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    Wyświetlanie 1-42 z 42
    Tytuł:
    Why diagnostic laparoscopy?
    Autorzy:
    Firat, Necattin
    Mantoglu, Baris
    Akin, Emrah
    Altintoprak, Fatih
    Bas, Enes
    Powiązania:
    https://bibliotekanauki.pl/articles/1391542.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    diagnostic laparoscopy
    laparoscopy
    surgery
    Opis:
    Introduction: Abdominal pain requires rapid diagnosis and treatment, especially in emergency circumstances. Sometimes the diagnosis of the disease cannot be accomplished with laboratory and imaging methods, and an invasive procedure such as diagnostic laparoscopy may be required to obtain a diagnosis. Although diagnostic laparoscopy can be performed for postdiagnosis treatment purposes, laparotomy is inevitable in some cases. Aim: The aim of the study is to evaluate the role of diagnostic laparoscopy in diagnosis and treatment and to retrospectively examine the factors that force the surgeon to perform a laparotomy. Material and methods: Patients over the age of 18 who underwent diagnostic laparoscopy in the general surgery clinic of Sakarya University Training and Research Hospital between January 2013 and December 2019 were retrospectively evaluated. Patients under 18 years of age and patients diagnosed before surgery were excluded. Demographic data of the patients, whether there was a conversion from laparoscopy to laparotomy, postoperative morbidity, and mortality were recorded. Results: The data of 347 patients in total were evaluated retrospectively between the specified dates. As many as 216 of the patients were previously diagnosed, with laparoscopic procedures performed for staging purposes and they were not included in the study. The remaining 131 patients were included in the study. Sixty-eight patients were women and 63 were men. In total 79.4% of the patients had diagnostic laparoscopies performed due to emergency circumstances, and 20.6% for abdominal pain evaluation. While the procedure was concluded laparoscopically in 64.9% of the patients, the operation was continued by performing laparotomy in 35.1%. Conclusion: Despite the increase in the variety and frequency of imaging modalities used, laparoscopic intervention is an essential approach in both diagnosis and treatment when the diagnosis is doubtful, especially in appropriate emergency cases.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 3; 22-26
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Stereotaktyczny manipulator wieloczynnościowy do usprawnienia operacji laparoskopowych.
    Multifunction stereotactic manipulator for supporting laparoscopy surgery
    Autorzy:
    Kurella, B.
    Wróblewski, T.
    Pałko, T.
    Michałowicz, B.
    Powiązania:
    https://bibliotekanauki.pl/articles/157009.pdf
    Data publikacji:
    2007
    Wydawca:
    Stowarzyszenie Inżynierów i Techników Mechaników Polskich
    Tematy:
    chirurgia
    laparoskopia
    chirurgia laparoskopowa
    surgery
    laparoscopy
    laparoscopy surgery
    Opis:
    Impulsem do opracowania niniejszego artykułu był ponad czteroletni okres czasu, który upłynął od wdrożenia stereotaktycznego manipulatora wieloczynnościowego do usprawnienia operacji laparoskopowych. Urządzenie to zdało egzamin w praktyce chirurgicznej, zarówno w technice laparoskopowej, do której w założeniach było przewidywane, jak również, znalazło szerokie zastosowanie podczas operacji z otwartymi powłokami jamy brzusznej. W ramach pracy przedstawiono budowę własnej konstrukcji manipulatora usprawniającego pewne operacje laparoskopowe. Składa się ono z dwu głównych części, z których jedna służy do unoszenia powłok brzusznych a druga do mechanicznego mocowania narzędzia chirurgicznego oraz przytrzymywania struktur tkankowych. Wykonane urządzenie przeszło próby kliniczne w czasie operacji laparoskopowych u pacjentów z obciążeniami internistycznymi, u których tradycyjna odma gazowa jest przeciwskazana. Urządzenie to stosowano zarówno do unoszenia powłok w warunkach laparoskopii bezgazowej (laparolift) jak i do mechanicznego umocowania narzędzia chirurgicznego w czasie operacji z odmą z użyciem CO2 a także do operacji bez odmy na otwartych powłokach brzusznych zastępując jednego asystenta ("trzecia ręka chirurga"). Wykonane operacje w pełni potwierdziły przydatność kliniczną wykonanego manipulatora.
    The new construction for supporting laparoscopy surgery, called "multifunction stereotactic manipulator" was presented. It consists of two parts. The first one laparolift is useful for laparoscopic surgery without pneumo-peritoneum. This part has changeable tools which in various anatomical cases enable its use. The second part of the unit, called "the third hand of surgeon", is used in laparoscopy operations and classic surgery to help fix the internal tissue structures during operation. Both parts of device can work together or separately. Preliminary clinical applications confirmed its usefulness.
    Źródło:
    Pomiary Automatyka Kontrola; 2007, R. 53, nr 6, 6; 71-73
    0032-4140
    Pojawia się w:
    Pomiary Automatyka Kontrola
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Recommendations for the standards of equipping of the Bariatric and Metabolic Surgery Center
    Autorzy:
    Sztuczka, Ewa
    Żukowska, Wioletta
    Jackowski, Marek
    Janik, Michał R
    Paśnik, Krzysztof
    Michalik, Maciej
    Powiązania:
    https://bibliotekanauki.pl/articles/1392894.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    Obesity surgery
    laparoscopy
    recommendations
    Opis:
    Introduction: The prevalence of obesity in Poland and worldwide is constantly rising. High effectiveness of bariatric surgery has been proven in literature. It is recommended that bariatric procedures should be done by highly qualified surgeons with the appropriate, up-to-date medical equipment. Aim: The purpose of the study is to establish Polish recommendations and standards for the use of medical equipment for bariatric surgery centers. Materials and methods: The review of the present recommendations of the worldwide organizations and societies (including EAES, IFSO, SAGES) and guidelines was made. On the basis of current literature and authors’s clinical experience we proposed standardized protocol for bariatric surgical equipment. Conclusions: Relevant equipping of bariatric surgery centers and implementation of standardized perioperative and surgery protocols will result in significant improvements in bariatric treatment. This will ensure patients safety, a shorter length of hospital stay and considerably reduce the risk of morbidity. Moreover, it will contribute to the efficacy of the bariatric and metabolic surgery procedures, in accordance with the highest globally accepted standards.
    Źródło:
    Polish Journal of Surgery; 2018, 90, 5; 52-56
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopic embryo transfer in pigs – comparison of different variants and efficiencies of the method
    Autorzy:
    Wieczorek, J.
    Stodolak-Zych, E.
    Okoń, K.
    Koseniuk, J.
    Bryła, M.
    Jura, J.
    Poniedziałek-Kempny, K.
    Rajska, I.
    Sobol, K.
    Kotula Balak, M.
    Chmurska-Gasowska, M.
    Powiązania:
    https://bibliotekanauki.pl/articles/16648001.pdf
    Data publikacji:
    2023
    Wydawca:
    Polska Akademia Nauk. Czasopisma i Monografie PAN
    Tematy:
    laparoscopy
    embryo
    transfer
    pig
    Opis:
    The aim of the study was to develop a method of laparoscopic embryo transfer in pigs and to compare different variants of this method. Two catheter diameters (1.6 mm and 1.0 mm), the method and site of embryo deposition (oviduct or uterus), the embryo development stage (2 – 4 cell or blastocyst), the method for oviduct or uterus stabilization, the potential for cryopreserved embryo transfer, the developmental potential of the embryos after transfer to the oviduct, patomorphology of the oviduct after transfer and possible clinical complications were taken into consideration. Two studies compared two variants of transfer to the uterus, and five variants of transfer to the fallopian tube. The transfer of embryos by the infundibulum may be of limited use due to handling problems and very low efficiency (pregnancy was not achieved). Very low efficiency was shown after transfer of vitrified embryos. Transfer to the fallopian tube by puncture of the fallopian tube, regardless of the developmental stage of the embryo, is the recommended method of embryo transfer. The histopathological examination of the fallopian tube revealed possible changes within the puncture site. The numerous clinical complications observed did not affect the effectiveness of the method.
