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Tytuł:
Case-mix study of single incision laparoscopic surgery (SILS) vs. Conventional laparoscopic surgery in colonic cancer resections
Autorzy:
Mynster, Tommie
Wille-Jørgensen, Peer
Powiązania:
https://bibliotekanauki.pl/articles/1396064.pdf
Data publikacji:
2013-03-01
Wydawca:
Index Copernicus International
Tematy:
laparoscopic surgery
SILS
colonic cancer
Opis:
Single incision laparoscopic surgery (SILS) may be even less invasive to a patient than conventional laparoscopic surgery (CLS). Aim of the study of the applicability of the procedure, the first 1½ year of experiences and comparison with CLS for colonic cancer resections Material and methods. Since November 2010 SILS procedures was trained by two surgeons. Data was prospectively registered. Each of all colonic cancer resections was blindly matched with two patients operated with CLS within the period from 2009-2011 with respect of procedure, gender, T stadium, age, ASA score and BMI. In the routine accelerated “fast track” program the use of additional opioids was registered. Results. SILS was performed in 18 patients with cancer resections. Comparisons between the SILS procedures and the matched 36 CLS operations showed no significant difference in operation time, blood loss, lymph node harvest and hospital stay, but length of vascular pedicle was significantly larger in SILS procedures. Although only 50% of SILS patients received opioids postoperatively, this was not significantly different from the 71% receiving opioids in the CLS group, and similarly no significant difference in number of administrations or amount of opioids were seen. Conclusion. With reservation of a small study group we find SILS is like worthy to CLS in colorectal cancer surgery and a benefit in postoperative recovery and pain is possible, but has to be investigated in larger randomised studies
Źródło:
Polish Journal of Surgery; 2013, 85, 3; 123-128
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Bladder leiomyoma: diagnostics, laparoscopy, and treatment
Autorzy:
Godlewski, Dominik
Pszczółkowski, Patryk
Fedus, Tadeusz
Aebisher, David
Powiązania:
https://bibliotekanauki.pl/articles/2038414.pdf
Data publikacji:
2020-09-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
bladder leiomyoma
endometriosis
laparoscopic surgery
Opis:
Introduction. Leiomyosarcoma is the most common benign tumor of the bladder. However, it is only a small percentage of all proliferative changes of this organ. Aim. Presentation based on two clinical cases of diagnostics and surgical treatment from laparoscopic access of bladder leiomyoma. Description of the cases. Case 1. The work contains a diagnosis based on transvaginal ultrasound (TVUS), cystoscopy and computed tomography (CT), as well as partial laparoscopic bladder re section of leiomyoma in young women. Case 2. The case of young women with the histopathological result confirmed bladder leiomyoma. Conclusions. Leiomyoma is a rare bladder cancer. Laparoscopic bladder resection is a safe method that leads to healing
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 3; 237-241
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Laparoscopic Distal Pancreatectomy – New Standard In The Pancreatic Surgery
Autorzy:
Durlik, Marek
Matejak-Górska, Marta
Jaworowski, Radosław
Kaszycka, Zuzanna
Baumgart, Katarzyna
Powiązania:
https://bibliotekanauki.pl/articles/1396435.pdf
Data publikacji:
2013-10-01
Wydawca:
Index Copernicus International
Tematy:
distal pancreatectomy
laparoscopic surgery
pancreatic tumor
Opis:
The improvement of laparoscopic techniques that we witnessed over the last decade, also applied to pancreatic surgery. Both worldwide and in Poland, increasingly more patients with lesions located within the body and tail of the pancreas are treated using laparoscopic distal pancreatectomy. The aim of the study was to compare the outcomes of laparoscopic and open distal pancreatectomy. Material and method. Between January 2009 and March 2013, 107 patients underwent distal pancreatectomy at a single institution: 39 using laparoscopic technique and 68 using open technique. This was a retrospective study. Results. There were no significance differences with regard to duration of the surgical procedure, duration of hospitalization and complication rate between both groups. Statistically significant difference was found for the incidence of spleen preservation in patients undergoing laparoscopy, due to better visualization of the structures. In the group of patients with pancreatic cancer there was no significance difference in the incidence of malignancy found in the surgical margin. Our results are similar to that presented in the literature. Conclusions. Laparoscopic distal pancreatectomy is a safe method, with a higher rate of spleen preservation among the patients with the lesion located in the body and tail of the pancreas.
