Author/Editor		Breznikar, Brane
Title		Laparoskopska kolektomija
Translated title		Laparoscopic colectomy
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 75, št. 12
Publication year		2006
Volume		str. 801-3
Language		slo
Abstract		Background In the article we present laparoscopic procedures of colon at Slovenj Gradec Gneral Hospital. Patients and methods From 1999 to 2005 we performed 71 laparoscopic procedures of colon: segmental resections, left and right hemicolectomies, low anterior resections, total colectomy, anus preters and restoring continuity of the bowel, rectopexies, and adhesiolysis. Results We had 11 conversions and 9 complications we had to operate again. Among them there were 3 dehiscences, 2 ileuses, rectovaginal fistula, peritonitis, intraabdominal abscess and stenosis. Conclusions The main advantages of laparoscopic operations are faster recovery, shorter hospital stay, and less pain. On the other hand, disadvantages can be seen in higher cost, longer procedure and more complications in learning period.
Summary		Izhodišča V članku je prikazan pregled opravjenih laparoskopskih posegov pr ibolnikih z boleznimi debelega črevesa v Splošni bolnišnici Slovenj Gradec. Bolniki in metode Od leta 1999 do 2005 smo opravili 71 laparoskopskih posegov pri bolnikih z boleznijo debelega črevesa, in to: segmentne resekcije, desne in leve hemikolektomije, nizke sprednje resekcije, totalno kolektomijo, rektopeksije, pogreznitve in nastavitve anuses pretra, adheziolize itd. Od teh je bilo 36 (51%) bolnikov z malignomom na debelem črevesu. Rezultati Pri 11 bolnikih smo se odločili za preklop v klasičen operativni poseg, pri 9 bolnikih so nastali zapleti: 3 dehiscence, 2 ileusa, rektovaginalna fistula, peritonitis, intraabdominalni absces in stenoza debelega črevesa. Zaključki Prednosti laparoskopskega zdravljenja bolnikov z benignimi in malignimi boleznimi debelega črevesa v primerjavi s klasično, odprto operativno metodo so: hitrejše pooperativno okrevanje, manj bolečin in krajša hospitalizacija. Slabosti so: višja cena, dalj časq tqtjajoč poseg in več zapletov v učni dobi.
Descriptors		COLONIC DISEASES COLONIC NEOPLASMS COLECTOMY LAPAROSCOPY TREATMENT OUTCOME