Title Laparoskopinė storosios žarnos chirurgija: pirmoji patirtis Lietuvoje = /
Translation of Title First experience in laparoscopic colorectal surgery in Lithuania.
Authors Valeikaitė, Gintarė ; Stanaitis, Juozas ; Kaselis, Nerijus ; Poškus, Eligijus ; Strupas, Kęstutis ; Pavalkis, Dainius
DOI 10.15388/LietChirur.2006.4.2256
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Is Part of Lietuvos chirurgija = Lithuanian surgery. 2006, t. 4, Nr. 4, p. 292-298.. ISSN 1392-0995
Keywords [eng] Intestine, large ; Laparoscopy
Abstract [eng] Objective. To evaluate the first experience in laparoscopic colorectal surgery in Lithuania and to review the worldwild accepted practice. Methods. A questionnaire was sent to four major centers performing laparoscopic colorectal surgery in Lithuania. Analysis of obtained data showed that 56 laparoscopic operations were performed. For colorectal cancer were operated 36 patients (64.3%): 11 for rectal, 15 for sigmoid, 4 for ascending colon, 3 for ceacal, 2 for transversal and 1 for descending colon cancer. For benign colorectal disease – 20 (35.7%): 8 for diverticular disease, 8 for rectal prolapse, 4 for constipation caused by sigmoid elongation. The mean age of males was 59.7 and of females – 64.9 years. Results. There were performed 15 laparoscopic left hemicolectomies (the mean operative time (MOT) 212 min), 17 laparoscopic high rectal resections (MOT 203.9 min), 9 laparoscopic right hemicolectomies (MOT 221.4 min), 6 sigmoid resections (MOT 194 min), 3 sigmoid and rectal resections (MOT 220 min), 8 laparoscopic rectopexies (MOT 179.5 min) and one laparoscopic abdominoperineal resection, operative time 255 min. All the anastomoses were intracorporeal, except right hemicolectomies and sigmoid resections. The reasons for conversion were bleeding from mesenterium in 2 cases and advanced tumours in 2 cases. The mean preoperative stay was 3.2 and postoperative stay 8.3 days. Conclusions There could not be clear conclusions, and the laparoscopic method is being further evaluated by a prospective national trial.
Type Journal article
Language Lithuanian
Publication date 2006
CC license CC license description