Źródło:
Polish Journal of Surgery; 2013, 85, 10; 589-597
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment of complications after laparoscopic surgery of kidney tumors using Clavien-Dindo classification
Autorzy:
Kierstan, Andrzej
Konecki, Tomasz
Jabłonowski, Zbigniew
Powiązania:
https://bibliotekanauki.pl/articles/1391722.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
Clavien-dindo classification
laparoscopic surgery
renal tumors
Opis:
Introduction: Surgical procedures are accepted, basic method of treating kidney cancer. Aim: The aim of the study was to assess postoperative complications according to the Clavien-Dindo classification after laparoscopic procedures in the treatment of kidney cancer. Material and methods: A retrospective study involved 112 patients. The research was based on the analysis of data from the medical records of the clinic and the documentation of the urological polyclinic. Classification of postoperative complications according to Clavien and Dindo in the operated patients was assessed on a 7-point scale. Results: Less severe complications occurred in 24 patients (21.4%). All the above-mentioned TNMtransfusions. Grade IIIb complication occurred in one patient (0.9%) and required kidney removal. Conclusions: The use of the Clavien-Dindo classification in the assessment of postoperative complications of laparoscopic renal procedures is a simple and objective diagnostic tool for establishing the postoperative condition of patients. The results of our examination of complications after laparoscopic renal surgery according to the Clavien-Dindo classifications are similar to those obtained in renowned urological centers.
Źródło:
Polish Journal of Surgery; 2020, 92, 4; 7-11
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Iatrogenic bile duct injuries – clinical problems
Autorzy:
Głuszek, Stanisław
Kot, Marta
Bałchanowski, Norbert
Matykiewicz, Jarosław
Kuchinka, Jakub
Kozieł, Dorota
Wawrzycka, Iwona
Powiązania:
https://bibliotekanauki.pl/articles/1395690.pdf
Data publikacji:
2014-01-01
Wydawca:
Index Copernicus International
Tematy:
laparoscopic surgery
cholecystectomy
iatrogenic bile duct injury
Opis:
Laparoscopic cholecystectomy is one of the most frequently performed surgical procedures in surgical wards. Iatrogenic bile duct injuries (IBDI) incurred during the procedures are among postoperative complications that are most difficult to treat. The risk of bile duct injury is 0.2-0.4%, and their consequences are unpleasant both for the surgeon and for the patient. The aim of the study was analysis of iatrogenic bile duct injuries and methods of their repair,taking into consideration the circumstances, under which the injuries occur. Material and methods. The study group consisted of 16 patients who had suffered IBDI during surgery. The analysed parameters included sex, age, indications for surgery, the setting of the surgical procedure and the type of bile duct injury. Additionally, the time of injury diagnosis, type of repair and treatment outcome were assessed. The IBDI analysis used the EAES classification of injuries. The time of IBDI repair was defined as immediate, early or late,depending on the time that had passed from the injury. The analysis included complications seen after bile duct repair. Results. The study group consisted of 10 women and 6 men, aged 29-84. Patients underwent 6 classic cholecystectomies, 8 laparoscopic cholecystectomies, one gastrotomy to remove oesophageal prosthesis and one laparotomy due to peptic ulcer. IBDI was diagnosed intraoperatively in 4 patients. In 12 patients IBDI was diagnosed within 1-7 days. The diagnosis was based on endoscopic retrograde cholangiopancreatography and the results of biochemistry tests. According to the EAES classification, the injuries were of type 1 (4 patients), type 2 (8 patients), type 5 (3 patients) and type 6 (1 patients). Reconstruction procedures were performed during the same anaesthesia session in 3 patients, and in the early period in 13 patients. The main procedure was Roux-en-Y anastomosis (12 patients), with the remaining including bile-duct suturing over a T-tube (3 patients) and underpinning of an accessory bile duct in the pocket left after gallbladder removal (1 patient). The most common reconstruction complications included bile leak (3 patients), recurrent cholangitis (3 patients) and bile duct stricture (2 patients). Mortality in the study group was 12.5%. Conclusions. The procedures of laparoscopic and classic cholecystectomy are associated with a risk of IBDI, especially in the presence of inflammatory state of the gall-bladder. IBDI is a complex complication: its treatment poses a challenge for the operating surgeon, and even the most careful treatment adversely affects the patient’s lifedue to complications.
