| Abstract [eng] |
The experience of minimally invasive endocrine surgery accumulated at Vilnius University Centre of Abdominal Surgery is presented in this review of scientific publications submitted for habilitation procedure. The material concerning minimally invasive thyroid gland operations is summarized and the results of two clinical trials are evaluated. The results of prospective randomized study “Evaluation of two methods endoscopic adrenalectomy” were presented and analyzed; this study included 70 patients who underwent surgery for various pathology of adrenal glands; one group of the patients underwent laparoscopic minimally invasive operation and another one – endoscopic retroperitoneal minimally invasive surgery. The relationship between the size of adrenal gland tumour, patients’ body weight and duration of operation was analyzed; blood loss and rate of operative complications were compared. The evaluation of all data showed that both methods of surgery were acceptable; however, laparoscopic adrenalectomy was more was easier to learn. Clinical study “Minimally invasive focused and traditional parathyroidectomy for treatment of primary hyperparathyroidism: a prospective randomized study” was performed during the period since 2005 till 2007; the results of treatment of patients by means of two methods of surgery were presented. The patients (n = 47) were randomized into two groups; one group included 24 patients who were operated on using minimally invasive technique and another group consisted of 23 patients who underwent traditional Kocher’s operation. The diagnostic value of instrumental examination of adenoma of parathyroid gland was analyzed, the duration of operations, rate of operative complications, cosmetic effect, operation costs and differences of quality of life were compared. It was demonstrated that both methods were equal, their safety and duration were similar. The patients after focused parathyroidectomy experienced less pain, they needed less analgesic preparations; the cosmetic effect of these operations was higher and became similar to the effect of traditional operations one year later. The focused parathyroidectomy was more expensive. This work is based on the results of work performed together with collaborators. The author has participated in reviewed studies and operations directly, both as the chief of the department and surgeon. The author has delivered reports in Lithuania and abroad; the reports were based on material published. |
