasty is a more difficult surgery in urology and it depends upon intracorporeal suture technique handling. Better postoperative course, less complications and soon recovery are benefits for patients. Article reffers about indication, technique and results of first 12 laparoscopic pyeloplastics. With mean operative time 206 minutes and mean hospital stay of 6,7 days we accomplished laparoscopic pyeloplasty in all patients without conversions and any complications. All patients are asymptomatic and we detected no obstructive curves in postoperative dynamic scintigraphy.
Endoskopie 2010; 19(1): 37
A symptomatic pancreatic pseudocyst can be managed surgically, radiologically or endoscopically. The endoscopic procedure can be performed without using endosonography, after a previous endosonographic examination (endosonographic assistance) or during an endosonographic examination (endosonographic navigation). A video case report of endosonography-assisted endoscopic pseudocystogastrostomy is presented.
Endoskopie 2010; 19(1): 42
Endoskopie 2010; 19(1): 38-41
Transanal Hemorrhoidal Dearterialisation (THD) is provided in Vitkovice Hospital since 2007. There is a semiinvasive surgical procedure, when the artery hemorrhoidales’ signal is detected by Doppler ultrasound probe. The artery is ligated after its detection. Indication for THD is hemoroidal disease from the 1st to the 3rd degree and beginning of the 4th degree. THD is provided in one day surgery in Vitkovice Hospital. Authors have an experience with treatment of 74 patients. There is lower postoperative pain and shorter healing in comparison of Longo procedure and classical hemoroidectomy. The big advantage is absence of risk in wound...