Źródło:
Polish Journal of Surgery; 2014, 86, 1; 17-25
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Comparison of granisetron and palonosetron for the prevention of postoperative nausea and vomiting in patients undergoing laparoscopic surgery: a prospective randomised study
Autorzy:
Singh, Priyanka
Kachru, Nisha
Yadav, Nidhi
Singhal, Shubhi
Yadav, Rupesh
Powiązania:
https://bibliotekanauki.pl/articles/48867290.pdf
Data publikacji:
2024-09-30
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Granisetron
palonosetron
PONV
laparoscopic surgery
nausea
vomiting
Opis:
INTRODUCTION: Postoperative nausea and vomiting (PONV), a common and uncomfortable consequence of anaesthesia and surgery, can lead to dehydration, alkalosis, aspiration, and psychological distress, including a reluctance to undergo future surgical procedures. The aim of the study was to compare the effect of Granisetron and Palonosetron on the prevention of postoperative nausea and vomiting in patients undergoing laparoscopic surgery under general anaesthesia. MATERIALS AND METHODS: In this randomised prospective study, after a full preoperative evaluation and investigation, patients meeting the inclusion criteria were taken for the study. 80 patients were selected and randomly divided into two groups. Group G received 40 mcg/kg of granisetron and group P was administered palonosetron 1 mcg/kg before induction of anesthesia. The patients were monitored in the postoperative period and PONV scores were observed at 0-2, 4-6, 6-12, and 12-24 hours postoperatively. Rescue antiemetic, in the form of Dexamethasone 4 mg IV, was administered with PONV score <1. RESULTS: There were no statistically significant differences between the two groups with respect to the classification of ASA, the sex distribution, age, BMI or the duration of anaesthesia, making the two groups comparable. PONV scores were comparable between the two groups during 0 to 2 hours and 2 to 6 hours postoperatively (p value>0.05). During the 6- to 12-hour interval and the 12- to 24-hour interval, PONV scores were significantly lower in patients in Group P (p-value 0.022). There was no statistically significant difference between the antiemetic rescue requirement between the group G and group P (p-value 0.152). CONCLUSIONS: This study concludes that both granisetron and palonosetron are effective in controlling PONV in the immediate postoperative period, but palonosetron is superior to granisetron in preventing PONV beyond 6 hours.
Źródło:
Critical Care Innovations; 2024, 7, 3; 1-10
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Changes in fatigue and physical function following laparoscopic colonic surgery
Autorzy:
Jensen, Martin Bach
Nørager, Charlotte Buchard
Sommer, Thorbjorn
Madsen, Mogens R.