    Źródło:
    Polish Journal of Veterinary Sciences; 2023, 26, 2; 295-306
    1505-1773
    Pojawia się w:
    Polish Journal of Veterinary Sciences
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopy-Assisted Total Gastrectomy with D2 Lymphadenectomy and Roux-En-Y Reconstruction - Case Report
    Autorzy:
    Papaj, Piotr
    Kozieł, Sławomir
    Śleziński, Przemysław
    Dobija-Kubica, Katarzyna
    Wróbel, Józef
    Powiązania:
    https://bibliotekanauki.pl/articles/1395194.pdf
    Data publikacji:
    2015-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    gastric cancer
    total gastrectomy
    laparoscopy
    Opis:
    We report a case of patient with stage IIIb gastric cancer qualified for laparoscopy - assisted gastrectomy and our first impressions about this procedure. Total gastrectomy with complete omentectomy and extended lymphadenectomy (D2) was performed laparoscopically. The intestinal continuity was restored in a Roux-en-Y mode extracorporeally through the abdominal access system. The orogastric tube with anvil of the circular stapler was transorally introduced into the esophagus. Subsequently, intracorporeal stapling esophagojejunostomy was performed. There were no complications after the operation and the patient was discharged in good shape. Oncological radicality was sufficient and patient has undergone chemotherapy treatment.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 1; 43-46
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopic Treatment of Abdominal Hernia – 5 Years of Experience
    Autorzy:
    Litarski, Andrzej
    Pawełczyk, Jerzy
    Majcherek, Jarosław
    Janczak, Dawid
    Pawłowski, Lech
    Rucińska, Zuzanna
    Janczak, Dariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1395771.pdf
    Data publikacji:
    2014-08-01
    Wydawca:
    Index Copernicus International
    Tematy:
    abdominal hernia repair
    laparoscopy
    complications
    Opis:
    Laparoscopic surgery has become a well approved method of abdominal hernias treatment in recent years. Due to the advancement of laparoscopy and the use of improved synthetic materials laparoscopic surgery is characterized not only by low complication but also by a short period of recovery after surgery. The aim of the study was a retrospective analysis of the results of laparoscopic abdominal hernia surgeries (IPOM). Material and methods. Between year 2007 and 2012, 65 patients aged between 29 to 76 underwent laproscopic abdominal hernia surgeries due to either primary or postoperative abdominal hernias. All patients were examined in perioperative period, after 12 and 24 months after surgery in search of complications, pain and reccurence. Recovery period was also estimated. Results. In most cases postoperative pain was estimated from 1 to 4 on VAS scale. The most frequent complications were seromas that occured in 3 patients. The other complications were pneumothorax, wound hematoma and wound infection that occured once each. One patient required reoperation due to wound hematoma. Chronic postoperative pain was diagnosed in 3 patients and 4 recurrences were stated. Conclusions. Laparoscopic therapy of abdominal hernias is a safe operative method characterized by low recurrence and complication rates as well as short hospital stay and quick recovery. This technique is restricted by high material costs and the lack of full refund for the procedure.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 8; 353-358
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Application of the Single Access Technique in Laparoscopic Surgery
    Autorzy:
    Strzałka, Marcin
    Matyja, Maciej
    Matłok, Maciej
    Migaczewski, Marcin
    Budzyński, Piotr
    Budzyński, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1396053.pdf
    Data publikacji:
    2013-02-01
    Wydawca:
    Index Copernicus International
    Tematy:
    laparoscopy
    single access technique
    results
    Opis:
    Laparoscopic single access technique is a next step in development of minimally invasive surgery. The aim of the study was to present results of different laparoscopic single incision procedures and evaluate application of this technique. Material and methods. 102 patients (15 males and 87 females) who underwent laparoscopic single incision procedure from 15th October 2009 to 31st December 2012 were included in the study. Results. In the analyzed period we performed 72 cholecystectomies (70.6%), 8 left adrenalectomies (7.8%), 3 right adrenalectomies (2.9%), 7 splenectomies (6.9%), 5 spleen cysts unroofings (4.9%), 2 appendectomies (2%), 1 Nissen fundoplication procedure (1%), 1 removal of the adrenal cyst (1%) and 3 concomitant splenectomies and cholecystectomies (2.9%). There were 3 technical conversions to multiport laparoscopy, but no conversion to open technique. Complications were observed in 5 patients (4.9%). Average operation time was 79 min (SD=40), average hospitalization time 2.4 day (SD=1.4). Conclusions. Laparoscopic single incision technique is a safe method and can be used as a reasonable alternative to multiport laparoscopy in different minimally invasive procedures especially in young patients to whom an excellent cosmetic effect is particularly important.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 2; 73-77
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The role of serological testing for Chlamydia trachomatis in differential diagnosis of pelvic pain
    Autorzy:
    Łój, Beata
    Brodowska, Agnieszka
    Ciećwież, Sylwester
    Szydłowska, Iwona
    Brodowski, Jacek
    Łokaj, Marek
    Starczewski, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/989082.pdf
    Data publikacji:
    2016
    Wydawca:
    Instytut Medycyny Wsi
    Tematy:
    chlamydia trachomatis
    laparoscopy
    pelvic pain
    Opis:
    Introduction. Pelvic pain is typically associated with pelvic inflammatory disease (PID). The most common cause of PID is Chlamydia trachomatis. The aim of this study was to verify the role of serological testing for Chlamydia trachomatis in patients with suspected PID. Materials and method. The retrospective study included 185 patients with pelvic pain hospitalized at the Department of Obstetrics and Gynecology in 2003 and 2004. Titers of anti-Chlamydia trachomatisIgG and IgA were measured by means ELISA immunoassays. Erythrocyte sedimentation rate (ESR), serum concentration of C-reactive protein (CRP) and leukocyte count (WBC) were also determined. Final diagnosis was established on the basis of laparoscopic examination. Results. The presence of anti-Chlamydia trachomatis antibodies correlated significantly with abnormal values of ESR, WBC and CRP. The most common laparoscopic pathology were pelvic adhesions, typically found in women with elevated titers of anti-Chlamydia trachomatis IgG. Conclusion. Serological examination for Chlamydia trachomatis is helpful in evaluation of patients with suspected PID. Elevated titers of anti-Chlamydia trachomatis antibodies are frequently associated with laparoscopic evidence of pelvic adhesions and inflammation.
    Źródło:
    Annals of Agricultural and Environmental Medicine; 2016, 23, 3
    1232-1966
    Pojawia się w:
    Annals of Agricultural and Environmental Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Early results of liver resection using laparoscopic technique
    Autorzy:
    Stranek, Maciej
    Pędziwiatr, Michał
    Radkowiak, Dorota
    Zychowicz, Anna
    Budzyński, Piotr
    Major, Piotr
    Budzyński, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1394071.pdf
    Data publikacji:
    2016
    Wydawca:
    Index Copernicus International
    Tematy:
    laparoscopy
    liver resection
    liver metastases
    Opis:
    The aim of the study was to present early outcomes of liver resection using laparoscopic technique. Material and methods. Retrospective analysis of patients who underwent liver resection using laparoscopic method was conducted. The analyzed group included 23 patients (11 women and 12 men). An average patient age was 61.3 years (37 – 83 years). Metastases of the colorectal cancer to the liver were the cause for qualification to the procedure of 15 patients, metastasis of breast cancer in 1 patient and primary liver malignancy in 5 patients. The other 2 patients were qualified to the liver resection to widen the surgical margins due to gall-bladder cancer diagnosed in the pathological assessment of the specimen resected during laparoscopic cholecystectomy, initially performed for other than oncology indications. Results. Hemihepatectomy was performed in 11 patients (9 right and 2 left), while the other 12 patients underwent minor resection procedures (5 metastasectomies, 4 nonanatomical liver resections, 1 bisegmentectomy, 2 resections of the gall-bladder fossa). An average duration of the surgical procedure was 275 minutes 65 – 600). An average size of the resected tumors was 28 mm (7 – 55 mm). In three cases conversion to laparotomy occurred, caused by excessive bleeding from the liver parenchyma. Postoperative complications were found in 4 patients (17.4%). Median hospitalization duration was 6 days (2 – 130 days). One patient (4.3%) was rehospitalized due to subhepatic abscess and required reoperation. Histopathology assessment confirmed radical resection (R0) in all patients in our group. Conclusion. Laparoscopic liver resections seem to be an interesting alternative in the treatment of focal lesions in the liver.
    Źródło:
    Polish Journal of Surgery; 2016, 88, 1; 20-25
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The Influence of Micropauses on Surgeons’ Precision After Short Laparoscopy Procedures
    Autorzy:
    Komorowski, Andrzej L.
    Usero, David Dominguez
    Rodil, Jose Ramon Martin‑Hidalgo
    Topór-Mądry, Roman
    Powiązania:
    https://bibliotekanauki.pl/articles/1395574.pdf
    Data publikacji:
    2015-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    laparoscopy
    surgical technique
    surgical precision
    Opis:
    It has recently been shown that micropauses during long surgical procedures can be beneficial for surgeons’ precision and fatigue. The aim of the study was to evaluate the impact of micropauses on surgical precision measured by a simple smartphone application. Material and methods. Two surgeons performed 40 simple laparoscopic procedures (appendectomy and cholecystectomy) with or without micropauses. After the operation the precision of surgical movements was measured by a simple smartphone application in which the number of successful trials and their mean time were used as a precision surrogate. Results. Mean number of successful trials was significantly higher for appendectomy than for cholecystectomy (5.59 vs 4; p = 0.032). There was a difference between participating surgeons both in terms of number of successful trials (5.80 vs 3.55; p = 0.01) and a mean time of all successful trials (10.03 vs 6.28; p = 0.001). No other statistically significant differences were identified. Conclusion. Micropauses had no influence on surgical precision as evaluated after short laparoscopy procedures. The only differences were surgeon-dependent and intervention-dependent.
