Author/Editor		Sever, Marko; Omahen, Andrej
Title		Laparoskopska holecistektomija in adneksektomija
Translated title		Laparoscopic cholecystectomy and adnexectomy
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. Suppl 1
Publication year		1997
Volume		str. I-35-6
Language		slo
Abstract		Background. The authors simultaneously operated laparoscopicaly two different organs in abdominal cavity; the advantages are small 0.5 to cm great incisions, one short hospitalisation, rehabilitation and cost benefit. Patients and methods. 58-year old patient B. J. with US diagnosed gallstones and benign left ovarian cyst was operated synchronously by visceral surgeon and gynecologist. They introduced one 0.5 cm additional trocar besides four trocars for LC. The patient left the hospital without troubles four days after operation. Conclusions. Better instrument equipment extended percent of laparoscopic operations; these procedures are made through small 0.5 to 1.0 cm grat incisions. Operative trauma is minimal with shorter hospitalisation, rehabilitation and greater cost benefit with surgeons' cooperation of different specialities.
Summary		Izhodišča. Avtorja prikazujete sinhroni laparoskopski poseg na dveh organih. prednosti so v majhnih 0,5 do 1 cm velikih incizijah, krajši enkratni hospitalizaciji, rehabilitaciji in v manjših stroških zdravljenja. Bolniki in metode. 58-letna B.J. z UZ dokazanimi žolčnimi kamni in benigno ovarijsko cisto levo sta v splošni anesteziji operirala abdominalni kirurg in ginekolog. Za ginekološki poseg sta dodatno uvedla še 0,5 cm troakar poleg standardnih štirih pri holecistektomiji. Bolnica je ustanovo zapustila brez težav četrti dan po operaciji. Zaključki. Izpopolnjena oprema je izrazito povečala število laparoskopskih operativnih posegov. Ti posegi so narejeni skozi 0,5 do 1 cm velike incizije in pomenijo manjšo travmo za bolnika, krajšo hospitalizacijo in manjše stroške zdravljenja, zlasti kadar istočasno operiramo patološke spremembe na dveh organih, s sodelovanjem strokovnjakov različnih strok.
Descriptors		CHOLECYSTECTOMY, LAPAROSCOPIC APPENDECTOMY