Laurberg, Soren
Powiązania:
https://bibliotekanauki.pl/articles/1395719.pdf
Data publikacji:
2014-02-01
Wydawca:
Index Copernicus International
Tematy:
laparoscopic surgery
postoperative care
fatigue
body composition
Opis:
The aim of the study was to describe changes in postoperative fatigue, quality of life, physical performance, and body composition in patients undergoing laparoscopic colonic cancer surgery. Material and methods. In a follow-up study from 2009-2011 at two regional hospitals in Denmark we examined 62 patients having a right hemicolectomy ora sigmoid resection performed. The main outcome measures were fatigue level subjectively scored from 1 (“fit”) to 10 (“fatigued”) on a modified visual analogue scale and by objective measurements of hand grip and knee extension strength, work capacity, weight, and lean body mass. Quality of life was assessed using the SF-36 questionnaire and pain using an ordinal scale. Patients were examined preoperatively, 1-2 and 4 weeks postoperatively. Results. Eight patients (13%) were converted to open surgery and the median bleeding (95% confidence interval of the median) was 75 (50-100) ml. One to two weeks after surgery the fatigue level and pain when moving had increased significantly (p=0.0011 and p=0.0002 respectively) and the SF-36 physical component quality of life score decreased (p<0.0001) when compared to preoperatively. However, at 4 weeks postoperatively fatigue level, pain, and quality of life scores were at the preoperative level. There were no significant changes from preoperatively to postoperatively in any of the measures of physical performance, whereas there was a slight reduction in weight and lean body mass after the operation. Conclusions. Laparoscopic colonic cancer surgery was associated with a short lasting increased fatigue and pain and reduced quality of life, but no significant reduction in physical performance after surgery.
Źródło:
Polish Journal of Surgery; 2014, 86, 2; 82-88
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Intraoperative Difficulties and the Reasons for Conversion in Patients Treated with Laparoscopic Colorectal Tumors
Autorzy:
Tarnowski, Wiesław
Uryszek, Mariusz
Grous, Aleksander
Dib, Naser
Powiązania:
https://bibliotekanauki.pl/articles/1396686.pdf
Data publikacji:
2012-07-01
Wydawca:
Index Copernicus International
Tematy:
laparoscopic surgery
colorectal tumors
conversion
complications
oncology
Opis:
The aim of the study was an evaluation of conversion causes and intraoperative difficulties in patients treated with laparoscopic surgery due to colorectal tumours on the basis of authors' own material.Material and methods. in the period 2009-2012 160 patients were operated on because of large bowel cancer, 79 women and 81 men. Average age of patients was 66 years. The conversion was recognized as desuflation of peritoneal cavity, trocars removal and making laparotomy.Results. The conversion was made in 22 cases (13,7%). More in men (16.1%) than in women. The conversion was made twice as likely in T3 and T4 tumors than in T1 and T2.Conclusions. The main cause of conversion in laparoscopic operations of colorectal cancer is local tumor progression.
Źródło:
Polish Journal of Surgery; 2012, 84, 7; 352-357
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Prolapse of Submucous Lipoma of the Sigmoid Colon
Autorzy:
Wilhelmsen, Michael
Mynster, Tommie
Powiązania:
https://bibliotekanauki.pl/articles/1396705.pdf
Data publikacji:
2012-02-01
Wydawca:
Index Copernicus International
Tematy:
lipoma
colonic invagination
laparoscopic surgery
case report
Opis:
Lipomas of the colon are rare and usually presenting in the later ages of life. This case describes and discusses the symptoms and signs of lipomas, recommendations and rationale for treatment.
Źródło:
Polish Journal of Surgery; 2012, 84, 2; 102-104
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Project of the assigning/executive manipulator to surgery
Autorzy:
Barczak, T.
Mianowski, K.
Powiązania:
https://bibliotekanauki.pl/articles/115560.pdf
Data publikacji:
2011
Wydawca:
Fundacja na Rzecz Młodych Naukowców
Tematy:
robots
manipulator
surgery
haptics
6 dof
parallel robot
force feedback
laparoscopic surgery
Opis:
The development of an interactive remote control of robots, of sensors and of view systems has enabled an expansion of potential area of modern surgery. Initiated by an army, the project of surgery in the field of battle has become a base of new domain of knowledge. It should be noticed that surgery executed by robots as minimally invasive surgery could be more precise and less incriminating for patient then using classical methods. The topic of the research described in this elaboration is the project of the haptic device with 6 degrees of freedom intended for the work with feedback-force control. The kinematic scheme is based on a partially decoupled parallelogram mechanism POLMAN 3×2. It means that it has 3 arms, each consists of parallelogram and quadrilateral transmission-carrying mechanism. The displacement of any degree of freedom has a very little influence on other degrees of freedom. Very important problem for ergonomic and surgery precision is a signal communication between the two sides, so it can give a feeling of real touching of an operated tissue by a doctor.