    Źródło:
    Polish Journal of Surgery; 2015, 87, 3; 116-120
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The role of laparoscopic staging for the management of gastric cancer
    Autorzy:
    Yüksel, Cemil
    Erşen, Ogün
    basceken, salim ilksen
    mercan, ümit
    yalkın, ömer
    Culcu, Serdar
    Bakırarar, Batuhan
    Bayar, Sancar
    Ünal, Ali Ekrem
    Demirci, Salim
    Powiązania:
    https://bibliotekanauki.pl/articles/1391325.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    cytology
    gastrectomy
    peritoneal biopsy
    staging laparoscopy
    Opis:
    AİM Staging laparoscopy enables us to perform palliative treatment, neo-adjuvant therapy for curative resection or direct curative resection and making a decision with minimal morbidity by avoiding from unnecessary laparotomies. In the present study, the importance of staging lapafoscopy was retrospectively investigated by using clinical and pathologic data. METHODS Data of 70 out of 350 patients who underwent diagnostic laparoscopy due to gastric cancer at Surgical Oncology department between August 2013 and January 2020 were retrospectively analyzed. RESULTS Peritoneal biopsy was positive for malignity in 41 (58.5%) and negative in 29 (41.5%) of the patients who underwent SL. Peritoneal cytology (PC) results were negative in 32 (45.7%) patients and positive in 38 (54.3%) patients. Peritoneal biopsy and cytology results were concurrently positive in 35 patients and concurrently negative in 26 patients. CONCLUSİONS In conclusion, even the most developed imaging methods cannot provide 100% staging, therefore SL plays an important role in treatment of gastric cancer and laparoscopic staging is essential as a simple, inexpensive, safe and well tolerated method in patients who have the suspicion of peritoneal disease and who cannot be clearly evaluated with pre-operative methods.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 2; 1-8
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Major vascular injury during laparoscopy
    Autorzy:
    Paśnik, Bartosz
    Modrzejewski, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1392139.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    complications
    insufflation
    laparoscopy
    major vascular injury
    Opis:
    Major Vascular injury during laparoscopy is most deadly complication of laparoscopy. This report is review major vascular injuries based on surgeon’s relation and literature. The incidence of MVI is 0,04–0,1%. Extremely important is to learn proper technique of insuflation. According to patient’s physique surgeon should consider best technique of insuflation, take caution against slim people, and induct implements with proper angle. We should avoid excesive force during trocar and Verres’s needle insertion, we also should avoid redundant movement after Verres needle is inserted in abdomen cavity. Elevation of the anterior abdominal wall at the time of Veress or primary trocar insertion is routinely recomended. Major vascular injury is seriously underestimated problem of laparoscopic operations.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 4; 36-40
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Outcomes of Endoscopic Totally Extraperitoneal (TEP) repair of clinically occult inguinal hernia diagnosed with ultrasonography
    Autorzy:
    Kebabci, Eyup
    Ozturk, Safak
    Unver, Mutlu
    Powiązania:
    https://bibliotekanauki.pl/articles/1391564.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    Hernia repair
    laparoscopy
    inguinal hernia
    ultrasonography
    Opis:
    Inguinal hernias generally present with groin lump and pain. Although inguinal hernias can be diagnosed clinically in most cases, patients without a groin lump pose a considerable diagnostic challenge. The first-line diagnostic imaging tool in these cases is ultrasound (US) and the recommended surgical procedure is laparoscopic-endoscopic repair. This retrospective study aims at evaluating postoperative results and complication rates of TEP technique in patients with occult contralateral hernias diagnosed with US in comparison to patients with clinically diagnosed hernias. A retrospective study was conducted to evaluate the outcomes of TEP procedure in patients with radiologically diagnosed occult contralateral hernias in comparison to patients with clinically diagnosed hernias. All hernias included in this study were repaired by TEP technique and secured with an extraperitoneal mesh. Demographic data, patient characteristics and perioperative information were obtained by reviewing medical records. A total number of 109 patients were enrolled in the study. The majority of patients were male and the mean age was 48.9 ± 14.6 years. In 56 cases, hernias were repaired unilaterally, while the remaining 53 were repaired bilaterally. Right-sided hernias were more common than left-sided hernias. The morbidity rate was 7.1% in unilateral repairs and 3.8% in bilateral repairs. The recurrence rate was 3.6% for unilateral repairs and 5.7% for bilateral repair. Some studies report that the incidence of clinical contralateral inguinal hernias identified after primary unilateral surgery is approximately 10%. If these contralateral hernias were diagnosed prior to the primary surgery, the risk of performing another operation could be avoided. Laparoscopic surgery enables bilateral hernia repair without any additional incisions, presenting similar morbidity rates when compared to unilateral repair. There was no significant difference between unilateral and bilateral TEP repair in terms of intraoperative and postoperative surgical complications. These results suggest that laparoscopic inguinal hernia repair is a safe and effective surgical technique for both unilateral and bilateral procedures. In order to prevent second operation, all patients with suspected inguinal hernia should undergo an US examination before surgery.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 4; 11-14
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopic gastric resections with per oral specimen extraction in treatment of intramural gastric tumors
    Autorzy:
    Stanek, Maciej
    Major, Piotr
    Wierdak, Mateusz
    Pędziwiatr, Michał
    Radkowiak, Dorota
    Zychowicz, Anna
    Budzyński, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1393418.pdf
    Data publikacji:
    2017
    Wydawca:
    Index Copernicus International
    Tematy:
    laparoscopy
    gastrointestinal stromal tumors
    POSE
    endoscopy
    Opis:
    Aim: The goal of this work was to present our experiences and results of treatment of gastric tumors using the per oral specimen extraction (POSE) technique. Material and methods: A retrospective analysis a group of patients treated with laparoscopic stomach wedge resection of gastrointestinal stromal tumor (GIST). During that time 50 patients underwent laparoscopy due to the suspicion of GIST. In 12 patients resected material was removed endoscopically per os (POSE). In the remaining 38 subjects it was evacuated through minilaparotomy. Mean age of patients treated using POSE technique was 65.6 years (48-81 years). There were 9 women and 3 men in this group Results: Mean time of the POSE procedure was 92.5 min (40-160 min). Size of removed tumors ranged from 14 mm to 40 mm (mean: 25 mm). The mean length of hospital stay was 3.2 days (2 to 8 days) for patients treated with POSE. One patient (8.3%) required longer hospitalization (8 days) due to the presence of a fluid collection at the site of gastric suture. This patient was treated conservatively. One patient (8.3%) was diagnosed with surgical site infection (navel wound after an optical trocar). Histopathological examination confirmed radical excision in all of our patients (R0). Conclusions: It seems that the POSE technique is the next stage of development of minimally invasive surgery and may constitute a link in evolution of natural orifice translumenal surgery techniques. Removal of excised material through oral cavity is an attractive, effective, and safe method despite its many limitations.
    Źródło:
    Polish Journal of Surgery; 2017, 89, 1; 16-21
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopically Assisted Ileo-Colonic Resection in Patients with Crohn’s Disease – Preliminary Report
    Autorzy:
    Borycka-Kiciak, Katarzyna
    Dib, Naser
    Janaszek, Łukasz
    Sołtysiak, Łukasz
    Bukowicka, Barbara
    Tarnowski, Wiesław
    Powiązania:
    https://bibliotekanauki.pl/articles/1396388.pdf
    Data publikacji:
    2013-09-01
    Wydawca:
    Index Copernicus International
    Tematy:
    laparoscopy
    Crohn’s disease
    postoperative complications
    Opis:
    Despite increasing number of reports indicating good treatment outcomes, laparoscopic treatment of Crohn’s disease remains controversial. The aim of the study was to compare outcomes of laparoscopically assisted and open ileo-colonic resection in patients with active Crohn’s disease. Material and methods. 82 patients who underwent surgical treatment (44 laparoscopic and 38 open procedures) at the Department of General, Oncological and Gastrointestinal Surgery in Warsaw were enrolled to the study. The following perioperative parameters were compared in both these groups: duration of hospitalization and presence of postoperative complications in at least 12 months of follow‑up. Results. The conversion rate in the laparoscopy group was 29.5%. There were no statistically significant differences between the study groups with regard to duration of the surgical procedure, requirement for perioperative transfusions and total number of postoperative complications (19.3% in the laparoscopy group versus 28.9% in the open surgery group). However, amount of analgesic drugs required in the postoperative period was significantly lower (25±6 vs 43±9, p<0.01) and duration of hospitalization was significantly shorter (9.0 vs 11.3 days, p=0.021) after laparoscopic versus open procedures procedures. Most of the patients with complicated Crohn’s disease who were qualified to laparoscopic treatment, underwent successful treatment using this method. Patients in whom conversion was done, were more likely to be on long term preoperative immunosuppressive therapy versus other patients. Conclusions. Laparoscopy is a demanding procedure from the technical point of view, but provides valuable benefits to patients with Crohn’s disease, including those with a complicated disease. However, this method requires ongoing improvement of technical aspects and thorough analysis of failures to identify factors that could accurately select patients with indications and contraindications to this procedure.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 9; 505-510
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The repeatable method of laparoscopic ovum pick-up (OPU) in sheep:clinical aspects and efficiency of the method
    Autorzy:
    Wieczorek, J.
    Koseniuk, J.
    Cegla, M.
    Powiązania:
    https://bibliotekanauki.pl/articles/2087652.pdf
    Data publikacji:
    2018
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    ovum pick-up
    sheep
    laparoscopy
    oocytes
    Źródło:
    Polish Journal of Veterinary Sciences; 2018, 21, 4; 803-810
    1505-1773
    Pojawia się w:
    Polish Journal of Veterinary Sciences
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopy-guided prostate biopsy in dogs - a study of 13 cases
    Autorzy:
    Holak, P.
    Adamiak, Z.
    Jalynski, M.
    Chyczewski, M.
    Powiązania:
    https://bibliotekanauki.pl/articles/31966.pdf
    Data publikacji:
    2010
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    laparoscopy
    prostate
    biopsy
    dog
    male
    diagnosis
    histopathology
    Opis:
    This paper describes laparoscopy-guided prostate biopsy experiments in 13 dogs. Biopsy material was evaluated histopathologically to diagnose causes of prostatic gland enlargement. Laparoscopic biopsy was performed in male dogs diagnosed with prostatic gland enlargement, based on clinical symptoms and results of rectal examinations.
    Źródło:
    Polish Journal of Veterinary Sciences; 2010, 13, 4
    1505-1773
    Pojawia się w:
    Polish Journal of Veterinary Sciences
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopic procedures in dogs and cats
    Autorzy:
    Matyjasik, H.
    Adamiak, Z.
    Pesta, W.
    Zhalniarovich, Y.
    Powiązania:
    https://bibliotekanauki.pl/articles/30940.pdf
    Data publikacji:
    2011
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    laparoscopy
    endoscopy
    procedure
    dog
    cat
    veterinary medicine
    Opis:
    Laparoscopic procedures are gaining wider application in veterinary medicine. The fnollowing article contains description of indispensable equipment for performing surgical procedures with use of laparoscopic technique and reviews some laparoscopic procedures which found application in veterinary medicine.
    Źródło:
    Polish Journal of Veterinary Sciences; 2011, 14, 2
    1505-1773
    Pojawia się w:
    Polish Journal of Veterinary Sciences
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Single-Incision Laparoscopic Cholecystectomy - can we Afford that? Cost Comparison of Different Surgical Techniques
    Autorzy:
    Matyja, Maciej
    Strzałka, Marcin
    Zychowicz, Anna
    Kołodziej, Damian
    Rembiasz, Kazimierz
    Budzyń, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1395751.pdf
    Data publikacji:
    2014-04-01
    Wydawca:
    Index Copernicus International
    Tematy:
    laparoscopy
    single access technique
    SILC
    cost effectiveness
    Opis:
    One of the most commonly performed surgeries in general surgery wards with laparoscopic technique as a method of choice is gall-bladder excision. In addition to -the commonly used conventional laparoscopic cholecystectomy single incision laparoscopic cholecystectomy is getting more and more attention. Despite many works and studies comparing these methods, there is still a shortage of results assessing efficiency of this new surgical technique. The aim of the study was to evaluate cost-effectiveness of this method in Polish financial reality. We have analyzed costs of three different surgical techniques: conventional (multi- incision) laparoscopic cholecystectomy, SILC and ‘no -port’ SILC. Material and methods. We conducted a retrospective study that compared three groups of patients who underwent treatment with conventional laparoscopic cholecystectomy (n=20), SILC (n=20) and no-port SILC (n=20). These groups were matched by age, sex and BMI. Following parameters were analyzed: complication rate, operative time, operative costs, length of hospital stay, hospitalization costs. The SILC cases were performed with one of the three-trocar SILC ports available on the market. The ‘no- port’ SILC cases were performed by single skin incision in the umbilicus, insertion of one 10 mm trocar for the operating instrument, another instrument and scope were inserted directly thorough small incisions in the aponeurosis without a dedicated port Results. The average operative cost was significantly higher in the SILC group comparing to the conventional laparoscopy group and the no-port SILC group. There was no significant difference in complication rate, operative time, length of hospital stay, or hospitalization costs between the three groups Conclusions. Currently the cost of the dedicated SILC port does not allow a regular use of this procedure in Polish financial reality. According to our experience improved cosmesis is the only advantage of the single incision laparoscopy, therefore we believe that it is reasonable to consider this technique in a a very selected group of patients.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 4; 177-180
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Analysis of selected ergonomic problems in the use of surgical laparoscopic tools
    Autorzy:
    Bartnicka, J.
