Present Status of Abdominal Laparoscopy
Plánované laparoskopické výkony v klinické praxi
V posledním desetiletí zažíváme nebývalý rozvoj laparoskopické techniky operování. V současné době na základě prospektivních studií můžeme objektivně porovnat přínos laparoskopie ve srovnání s laparotomickou technikou. Řada výkonů (laparoskopická cholecystektomie, laparoskopická operativa bráničního hiátu, bariatrická chirurgie) je považována za „zlatý standard“. Z výsledků těchto studií jednoznačně plyne i oprávněnost použití laparoskopie v onkochirurgii. V přehledovém článku přinášíme současné informace o možnostech využití laparoskopie v břišní chirurgii.
Klíčová slova:
laparoskopie, miniinvazivní technika.
Authors:
R. Gürlich 1,2; B. Sixta 1; M. Oliverius 1
Authors‘ workplace:
Klinika transplantační chirurgie IKEM, Praha
1; 1. chirurgická klinika 1. LF UK a VFN, Praha
2
Published in:
Čas. Lék. čes. 2006; 145: 195-200
Category:
Review Article
Overview
Several recent randomized studies have proved that laparoscopic technique is feasible, safe and has been associated with better cosmetics, less pain, faster recovery, lower incidence of infectious complications, and shorter postoperative stay. However, these advantages are not substantial for patients with malignant diseases. New published randomized trials (laparoscopic gastrectomy, colectomy, nephrectomy) have proved that long-term survival data did not show any detrimental effect of laparoscopy in comparison with historic studies of open resections.
Key words:
laparoscopy, miniinvasive treatment.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
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