Źródło:
Challenges of Modern Technology; 2011, 2, 3; 20-24
2082-2863
2353-4419
Pojawia się w:
Challenges of Modern Technology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Adrenal Tumors - Diagnostics and the Factual Situation
Autorzy:
Krajewska, Ewa
Toutounchi, Sadegh
Fiszer, Patryk
Cieśla, Witold
Pogorzelski, Ryszard
Bednarczuk, Tomasz
Cieszanowski, Andrzej
Łoń, Izabela
Skórski, Maciej
Powiązania:
https://bibliotekanauki.pl/articles/1396721.pdf
Data publikacji:
2012-04-01
Wydawca:
Index Copernicus International
Tematy:
laparoscopic adrenalectomy
adrenalectomy
adrenal tumor
computer tomography
magnetic resonance
retroperitoneal space tumor
laparoscopic surgery
Opis:
The study presented three cases of patients diagnosed with adrenal tumors subject to surgical intervention during the past 6 months in our Department. The patients presented with radiological diagnostic difficulties, as to the character and location of the primary tumor.The aim of the study was to demonstrate differences between radiological examination results and the factual situation observed during the adrenalectomy. In all the presented cases patients' were subject to laparoscopic intervention. In two cases conversion to open surgery was necessary. The histopathological results of the surgically removed samples were as follows: leiomyoma, myoperycytoma and pheochromocytoma. In selected cases imaging examinations might be of limited value, especially when determining the character and location of the primary lesion of the adrenal gland.
Źródło:
Polish Journal of Surgery; 2012, 84, 4; 208-213
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The use of the enhanced recovery after surgery (ERAS) protocol in patients undergoing laparoscopic surgery for colorectal cancer – a comparative analysis of patients aged above 80 and below 55
Autorzy:
Pędziwiatr, Michał
Pisarska, Magdalena
Wierdak, Mateusz
Major, Piotr
Rubinkiewicz, Mateusz
Kisielewski, Michał
Matyja, Maciej
Lasek, Anna
Budzyński, Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/1394301.pdf
Data publikacji:
2015
Wydawca:
Index Copernicus International
Tematy:
ERAS protocol
fast track protocol
postoperative care
colorectal cancer
colorectal surgery
advanced age
laparoscopic surgery
Opis:
Age is one of the principal risk factors for colorectal adenocarcinoma. To date, older patients were believed to achieve worse treatment results in comparison with younger patients due to reduced vital capacity. However, papers have emerged in recent years which confirm that the combination of laparoscopy and postoperative care based on the ERAS protocol improves treatment results and may be particularly beneficial also for elderly patients. The aim of the study was to compare the outcomes of laparoscopic surgery for colorectal cancer in combination with the ERAS protocol in patients aged above 80 and below 55. Material and methods. The analysis included patients aged above 80 and below 55 undergoing elective laparoscopic colorectal resection for cancer at the 2nd Department of General Surgery of the Jagiellonian University. They were divided into two groups according to their age: ≥80 years of age (group 1) and ≤55 years of age (group 2). Both groups were compared with regard to the outcome of surgery: length hospital stay, complications, hospital readmissions, degree of compliance with the ERAS protocol, and recovery parameters (tolerance of oral nutrition, mobilisation, need for opioids, restored gastrointestinal function). Results. Group 1 comprised 34 patients and group 2, 43 patients. No differences were found between both groups in terms of gender, BMI, tumour progression or surgical parameters. Older patients typically had higher ASA scores. No statistically significant differences were found with regard to the length hospital stay following surgery (5.4 vs 7 days, p=0.446481), the occurrence of complications (23.5% vs 37.2%, p=0.14579) or hospital readmissions (2.9% vs 2.4%). The degree of compliance with the ERAS protocol in group 1 and 2 was 85.2% and 83.0%, respectively (p=0.482558). Additionally, recovery parameters such as tolerance of oral nutrition (82.4% vs 72.1%, p=0.28628) and mobilisation (94.1% vs 83.7%, p=0.14510) within 24 hours of surgery did not differ among the groups. However, a smaller proportion of older patients required opioids in comparison with younger patients (26.5% vs 55.8%, p=0.00891). Conclusions. Similar levels of compliance with the ERAS protocol may be achieved among patients aged ≥80 and younger patients. When laparoscopy is combined with the ERAS protocol, age does not seem to be a significant factor that could account for worse utcomes. Therefore, older patients should not be excluded from perioperative care based on ERAS principles.