    Ziętkiewicz, A.
    Kowalski, G.
    Powiązania:
    https://bibliotekanauki.pl/articles/360493.pdf
    Data publikacji:
    2013
    Wydawca:
    Akademia Morska w Szczecinie. Wydawnictwo AMSz
    Tematy:
    ergonomics
    use of surgical tools
    surgery
    laparoscopy
    Opis:
    The article demonstrates the important problematic areas associated to the ergonomics of surgical instruments during their usage. For this purpose, an analysis of cholecystectomy surgery with the use of laparoscopic instruments was conducted. There was identified the individual operations performed by surgeon, as well as the particular laparoscopic instruments. The prepared in this way study material, allowed for evaluation of design features of tools used in laparoscopic surgery from functional and ergonomic point of view and developing special research procedure for ergonomic assessment. Particularly, the critical states within the selected body postures in the system were identified: an operator (surgeon) and a surgical tool, as well as the areas of ergonomics corrective intervention in the process of using laparoscopic instruments.
    Źródło:
    Zeszyty Naukowe Akademii Morskiej w Szczecinie; 2013, 34 (106); 19-26
    1733-8670
    2392-0378
    Pojawia się w:
    Zeszyty Naukowe Akademii Morskiej w Szczecinie
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Emergency appendicectomy during COVID-19 pandemic – A single UK centre experience
    Autorzy:
    Salgaonkar, Hrishikesh
    Aladeojebi, Adebimpe
    Murcott, David
    Nnaji, Martin
    Tsiamis, Achilleas
    Cheruvu, Chandra VN
    Powiązania:
    https://bibliotekanauki.pl/articles/1391307.pdf
    Data publikacji:
    2021
    Wydawca:
    Index Copernicus International
    Tematy:
    appendicectomy
    COVID-19
    Coronavirus
    emergency surgery
    laparoscopy
    Opis:
    Introduction: In December 2019 following an outbreak of Novel coronavirus infection (COVID-19) in Wuhan, China, it spread rapidly overwhelming the healthcare systems globally. With little knowledge of COVID-19 virus, very few published reports on surgical outcomes; hospitals stopped elective surgery, whilst emergency surgery was offered only after exhausting all conservative treatment modalities. Aim: This study presents our experience of outcomes of emergency appendectomies performed during the pandemic.Methods: Prospectively we collected data on 132 patients in peak pandemic period from 1st March to 5th June 2020 and data compared with 206 patients operated in similar period in 2019. Patient demographics, presenting symptoms, pre-operative events, investigations, surgical management, postoperative outcomes and complications were analysed. Results: Demographics and ASA grades of both cohorts were comparable. In study cohort 84.4% and 96.7% in control cohort had laparoscopic appendicectomy. Whilst the study cohort had 13.6% primary open operations, control cohort had 5.3%. Mean length of stay and early post-operative complications (<30 days) were similar in both cohorts apart from surgical site infections (p = 0.02) and one mortality in study cohort. Conclusion: In these overwhelming pandemic times, although conservative treatment of acute appendicitis is an option, a proportion of patients will need surgery. Our study shows that with careful planning and strict theatre protocols, emergency appendicectomy can be safely offered with minimal risk of spreading COVID-19 infection. These observations warrant further prospective randomised studies.
    Źródło:
    Polish Journal of Surgery; 2021, 93, 2; 33-39
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopic cholecystectomy in a patient with total situs inversus – case report
    Autorzy:
    Stojcev, Zoran
    Duszewski, Michał
    Bobowicz, Maciej
    Galla, Wojciech
    Maliszewski, Daniel
    Powiązania:
    https://bibliotekanauki.pl/articles/1396117.pdf
    Data publikacji:
    2013-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    total situs inversus
    cholecystectomy
    laparoscopy
    operative technique
    Opis:
    For many years, laparoscopic cholecystectomy remains the method of choice for both the treatment of symptomatic cholelithiasis, and chronic and acute cholecystitis (1). The experience of the surgeon grows with each laparoscopic procedure, which enables to operate in case of difficult anatomical conditions and associated anatomical variants. The aim of the study was to present a case of a 47-year old male patient with total situs inversus and several months history of recurrent left epigastric pain, radiating to the left scapula, being accompanied by nausea and vomiting. The study presented the operative technique of laparoscopic cholecystectomy and postoperative period data. In conclusion, laparoscopic cholecystectomy in a patient with total situs inversus is possible and safe, providing relevant precautions. The main issues certainly include a good and feasible plan of the operation, discussion concerning the possible intraoperative and postoperative complications, a good plan considering the localization of the trocars, as well as an experienced surgical team. One should also not forget that early conversion to classical cholecystectomy is not considered as failure, but might prevent accidental damage of the biliary ducts and long-term complications.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 3; 141-144
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Real-time assessment of the superovulatory effect of FSH and eCG with laparoscopy at different seasons in Akkaraman ewes
    Autorzy:
    Şen, U.
    Powiązania:
    https://bibliotekanauki.pl/articles/2087326.pdf
    Data publikacji:
    2020
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    superovulation
    season
    laparoscopy
    plasma hormones
    eCG
    FSH
    Źródło:
    Polish Journal of Veterinary Sciences; 2020, 23, 2; 291-299
    1505-1773
    Pojawia się w:
    Polish Journal of Veterinary Sciences
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Ocena jakości leczenia bólu pooperacyjnego u pacjentów oddziału chirurgicznego leczonych metodą laparoskopową
    Evaluation of the quality of postoperative pain treatment in surgical ward patients treated with the laparoscopic method
    Autorzy:
    Krajewska, Karolina
    Powiązania:
    https://bibliotekanauki.pl/articles/19322586.pdf
    Data publikacji:
    2022-06-30
    Wydawca:
    Państwowa Akademia Nauk Stosowanych we Włocławku
    Tematy:
    ból
    laparoskopia
    chirurgia ogólna
    pain
    laparoscopy
    general surgery
    Opis:
    Wstęp. Laparoskopia jest jedną z najbardziej skutecznych metod leczenia operacyjnego. Głównymi korzyściami płynącymi z leczenia metodą laparoskopową jest szybszy powrót do zdrowia, mniejsza ilość powikłań, blizny niewielkich rozmiarów oraz zminimalizowanie odczuwanych dolegliwości bólowych. Cel. Celem pracy jest analiza oceny jakości leczenia bólu pooperacyjnego po zabiegach operacyjnych przeprowadzonych metodą laparoskopową. Materiał i metody. W pracy wykorzystano metodę sondażu diagnostycznego przy użyciu techniki ankietowania. Narzędziem badawczym służącym do przeprowadzenia badań była ankieta własna wraz z narzędziem standaryzowanym - Polska Wersja Skali Klinicznych Wskaźników Jakości Postępowania z Bólem Pooperacyjnym. Analizie badawczej poddano 100 pacjentów oddziału chirurgicznego Wojewódzkiego Szpitala Specjalistycznego we Włocławku leczonych metodą laparoskopową. Wyniki. Uzyskane wyniki są zbliżone do badań przeprowadzonych przez innych badaczy. Ogólna ocena jakości świadczonej opieki pielęgniarskiej w minimalizowaniu odczuwanych dolegliwości bólowych świadczy o konieczności poprawy opieki w sferze środowisko oraz komunikowanie. Wnioski. Personel pielęgniarski posiada wiedzę w zakresie uśmierzania bólu pooperacyjnego oraz szybko reaguje na zmieniający się stan chorego. Wyniki badań jednoznacznie wskazują, iż przekaz informacji na poziomie pielęgniarka – pacjent powinien ulec poprawie. Zapewnienie odpowiedniego otoczenia choremu do odpoczynku po operacji nie zawsze jest możliwe z przyczyn niezależnych od personelu pielęgniarskiego.
    Introduction. Laparoscopy is one of the most effective methods of surgical treatment. The main benefits of laparoscopic treatment include faster recovery, fewer complications, small scars, and less pain. The aim. The aim of the study is to analyse the assessment of the quality of postoperative pain treatment after laparoscopic surgery and the possibilities of its improvement in everyday nursing practice. Material and methods. The study used the method of diagnostic survey using the survey technique. The research tool used to conduct the research was an own questionnaire with a standardized tool - the Polish Version of the Scale of Clinical Quality Indicators of Postoperative Pain Management. The research analysis involved 100 patients of the surgical ward of the Specialist Provincial Hospital in Włocławek, treated with the laparoscopic method. Results. The obtained results are similar to studies conducted by other researchers. The general assessment of the quality of the nursing care provided in minimizing the experienced pain proves the need to improve care in the sphere of the environment and communication. Conclusions. The nursing staff has knowledge in the field of postoperative pain relief and reacts quickly to the changing condition of the patient. The research results clearly indicate that the transfer of information at the nurse-patient level should be improved. Ensuring an appropriate environment for the patient to rest after surgery is not always possible for reasons beyond the control of the nursing staff.
    Źródło:
    Innowacje w Pielęgniarstwie i Naukach o Zdrowiu; 2022, 7, 2; 7-27
    2451-1846
    Pojawia się w:
    Innowacje w Pielęgniarstwie i Naukach o Zdrowiu
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopic Abdominoperineal Resection Of The Rectum – How Is It Done; Initial Results
    Autorzy:
    Grous, Aleksander
    Uryszek, Mariusz
    Ciesielski, Adam
    Dib, Naser
    Tarnowski, Wiesław
    Powiązania:
    https://bibliotekanauki.pl/articles/1396411.pdf
    Data publikacji:
    2013-10-01
    Wydawca:
    Index Copernicus International
    Tematy:
    rectal cancer
    laparoscopy
    abdominoperineal resection of the rectum
    Opis:
    The abdominoperineal resection of the rectum is a classical operation performed in case of patients diagnosed with rectal cancer. The development of laparoscopic techniques in recent years, introduced yet another method of treatment, considering patients with rectal cancer- laparoscopic abdominoperineal resection of the rectum. The aim of the study was to present initial treatment results considering the above-mentioned patients. Material and methods. The study group comprised 25 patients (16 male and 9 female) diagnosed with low-rectal cancer, subjected to surgery by means of the above-mentioned method. Mean patient age amounted to 66 years. Three (12%) patients required conversion to classical surgery (laparotomy), while one patient required reoperation, due to presacral vascular bleeding. Complications were observed in 10 (40%) patients. Average hospitalization was 7 days. In case of all patients the radial margin was negative, and mean number of removed lymph nodes amounted to 9.6. Mortality was not observed during the perioperative period. Due to the initial character of the study analysis (mean observation period in case of 68% of patients was shorter than 2 years), oncological results were not subject to evaluation. Conclusions. Laparoscopic abdominoperineal resections are considered as technically difficult operations, requiring significant experience of the operating team. However, they enable the patient to take advantage of the many assets of minimally invasive surgery, with comparable rates of postoperative complications.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 10; 569-575
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Risk of morbidity in colorectal surgery
    Autorzy:
    Rabasová, M.