Źródło:
Polish Journal of Surgery; 2015, 87, 11; 565-572
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Single Incision Endoscopic Surgery (SIES) in inguinal hernia repair. A technical review
Chirurgia endoskopowa z pojedynczego cięcia w powłokach w leczeniu przepuklin pachwinowych. Przegląd aspektów technicznych
Autorzy:
Potapov, Oleksii
Kosiukhno, Sergii
Mykhalchuk, Dmytrii
Kalashnikov, Oleksandr
Todurov, Ivan
Komorowski, Andrzej L.
Powiązania:
https://bibliotekanauki.pl/articles/2129685.pdf
Data publikacji:
2022
Wydawca:
Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
Tematy:
inguinal hernia
single incision laparoscopic surgery
TAP
TEPP
przepuklina pachwinowa
chirurgia laparoskopowa z pojedynczego cięcia w powłokach
TAPP
TEP
Opis:
The Transabdominal Preperitoneal (TAPP) and Total Extraperitoneal (TEP) methods of inguinal hernia repair are well known throughout the world. The idea of combining these methods with single incision endoscopic surgery is exciting but poses important questions regarding the level of technical difficulties, learning curve and instrumentation currently available. In this article we review the solutions currently available to the obstacles that hinder the single incision endoscopic approach to TAPP and TEP inguinal hernia from becoming widely accepted.
Metody przezbrzusznej przedotrzewnowej (TAPP) i całkowitej pozaotrzewnowej (TEP) naprawy przepukliny pachwinowej są dobrze znane na całym świecie. Pomysł połączenia tych metod z chirurgią endoskopową wykorzystującą pojedyncze nacięcie w powłokach jamy brzusznej jest bardzo interesujący, ale wiążą się z nim ważne pytania dotyczące poziomu trudności technicznych, krzywej uczenia się i dostępnego obecnie oprzyrządowania. W niniejszym artykule autorzy omawiają dostępne obecnie rozwiązania mogące pomóc w ograniczeniu przeszkód, które utrudniają dostęp endoskopowy z pojedynczym nacięciem w powłokach w leczeniu przepukliny pachwinowej TAPP i TEP.
Źródło:
Państwo i Społeczeństwo; 2022, 1; 185-198
1643-8299
2451-0858
Pojawia się w:
Państwo i Społeczeństwo
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ekonomiczne aspekty wykonania procedur chirurgicznych metodą otwartą i laparoskopową jako element analizy Health Technology Assessment
Economic aspects of surgery procedures performed in open method and laparoscopy as an element of Health Technology Assessment
Autorzy:
Janik, A.
Bartnicka, J.
Ziętkiewicz, A.
Kowalski, G.
Powiązania:
https://bibliotekanauki.pl/articles/322035.pdf
Data publikacji:
2018
Wydawca:
Politechnika Śląska. Wydawnictwo Politechniki Śląskiej
Tematy:
koszty procedur chirurgicznych
ocena technologii medycznych
analiza ekonomiczna
chirurgia laparoskopowa
chirurgia otwarta
zarządzanie jednostką szpitalną
costs of surgical procedures
health technology assessment
economic analysis
laparoscopic surgery
open surgery
management of the hospital
Opis:
Celem oceny technologii medycznych (ang. Health Technology Assessment – HTA) jest wspieranie świadomego kształtowania polityki i oceny ekonomicznej w zakresie medycyny, a tym samym racjonalnej alokacji zasobów niezbędnych do rozwoju technologii medycznych. Przykładem zmian technologicznych w medycynie jest intensywny rozwój małoinwazyjnych technik chirurgicznych, w tym technik laparoskopowych. Biorąc pod uwagę korzyści uzyskiwane przez pacjenta w wyniku leczenia laparoskopowego, naturalną tendencją powinno być ich zastosowanie w miejsce metod otwartych. Niestety dla osób zarządzających placówkami zdrowia priorytetem jest minimalizacja kosztów wykonywanych procedur medycznych. Z tego względu, celem niniejszego artykułu jest analiza porównawcza kosztów wybranych zabiegów chirurgicznych wykonywanych metodą otwartą i laparoskopową. Uzyskane wyniki są częściowo zaskakujące, gdyż kwestionują przekonanie, że koszt wykonania zabiegów laparoskopowych przekracza koszt identycznych zabiegów wykonywanych metodą otwartą.
The aim of Health Technology Assessment is to support activities intended to form politics as well as economic analysis in medicine and hence rational allocation of resources which are necessary for developing medical technologies. An example of technological changes in medicine is an intensive development of minimally invasive surgical techniques including laparoscopic techniques. Taking into account the great benefits of laparoscopic treatment for patient the natural tendency should be the change of open surgeries to minimal invasive procedures. However the problem of conflicts costs-benefits is indicated by health managers, for whom the procedures’ costs are treated as a priority. Taking this as a background for considerations, there was formulated the research objective that is a comparative analysis of selected surgical procedures performed in open method and laparoscopy. The outcomes are partly surprising and questioned the hypothetical rule that the cost of performing laparoscopic procedures exceed the cost of identical procedures, but executed with open method.
Źródło:
Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska; 2018, 115; 75-90
1641-3466
Pojawia się w:
Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Laparoscopic Appendectomy as an Alternative to Conventional Procedure – Results in our own Material
Autorzy:
Merenda, Marcin
Litarski, Andrzej
Kabziński, Piotr
Janczak, Dariusz
Powiązania:
https://bibliotekanauki.pl/articles/1396260.pdf
Data publikacji:
2013-06-01
Wydawca:
Index Copernicus International
Tematy:
laparoscopic appendectomy
minimally invasive surgery
Opis:
Appendectomies are the most common surgical procedures performed in the emergency surgery setting. Since more than one decade laparoscopic appendectomy appeared as an alternative procedure to commonly used conventional appendectomy as a recognized method of treatment of acute appendicitis. Despite multiple papers and studies comparing these techniques, still no clear indications and eligibility criteria exist for either of them. The aim of the study was to evaluate results of treatment of acute appendicitis using the laparoscopic method versus the conventional appendectomy, basing on parameters affecting treatment results and costs, such as duration of hospitalization, complications, use of medications. Material and methods. The analysis included patients who underwent surgical treatment for acute appendicitis at the Department of Surgery of 4th Military Clinical Hospital in Wrocław between 2006 and 2012. Since 2006, 128 laparoscopic appendectomies (group 1) were performed, while 189 patients underwent conventional procedure during this time (including 11 who underwent a diagnostic laparoscopy - group 2). The study was based on retrospective analysis of medical records of patients. Treatment results were evaluated basing on the following parameters: duration of hospitalization, amount of used analgesics, duration and type of antibiotic therapy, peri- and postoperative complications. Results and conclusions. Results obtained at our Clinic, similar to results obtained at other sites, warrant use of laparoscopic appendectomy. Use of minimally invasive techniques provides better treatment results, mainly with regard to shorter duration of hospitalization, lower use of antibiotics and analgesics, which also contributes to lower overall treatment costs.
Źródło:
Polish Journal of Surgery; 2013, 85, 6; 323-328
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 19

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