    Powiązania:
    https://bibliotekanauki.pl/articles/2069528.pdf
    Data publikacji:
    2011
    Wydawca:
    Uniwersytet Morski w Gdyni. Polskie Towarzystwo Bezpieczeństwa i Niezawodności
    Tematy:
    colorectal surgery
    morbidity
    risk factors
    laparoscopy
    discriminant analysis
    Opis:
    This study examines the risk of morbidity for colorectal surgery undergoing patients. The main aim was to identify important risk factors that influence post-operative complications – morbidity, and to create a model to predict possible complications for a patient before surgery. The source data file contains information about 1177 patients who underwent colorectal surgery between 2001 and 2009 at the University Hospital Ostrava, Czech Republic. According to the surgeons’ judgment the following seven independent variables were included in the analysis: Gender, BMI, American Society of Anaesthesiology (ASA) Classification, Stage of Disease, Number of Previous Operations, Surgical Technique and Operation Severity. Discriminant analysis was used for the data evaluation; statistical software SPSS 18 and NCSS 2004 were used for the calculations.
    Źródło:
    Journal of Polish Safety and Reliability Association; 2011, 2, 1; 171--176
    2084-5316
    Pojawia się w:
    Journal of Polish Safety and Reliability Association
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Adnexal torsion – can laparoscopy wait?
    Skręt przydatków – czy laparoskopia może poczekać?
    Autorzy:
    Cichoń, Bartosz
    Słowik, Łukasz
    Baran, Katarzyna
    Gadomska, Aleksandra
    Gilewska, Justyna
    Cichoń, Tomasz
    Lemm, Magdalena A.
    Bakon, Igor
    Witek, Andrzej
    Powiązania:
    https://bibliotekanauki.pl/articles/1426938.pdf
    Data publikacji:
    2021-02-28
    Wydawca:
    Śląski Uniwersytet Medyczny w Katowicach
    Tematy:
    adnexal torsion
    ovaries
    laparoscopy
    skręt przydatków
    jajnik
    laparoskopia
    Opis:
    Adnexal torsion is a rare emergency condition and its diagnosis is challenging as the clinical presentation is nonspecific. About half of the cases of adnexal torsion are not identified in a timely manner. It is important to undergo prompt surgery to preserve ovarian function. Our article describes the clinical presentation of adnexal torsion and early surgical intervention to preserve the adnexa in a young woman.
    Skręt przydatków jest rzadkim stanem nagłym, a jego diagnoza jest wyzwaniem, ponieważ objawy kliniczne są niecharakterystyczne. Około połowy przypadków skrętu przydatków pozostaje nierozpoznana w odpowiednim czasie. Podjęcie szybkiego leczenia operacyjnego jest istotne, aby zachować funkcję jajnika. W artykule opisano objawy kliniczne skrętu przydatków i wczesną interwencję chirurgiczną pozwalającą na zachowanie przydatków u młodej pacjentki.
    Źródło:
    Annales Academiae Medicae Silesiensis; 2021, 75; 8-10
    1734-025X
    Pojawia się w:
    Annales Academiae Medicae Silesiensis
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopic nephron sparing surgery on a patient with extreme body deformation due to cerebral palsy. Is this justified when the tumor biopsy is unavailable?
    Autorzy:
    Łesiów, Mirosław
    Borowik, Michał
    Liss, Robert
    Przudzik, Maciej
    Łesiów, Roman
    Grabysa, Radosław
    Michalak, Maciej
    Roslan, Marek
    Powiązania:
    https://bibliotekanauki.pl/articles/2047811.pdf
    Data publikacji:
    2022-03-31
    Wydawca:
    Medical Education
    Tematy:
    cerebral palsy
    kidney cancer
    laparoscopy
    nephron sparing surgery
    Opis:
    Abdominal surgery on patients with significant body malformation is often a challenge for an operative team. Particularly, when patient presents lesions suspected for malignancy but benign disease cannot be excluded. In the reported case the patient suffered from cerebral palsy and had extreme spinal distortion with significant displacement of internal organs. Solid renal mass was detected incidentally, but because of body deformation the biopsy to asses pathological status could not be performed. The decision to perform surgery was made and the patient underwent successful laparoscopic partial nephrectomy. Pathology examination of the specimen revealed renal cell carcinoma grade 2.
    Źródło:
    OncoReview; 2022, 12, 1; 16-19
    2450-6125
    Pojawia się w:
    OncoReview
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Retroperitoneoscopic and laparoscopic removal of periadrenally located bronchogenic cysts – a systematic review
    Autorzy:
    Jannasch, Olof
    Büschel, Philip
    Wodner, Christin
    Seidensticker, Max
    Kuhn, Roger
    Lippert, Hans
    Mroczkowski, Paweł
    Powiązania:
    https://bibliotekanauki.pl/articles/1396504.pdf
    Data publikacji:
    2013-12-01
    Wydawca:
    Index Copernicus International
    Tematy:
    bronchogenic cyst
    adrenal tumor
    retroperitoneoscopy
    laparoscopy
    systematic review
    Opis:
    Retroperitoneal bronchogenic cysts (BC) are rare clinical entities and may mimic an adrenal mass. Laparoscopic and retroperitoneoscopic approach is widely-used in adrenal surgery. However minimally- invasive resection of a periadrenally located BC has been reported rarely. Material and methods. A systematic review of PubMed has been performed using the following search strategy: bronchogenic cyst AND (adrenal OR retroperitoneal OR subdiaphragmatic). 18 BC being removed via minimally invasive approach have been found. Including our own case 7 were removed retroperitoneoscopically and 12 laparoscopically. Results. An index case of a 50 year old male is presented. CT revealed 2 masses above the left adrenal area. A control demonstrated an increase in size. Retroperitoneoscopic resection was performed. Pathologic finding showed a multilocular cystic lesion with a diameter of 4cm. The cysts were lined by pseudostratified ciliated epithelium. The wall contained hyaline cartilage, seromucous glands and smooth muscle. Conclusions. Because exact preoperative diagnosis of hormonally inactive adrenal masses is not possible surgical resection is recommended in case of tumor growth, symptoms and to obtain definitive histological diagnosis. Minimal invasive approach seems to be a safe way for resection of BC in experienced hands. There is no clear evidence if laparoscopic or retroperitoneoscopic approach is favourable
    Źródło:
    Polish Journal of Surgery; 2013, 85, 12; 706-713
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Chemical composition of surgical smoke formed in the abdominal cavity during laparoscopic cholecystectomy – Assessment of the risk to the patient
    Autorzy:
    Dobrogowski, Miłosz
    Wesołowski, Wiktor
    Kucharska, Małgorzata
    Sapota, Andrzej
    Pomorski, Lech
    Powiązania:
    https://bibliotekanauki.pl/articles/2178841.pdf
    Data publikacji:
    2014-05-17
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    risk factor
    surgical smoke
    xenobiotics
    absorbtion
    urine analysis
    laparoscopy
    Opis:
    Objectives: The aim of this study was to assess the exposure of patients to organic substances produced and identified in surgical smoke formed in the abdominal cavity during laparoscopic cholecystectomy. Material and Methods: Identification of these substances in surgical smoke was performed by the use of gas chromatography-mass spectrometry (GC-MS) with selective ion monitoring (SIM). The selected biomarkers of exposure to surgical smoke included benzene, toluene, ethylbenzene and xylene. Their concentrations in the urine samples collected from each patient before and after the surgery were determined by SPME-GC/MS. Results: Qualitative analysis of the smoke produced during laparoscopic procedures revealed the presence of a wide variety of potentially toxic chemicals such as benzene, toluene, xylene, dioxins and other substances. The average concentrations of benzene and toluene in the urine of the patients who underwent laparoscopic cholecystectomy, in contrast to the other determined compounds, were significantly higher after the surgery than before it, which indicates that they were absorbed. Conclusions: The source of the compounds produced in the abdominal cavity during the surgery is tissue pyrolysis in the presence of carbon dioxide atmosphere. All patients undergoing laparoscopic procedures are at risk of absorbing and excreting smoke by-products. Exposure of the patient to emerging chemical compounds is usually a one-time and short-term incident, yet concentrations of benzene and toluene found in the urine were significantly higher after the surgery than before it.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2014, 27, 2; 314-325
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Reprinted with permission of editor-in-chief of Annals of Surgery: Annals of Surgery: Vol. 266, nr 5, November 2017; 703 - 705: Modern Surgeons: Still Masters of Their Trade or Just Operators of Medical Equipment?
    Autorzy:
    Krawczyk, Marek
    Powiązania:
    https://bibliotekanauki.pl/articles/1392874.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    vascular surgery
    cholecystectomy
    ultrasonography
    bile ducts
    liver transplantation
    pancreas
    laparoscopy
    Opis:
    My surgical education began at a time when Poland formed part of the communist bloc and was isolated from the world, or in today’s Terms – it remained behind the Iron Curtain. This was true of all areas of life, including medicine. When after 40 years of work, I look back at my professional career; I wonder whether I owe my proficiency in surgery to my experience and dexterity or, like many others, to technological progress. Two of the great Polish surgeons were my mentors and teachers. Professor Zdzisław Łapiński was the one I met first. He was a manual genius and an unusual operational strategist. Granted, he had one character defect, but nobody’s perfect after all. In 1975, I defended my dissertation. I was convinced that I should continue my education at a center abroad, preferably within a postdoctoral scholarship. Professor Łapiński wanted me to learn everything about surgery from him. I decided otherwise, and in 1978 with his tacit agreement, I obtained a Humboldt Fellowship and went to Heidelberg, to the department headed by none other than Professor Fritz Linder.1 I started my research for the habilitation thesis at the Experimentelle Chirurgie Abteilung of his Department.
    Źródło:
    Polish Journal of Surgery; 2018, 90, 2; 1-4
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Laparoscopically Treated Small Bowel Obstruction Due to Internal Herniation Through the Broad Ligament
    Autorzy:
    Vyrdal, Christian Dacesin
    El-Hussuna, Alaa
    Powiązania:
    https://bibliotekanauki.pl/articles/1395788.pdf
    Data publikacji:
    2014-08-01
    Wydawca:
    Index Copernicus International
    Tematy:
    internal herniation
    small bowel obstruction
    ileus
    laparoscopy
    broad ligament
    acute abdomen
    Opis:
    The authors reported a case of small bowel obstruction secondary to internal herniation through a defect of the broad ligament. This is a rare cause of small bowel obstruction. A 42 year-old woman without previous abdominal surgery presented with episodes of abdominal pain, nausea and vomiting. Due to rather unspecific and changing symptoms and the fact that objective findings were normal the patient was discharged and admitted a couple of times before a computed tomography-scan showed small bowel obstruction. Acute diagnostic laparoscopy showed internal herniation of a loop of small bowel trapped in a 2 cm defect in the right side of the broad ligament. The defect was gently expanded bluntly and it was then possible to retract the strangulated part of the small bowel which afterwards was vital. The defect was sutured laparoscopically. The postoperative recovery was uneventful. This case demonstrates that a preoperative diagnosis is difficult and a high index of suspicion is necessary to prevent diagnostic delay. Internal herniation through a defect in the broad ligament should be considered as a differential diagnosis in female patients presenting with symptoms of small bowel obstruction without a history of prior abdominal surgery, especially in parous women.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 8; 377-379
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Początki laparoskopii w Krakowie. Nowości w chirurgii – wybrane zagadnienia
    The origins of laparoscopy in Cracow. News in surgery - selected issues
    Autorzy:
    Cienciała, Antoni
    Zelek, Michał
    Puka, Dorota
    Powiązania:
    https://bibliotekanauki.pl/articles/527886.pdf
    Data publikacji:
    2016
    Wydawca:
    Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
    Tematy:
    laparoskopia
    historia medycyny
    Kraków
    robot chirurgiczny
    Laparoscopy
    history of medicine
    Cracow
    robot surgery
    Opis:
    Wziernikowanie jamy otrzewnowej chorego – czyli laparoskopia jest jedną z technik chirurgicznych, która w ostatnich dwóch dekadach XX wieku odmieniła codzienną praktykę chirurgiczną na świecie. Historia laparoskopii sięga początków XIX wieku, jednak najbardziej dynamiczny jej rozwój przypada na drugą połowę XX wieku. Zawdzięczamy to zarówno pracy pionierów technik małoinwazyjnych jak i rozwojowi techniki. Początki laparoskopii w Krakowie przypadają na początek lat 90. XX wieku. Pierwsze dwa tego typu zabiegi wykonano przez polskich chirurgów przy okazji pobytu w Krakowie jednego z polskich pionierów tego typu zabiegów – E. Stanowskiego, 11.06.1992 przez A. Bobrzyńskiego w II Klinice Chirurgii Akademii Medycznej w Krakowie oraz dzień później - 12.06.1992 przez A. Cienciałę w Klinicznym Oddziale Chirurgii Ogólnej Wojskowego Szpitala Klinicznego w Krakowie. Technika ta stopniowo zyskiwała na popularności i dzisiaj jest standardowo wykorzystywana w małopolskich oddziałach chirurgicznych. Chirurdzy jednak nie przestali poszukiwać coraz to nowych technik operacyjnych, które mają zminimalizować jeszcze bardziej uraz operacyjny oraz zapewnić pacjentowi maksymalnie skuteczną i efektywną operację. Techniki te wywodzą się w dużym stopniu bądź stanowią swego rodzaju rozwinięcie klasycznej laparoskopii. Wśród nich należy wymienić SILS (Single Incision Laparoscopic Surgery), NOTES (Natural Orifi ce Translumenal Endoscopic Surgery), operacje hybrydowe oraz roboty chirurgiczne.
    One surgical technique that has changed every-day surgical practice in the last two decades of the 20th century is laparoscopy. This technique dates from the beginning of the 19th century, but the most dynamic development was in the second half of the 20th century. We are indebted to the work of pioneers of minimally invasive surgical techniques and the development of technology. Laparoscopy has developed especially since the early 1990s. The fi rst laparoscopic procedure was performed in Cracow by A. Bobrzyński at the Second Surgery Department of Cracow Medical University (11.06.1992), while the second was performed the next day by A. Cienciała at the Surgery Department of the Fifth Military Clinical Hospital (12.06.1992) with the assistance of E. Stanowski, a Polish pioneer of this technique. This technique became more popular and now is very common in Cracow surgery wards. Surgeons have not stopped searching for new operational techniques which could minimize surgical trauma and maximize the efficacy of operations. These techniques are derived from classic laparoscopy and the following should be mentioned: SILS (Single Incision Laparoscopic Surgery), NOTES (Natural Orifice Translumenal Endoscopic Surgery), hybrid operations and robotic surgery.
    Źródło:
    Państwo i Społeczeństwo; 2016, 4; 127-132
    1643-8299
    2451-0858
    Pojawia się w:
    Państwo i Społeczeństwo
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Minimally Invasive Repair of Acquired Benign Thoracic Tracheo-Esophageal Fistula
    Autorzy:
    Banerjee, Jayant Kumar
    Saranga Bharathi, Ramanathan
    Powiązania:
    https://bibliotekanauki.pl/articles/1392076.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    fistula exclusion
    laparoscopy
    single stage procedure
    sub-sternal colonic transposition
    thoracoscopy
    tracheo-esophageal fistula
    Opis:
    Background: Repair of large, upper thoracic, cuff-induced, tracheo-esophageal fistula (TEF) is technically demanding and is conventionally performed by open surgery. Minimal access approach is, hitherto, unreported. Technique & Case: Minimally invasive repair of TEF involving fistula isolation – by thoracoscopic oesophageal exclusion, and simultaneous establishment of alimentary continuity – by laparoscopy-assisted sub-sternal colonic transposition, is described. The technique was successfully employed in repairing a large (4.5 centimetres), cuff-induced, upper thoracic TEF, in a 25-year-old woman. The rationale behind the technique, its pros and cons are analysed and contrasted against conventional techniques of TEF repair. Conclusion: Large upper thoracic, cuff-induced TEF can be successfully repaired employing minimal access.
    Źródło:
    Polish Journal of Surgery; 2019, 91, 5; 55-58
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Medical image measurement and characterization: extracting mechanical and thermal stresses for surgery
    Autorzy:
    Lay-Ekuakille, Aimé
    Ugwiri, Moise Avoci
    Liguori, Consolatina
    Singh, Satya P.
    Rahman, Md Zia Uhr
    Veneziano, Domenico
    Powiązania:
    https://bibliotekanauki.pl/articles/1848960.pdf
    Data publikacji:
    2021
    Wydawca:
    Polska Akademia Nauk. Czytelnia Czasopism PAN
    Tematy:
    infrared imaging
    robotic surgery
    imaging for cancer detection
    bioinstrumentation
    laparoscopy
    biomedical measurements
    biomechanical and stress
    Opis:
    Whatever the type of surgery related to inner organs, traditional or robotic, the contact with them during surgery is a key moment for pursuing the intervention. Contacts by means of surgery instruments namely scalpels, staples, clamps, graspers, etc. are decisive moments. False, and erroneous touching and manoeuvring of organs operated on can cause irreversible damage as regard morphological aspects (outer impact) and physiological aspects (inner impact). The topic is a great challenge in the effort to measure and characterize damages. In general, electrical instruments for surgery employ the following technologies: ultrasound, radiofrequency (monopolar, and bipolar), and laser. They all result in thermal damages difficult to evaluate. The article proposes a method for a pre-screening of organ features during robotic surgery sessions by pointing out mechanical and thermal stresses. A dedicated modelling has been developed based on experimental activities during surgery session. The idea is to model tissue behaviour from real images to help surgeons to be aware of handling during surgery. This is the first step for generalization by considering the type of organ. The measurement acquisitions have been performed by means of an advanced external camera located over the surgery quadrant. The modelling and testing have been carried out on kidneys. The modelling, carried out through Comsol Multiphysics, is based on the bioheat approach. A further comparative technique has been implemented. It is based on computer vision for robotics. The findings of human tissue behavior exhibit reliable results.
    Źródło:
    Metrology and Measurement Systems; 2021, 28, 1; 3-21
    0860-8229
    Pojawia się w:
    Metrology and Measurement Systems
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Czy profilaktyka żylnej choroby zakrzepowo-zatorowej jest konieczna przy zabiegach laparoskopowych? Komentarz do wytycznych SAGES – Guidelines for Deep Venous Thrombosis Prophylaxis During Laparoscopic Surgery
    Is venous thromboembolism prophylaxis necessary during laparoscopic procedures? A commentary to SAGES guidelines – Guidelines for Deep Venous Thrombosis Prophylaxis During Laparoscopic Surgery
    Autorzy:
    Solecki, Michał
    Powiązania:
    https://bibliotekanauki.pl/articles/1030270.pdf
    Data publikacji:
    2015
    Wydawca:
    Medical Communications
    Tematy:
    guidelines
    laparoscopy
    prophylaxis
    pulmonary embolism
    venous thromboembolism
    laparoskopia
    profilaktyka
    wytyczne
    zatorowość płucna
    żylna choroba zakrzepowo-zatorowa
    Opis:
    Venous thromboembolism is a disease that includes both deep vein thrombosis and pulmonary embolism, which are associated with the formation of a blood clot (thrombus) within a deep vein, mainly in the lower limbs. So far, the scale of the problem of deep vein thrombosis and pulmonary embolism has not been thoroughly estimated in Poland. About 200,000 new cases per year are reported in the United States, and between 50,000 and 60,000 in Poland. Mortality due to pulmonary embolism, usually as a consequence of deep vein thrombosis, is estimated at 15–25%. Increasingly used minimally invasive surgical techniques are currently of interest to both, the young generation of surgeons and their patients. Laparoscopic cholecystectomy or bariatric surgery have become a standard. There is much controversy regarding the need for thromboprophylaxis in patients undergoing laparoscopic procedures. Efforts have been made by the Society of American Gastrointestinal and Endoscopic Surgeons to help medical practitioners decide in this regard. All laparoscopic procedures cause serum hypercoagualability. Polish societies have not specified their decisions regarding prophylaxis in laparoscopic surgery. Following general rules was only recommended. It seems fully justified to develop such indications or adopt the already existing standards based on literature data and experience.
    Żylna choroba zakrzepowo-zatorowa obejmuje zarówno zakrzepicę żył głębokich, jak i zatorowość płucną – związane z powstaniem zakrzepu w obrębie żył głębokich, głównie w kończynach dolnych. W Polsce skala problemu zakrzepicy żył głębokich i zatorowości płucnej nie została dotąd zbyt dokładnie oszacowana. W Stanach Zjednoczonych odnotowuje się około 200 tys. nowych zachorowań rocznie, w Polsce jest ich 50–60 tys. rocznie. Śmiertelność z powodu zatorowości płucnej, najczęściej będącej następstwem zakrzepicy żył głębokich, ocenia się na 15–25%. Coraz szerzej stosowane metody małoinwazyjne leżą obecnie w kręgu zainteresowań młodego pokolenia chirurgów i cieszą się dużym zainteresowaniem pacjentów. Standardem stały się laparoskopowa cholecystektomia czy chirurgia bariatryczna. Istnieje wiele kontrowersji dotyczących konieczności stosowania profilaktyki przeciwzakrzepowej u chorych poddawanych zabiegom laparoskopowym. Amerykańskie Towarzystwo Chirurgów Gastroenterologicznych i Endoskopowych podjęło starania, aby ułatwić praktykującym lekarzom decydowanie w tym zakresie. Każda procedura laparoskopowa powoduje nadkrzepliwość surowicy krwi. Polskie towarzystwa nie sprecyzowały swoich ustaleń co do profilaktyki w przypadku chirurgii laparoskopowej, zalecono jedynie stosowanie się do zasad ogólnych. Opracowanie takich wskazań lub zaadaptowanie już istniejących standardów na podstawie danych literaturowych i doświadczenia wydaje się w pełni uzasadnione.
    Źródło:
    Current Gynecologic Oncology; 2015, 13, 4; 269-276
    2451-0750
    Pojawia się w:
    Current Gynecologic Oncology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Czy profilaktyka żylnej choroby zakrzepowo-zatorowej jest konieczna przy zabiegach laparoskopowych? Komentarz do wytycznych SAGES – Guidelines for Deep Venous Thrombosis Prophylaxis During Laparoscopic Surgery
    Is venous thromboembolism prophylaxis necessary during laparoscopic procedures? A commentary to SAGES guidelines – Guidelines for Deep Venous Thrombosis Prophylaxis During Laparoscopic Surgery
    Autorzy:
    Solecki, Michał
    Powiązania:
    https://bibliotekanauki.pl/articles/1030314.pdf
    Data publikacji:
    2015
    Wydawca:
    Medical Communications
    Tematy:
    guidelines
    laparoscopy
    prophylaxis
    pulmonary embolism
    venous thromboembolism
    laparoskopia
    profilaktyka
    wytyczne
    zatorowość płucna
    żylna choroba zakrzepowo-zatorowa
    Opis:
    Venous thromboembolism is a disease that includes both deep vein thrombosis and pulmonary embolism, which are associated with the formation of a blood clot (thrombus) within a deep vein, mainly in the lower limbs. So far, the scale of the problem of deep vein thrombosis and pulmonary embolism has not been thoroughly estimated in Poland. About 200,000 new cases per year are reported in the United States, and between 50,000 and 60,000 in Poland. Mortality due to pulmonary embolism, usually as a consequence of deep vein thrombosis, is estimated at 15–25%. Increasingly used minimally invasive surgical techniques are currently of interest to both, the young generation of surgeons and their patients. Laparoscopic cholecystectomy or bariatric surgery have become a standard. There is much controversy regarding the need for thromboprophylaxis in patients undergoing laparoscopic procedures. Efforts have been made by the Society of American Gastrointestinal and Endoscopic Surgeons to help medical practitioners decide in this regard. All laparoscopic procedures cause serum hypercoagualability. Polish societies have not specified their decisions regarding prophylaxis in laparoscopic surgery. Following general rules was only recommended. It seems fully justified to develop such indications or adopt the already existing standards based on literature data and experience.
    Żylna choroba zakrzepowo-zatorowa obejmuje zarówno zakrzepicę żył głębokich, jak i zatorowość płucną – związane z powstaniem zakrzepu w obrębie żył głębokich, głównie w kończynach dolnych. W Polsce skala problemu zakrzepicy żył głębokich i zatorowości płucnej nie została dotąd zbyt dokładnie oszacowana. W Stanach Zjednoczonych odnotowuje się około 200 tys. nowych zachorowań rocznie, w Polsce jest ich 50–60 tys. rocznie. Śmiertelność z powodu zatorowości płucnej, najczęściej będącej następstwem zakrzepicy żył głębokich, ocenia się na 15–25%. Coraz szerzej stosowane metody małoinwazyjne leżą obecnie w kręgu zainteresowań młodego pokolenia chirurgów i cieszą się dużym zainteresowaniem pacjentów. Standardem stały się laparoskopowa cholecystektomia czy chirurgia bariatryczna. Istnieje wiele kontrowersji dotyczących konieczności stosowania profilaktyki przeciwzakrzepowej u chorych poddawanych zabiegom laparoskopowym. Amerykańskie Towarzystwo Chirurgów Gastroenterologicznych i Endoskopowych podjęło starania, aby ułatwić praktykującym lekarzom decydowanie w tym zakresie. Każda procedura laparoskopowa powoduje nadkrzepliwość surowicy krwi. Polskie towarzystwa nie sprecyzowały swoich ustaleń co do profilaktyki w przypadku chirurgii laparoskopowej, zalecono jedynie stosowanie się do zasad ogólnych. Opracowanie takich wskazań lub zaadaptowanie już istniejących standardów na podstawie danych literaturowych i doświadczenia wydaje się w pełni uzasadnione.
    Źródło:
    Current Gynecologic Oncology; 2015, 13, 4; 269-276
    2451-0750
    Pojawia się w:
    Current Gynecologic Oncology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Przydatność laparoskopii w leczeniu guzów przydatków
    Laparoscopy in the treatment of adnexal tumors
    Autorzy:
    Szamatowicz, Jacek
    Kuźmicki, Mariusz
    Powiązania:
    https://bibliotekanauki.pl/articles/1030996.pdf
    Data publikacji:
    2010
    Wydawca:
    Medical Communications
    Tematy:
    laparoscopy
    ovarian cancer
    ovarian cysts
    ovarian tumors
    sonography
    guzy jajników
    laparoskopia
    rak jajnika
    torbiele jajników
    ultrasonografia
    Opis:
    Adnexal tumors are among the most frequent disorders of the female genital system. According to current estimates, they affect up to 10% of all women. Recently, the role of laparotomy in surgical techniques in gynecology increased considerably, while laparoscopy performed for an adnexal tumor is one of the commonest gynecologic procedures. The aim of this study was a retrospective analysis of 307 laparoscopic procedures performed due to adnexal tumors. In this population of patients, in 2 instances the procedure was converted from laparoscopy to laparotomy because of a suspected malignancy, subsequently confirmed by histological study, while in 2 other cases malignancy was diagnosed post-hoc and a repeat surgery was necessary. The incidence of various types of ovarian lesions was analyzed, whereby the most frequently encountered conditions included simple, endometrioid and dermoid cysts, in decreasing order. No serious laparoscopy- associated complications were noticed and all patients were discharged from hospital on the first postoperative day. The authors highlight the importance of precise diagnosis of adnexal tumors prior to surgery and role of sonographic study, as the basic diagnostic tool used to determine the nature of lesion. Sensitivity and specificity of this study in the diagnosis of adnexal tumors is discussed, as well as predictive value of the non-specific marker CA-125, which proved useless when suspecting endometrial tumors. At present, laparoscopy is the technique of choice in the diagnosis and treatment of benign genital lesions in the females. Nevertheless, adequate qualification of patients to surgical treatment is still the key issue.
    Guzy przydatków należą do najczęstszych chorób żeńskiego układu rozrodczego. Szacuje się, że występują one nawet u 10% populacji kobiet. W ostatnich latach wykorzystanie laparoskopii w technikach operacyjnych w ginekologii znacznie się zwiększyło, a wykonywanie laparoskopii z powodu guzów przydatków należy do najczęściej wykonywanych operacji ginekologicznych. Celem niniejszej pracy była retrospektywna analiza 307 operacji wykonywanych z powodu guzów w obrębie przydatków. Spośród analizowanych chorych w dwóch przypadkach dokonano konwersji do laparotomii z powodu podejrzenia o proces nowotworowy złośliwy, w dwóch kolejnych przypadkach zmianę złośliwą rozpoznano pooperacyjnie i konieczna była kolejna interwencja. W pracy przeanalizowano częstość występowania poszczególnych rodzajów zmian w jajnikach. Najczęściej stwierdzano torbiele proste, w kolejności endometrialne i dermoidalne. Nie zanotowano poważnych powikłań związanych z wykonywanymi zabiegami, a wszystkie pacjentki opuściły szpital w pierwszej dobie po operacji. W pracy zwrócono szczególną uwagę na dokładną diagnostykę guzów przydatków przed kwalifikacją do zabiegu. Omówiono przydatność badania ultrasonograficznego jako podstawowego badania przy opracowywaniu charakteru zmian. Krytycznie przedyskutowano czułość i specyficzność tego badania w diagnostyce. Ustosun kowano się do wartości predykcyjnej niespecyficznego markera CA-125, który jest nieprzydatny w podejrzeniu guzów endometrialnych. W chwili obecnej laparoskopia jest metodą z wyboru w diagnostyce i leczeniu niezłośliwych zmian narządu rodnego. Jednak na szczególną uwagę zasługuje właściwa kwalifikacja do zabiegu operacyjnego.
    Źródło:
    Current Gynecologic Oncology; 2010, 8, 3; 174-179
    2451-0750
    Pojawia się w:
    Current Gynecologic Oncology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    The way of planning and organizing research in range of ergonomics on the example of observation of laparoscopic surgeries
    Sposób planowania i organizacji badań w zakresie ergonomii na przykładzie obserwacji zabiegów laparoskopowych
    Autorzy:
    Bartnicka, J.
    Ziętkiewicz, A.
    Kowalski, G.
    Powiązania:
    https://bibliotekanauki.pl/articles/113401.pdf
    Data publikacji:
    2014
    Wydawca:
    STE GROUP
    Tematy:
    ergonomics
    laparoscopy
    planning of studies
    capturing the body position
    ergonomia
    laparoskopia
    planowanie badań
    przechwytywanie pozycji ciała
    Opis:
    The article presents the results of studies on the identification and analysis of problem areas concerning aspects of ergonomics in laparoscopic surgeries. The studies were based on the research carried out in both real conditions and simulation conditions. The described metho-dology and research material refers to the photographic documentation of the operating room and laparoscopic instruments, in addition to performed staged procedure as well as the way of planning the deployment of members of the surgical team and patient positioning. The next step in the research was acquisition of the data concerning the way of performance of bariatric procedures in real conditions with the use of wireless goniometer and torsiometer, made with video recording. The method of carrying out the research as well as the identification of barriers in the process of ergonomic assessment of laparoscopic procedures have allowed the authors to obtain the research material which was the starting point for the development of a research model for ergonomics in laparoscopic procedures.
    W artykule przedstawiono wyniki studiów w zakresie identyfikacji oraz analizy obszarów problemowych dotyczących aspektów ergonomii w zabiegach laparoskopowych w oparciu o przeprowadzone badania naukowe w warunkach rzeczywistych jak i warunkach symulowanych. Opisana metodyka i materiał badawczy odnoszą się do wykonanej przez Autorów dokumentacji fotograficznej sali operacyjnej oraz narzędzi laparoskopowych, przeprowadzenia inscenizacji zabiegu jak również zaplanowania rozmieszczenia członków zespołu chirurgicznego oraz ułożenia pacjenta. Kolejnym opisanym etapem badań jest akwizycja danych dotyczących sposobu wykonywania zabiegów bariatrycznych w warunkach rzeczywistych z zastosowaniem bezprzewodowych goniometrów dokonana za pomocą rejestracji wideo. Sposób przeprowadzania badań jak również rozpoznanie barier w procesie oceny ergonomicznej zabiegów laparoskopowych pozwoliły Autorom na uzyskanie materiału badawczego stanowiącego punkt wyjścia do opracowania modelu badawczego w zakresie ergonomii zabiegów laparoskopowych.
    Źródło:
    Systemy Wspomagania w Inżynierii Produkcji; 2014, 1 (7); 7-22
    2391-9361
    Pojawia się w:
    Systemy Wspomagania w Inżynierii Produkcji
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Projekt trenażera do operacji laparoskopowych
    Construction of a laparoscopic surgery trainer
    Autorzy:
    Niewęgłowska, Joanna
    Anchimowicz, Anna
    Lasocka, Wiktoria
    Rodziewicz, Magdalena
    Borkowski, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/2201509.pdf
    Data publikacji:
    2021
    Wydawca:
    Politechnika Śląska. Katedra Biomechatroniki
    Tematy:
    laparoskopia
    edukacja w chirurgii
    symulator
    druk 3D
    FDM
    laparoscopy
    education in surgery
    simulator
    3D printing
    Opis:
    Artykuł przedstawia koncepcję trenażera do operacji laparoskopowych oraz zestaw proponowanych ćwiczeń. Trenażer laparoskopowy nazywany również laparoskopowym symulatorem chirurgicznym umożliwia doskonalenie technik operacji laparoskopowych przez lekarzy oraz studentów medycyny. Do wykonania elementów zestawów prototypu wykorzystano technikę druku 3D metodą FDM.
    The article presents the concept of a laparoscopic surgery trainer and a set of proposed exercises. The laparoscopic trainer, also known as a laparoscopic surgical simulator, enables doctors and medical students to improve their laparoscopic surgery techniques. 3D printing technique using the FDM method was used to produce the elements of the prototype set.
    Źródło:
    Aktualne Problemy Biomechaniki; 2021, 21; 45--51
    1898-763X
    Pojawia się w:
    Aktualne Problemy Biomechaniki
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Open and laparoscopic approaches are associated with comparable 90-day morbidity and mortality following ERAS protocol.
    Chirurgia klasyczna i laparoskopowa z zastosowaniem schematów ERAS wiąże się z podobnym ryzykiem powikłań i zgonów
    Autorzy:
    Vasavada, Bhavin B.
    Patel, Hardik
    Powiązania:
    https://bibliotekanauki.pl/articles/527389.pdf
    Data publikacji:
    2020
    Wydawca:
    Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
    Tematy:
    enhanced recovery after surgery (ERAS)
    laparoscopy
    gastrointestinal surger
    protokół kompleksowej opieki okołooperacyjnej dla poprawy wyników leczenia chirurgicznego (ERAS)
    laparoskopia
    chirurgia jamy brzusznej
    Opis:
    Introduction: The aim of this study is to compare 90-day mortality and morbidity between open and laparoscopic surgeries performed in one centre since the introduction of ERAS protocols. Material and Methods: All gastrointestinal surgeries performed between April 2016 and March 2019 at our institution after the introduction of ERAS protocols have been analysed for morbidity and mortality. The analysis was performed in a retrospective manner using data from our prospectively maintained database. Results: We performed 245 gastrointestinal and hepatobiliary surgeries between April 2016 and March 2019. The mean age of patients was 50.96 years. 135 were open surgeries and 110 were laparoscopic surgeries. The mean ASA score was 2.4, the mean operative time was 111 minutes and the mean CDC grade of surgery was 2.56. 40 were emergency surgeries and 205 were elective surgeries. Overall the 90-day mortality rate was 8.5% and the morbidity rate was around 9.79%. On univariate analysis morbidity was associated with a higher CDC grade of surgeries, a higher ASA grade, longer operating time, the use of more blood products, a longer hospital stay and open surgeries. HPB surgeries and luminal surgeries (non hpb gastrointestinal surgeries) were associated with 90-day post-operative morbidity. On multivariate analysis no factors independently predicted morbidity. On univariate analysis 90-day mortality was predicted by the grade of surgeries, a higher ASA grade, longer operative time, the use of more blood products, open surgeries and emergency surgeries. However on multivariate analysis only the use of more blood products was independently associated with mortality. Conclusion: The 90-day mortality and morbidity rates between open and laparoscopic surgeries after the introduction of ERAS protocol were similar.
    Wprowadzenie: Celem pracy była ocena ryzyka powikłań i zgonów w ciągu 90 dni po zabiegach operacyjnych wykonywanych w jednym z ośrodków sposobem klasycznym i laparoskopowym z zastosowaniem schematu zdrowienia pooperacyjnego ERAS. Materiał i metody: Przeanalizowano wyniki leczenia wszystkich chorych operowanych w ośrodku w okresie od kwietnia 2016 r. do marca 2019 r., u których stosowano schemat ERAS. Analizę retrospektywną przeprowadzono na danych zbieranych w sposób prospektywny. Wyniki: Między kwietniem 2016 r. a marcem 2019 r. wykonano 245 zabiegów operacyjnych na przewodzie pokarmowym, wątrobie i drogach żółciowych. Średni wiek chorych wynosił 50,96 lat. Przeprowadzono 135 operacji sposobem klasycznym oraz 110 metodą laparoskopową. Średni wynik w skali ASA wynosił 2,4; średni czas trwania operacji to 111 minut, a średnia ciężkość operacji w skali CDC – 2,56. 40 zabiegów było wykonanych ze wskazań pilnych, a 205 planowych. Całkowity odsetek zgonów pooperacyjnych w okresie 90 dni wyniósł 8,5%, a powikłań 9,79%. W analizie jednoczynnikowej czynnikami wpływającymi na ryzyko powikłań były: wyższy wynik w skali CDC, wyższy wynik w skali ASA, dłuższy czas trwania operacji, większe zużycie produktów krwiopochodnych, dłuższy czas pobytu w szpitalu, klasyczny dostęp operacyjny, zabiegi w zakresie wątroby i dróg żółciowych. W analizie wieloczynnikowej nie stwierdzono czynników wpływających na zwiększenie ryzyka powikłań. W analizie jednoczynnikowej czynnikami wpływającymi na ryzyko zgonów w ciągu 90 dni były: wyższy wynik w skali CDC, wyższy wynik w skali ASA, dłuższy czas trwania operacji, większe zużycie produktów krwiopochodnych, klasyczny dostęp operacyjny i zabiegi ze wskazań pilnych. W analizie wieloczynnikowej jedynie zużycie preparatów krwiopochodnych wpływało na zwiększenie ryzyka zgonu. Wniosek: Ryzyko powikłań i zgonów w okresie 90 dni po zabiegach operacyjnych z dostępu klasycznego oraz laparoskopowego z zastosowaniem schematu ERAS było zbliżone.
    Źródło:
    Państwo i Społeczeństwo; 2020, 2; 39-50
    1643-8299
    2451-0858
    Pojawia się w:
    Państwo i Społeczeństwo
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Lekki manipulator toru wizyjnego Pelikan
    Pelikan light visual track manipulator
    Autorzy:
    Lis, K.
    Lehrich, K.
    Mucha, Ł.
    Nawrat, Z.
    Powiązania:
    https://bibliotekanauki.pl/articles/262081.pdf
    Data publikacji:
    2016
    Wydawca:
    Politechnika Wrocławska. Wydział Podstawowych Problemów Techniki. Katedra Inżynierii Biomedycznej
    Tematy:
    robot medyczny
    Robin Heart
    MES
    analiza modalna
    teoretyczna analiza modalna
    Pelikan
    operacja laparoskopowa
    medical robot
    FEM
    modal analysis
    theoretical modal analysis
    laparoscopy surgery
    Opis:
    Artykuł prezentuje budowę, zasadę działania oraz wstępne badania symulacyjne najmniejszego z manipulatorów toru wizyjnego z rodziny Robin Heart. W artykule przedstawiono również wyniki analiz numerycznych prowadzonych na etapie projektowania. Dotyczyły one identyfikacji metodą elementów skończonych naprężeń zredukowanych, sztywności statycznej oraz częstotliwości i postaci drgań własnych. W celu określenia parametrów jednostek napędowych dla poszczególnych stopni swobody manipulatora posłużono się analizami kinematycznymi, których przykładowe wyniki zaprezentowano również w niniejszym artykule.
    The article presents the design, principle of operation, and preliminary simulation study of the smallest manipulators for endoscope positioning (videosurgery) of the Robin Heart family. The paper also presents the results of numerical analyzes conducted at the design stage. They concerned the finite element identification of equivalent stress; the static stiffness; natural mode shapes and frequencies. Sample results of analyzes determining the parameters of the drive units for the respective degrees of freedom of the manipulator.
    Źródło:
    Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna; 2016, 22, 3; 154-159
    1234-5563
    Pojawia się w:
    Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
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