Author/Editor		Čala, Zoran; Pavić, Predrag; Perko, Zdravko; Velnić, Davorin; Rašić, Žarko; Košuta, Dragutin; Barišić, Jadranko
Title		Simultaneous multiple laparoscopic operation
Translated title		Sočasni laparoskopski posegi
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 1, št. 2
Publication year		1996
Volume		str. 84-7
Language		eng
Abstract		Background. Minimal invasiveness of laparoscopic surgery and extremely high instrument mobility make it possible to perform several surgical procedures in a single laparoscopic act. Patients and methods. Between January 1994 and January 1996, 42 patients were operated on by this technique at our Department. Together with laparoscopic cholecystectomy, hernioplasty was done in two patients and removal of ovarian cysts in two; catheters for peritoneal dialysis were placed in three patients, appendectomy was performed in one and fenestration and removal of a liver cyst in one patient. Operative treatment of bilateral inguinal hernia, which can also be considered as multiple procedure done in a single act, was performed in 33 cases. Results. All operations were accomplished successfully and were followed by a problem-free postoperative management. Conclusions. Performing several operations at one laparoscopic procedure causes no additional discomfort to the patient and does not prolong hospital stay. Lower costs of treatment constitute yet another important advantage of laparoscopic surgery.
Summary		Izhodišča. Majhna invazivnost laparoskopskih posegov in velika okretnost instrumentov omogočata posege na več organih istočasno. Bolniki in metode. Od januara 1994 do januarja 1996 smo na ta način napravili 42 operacij. Ob laparoskopski holecistektomiji smo napravili še operacijo kile pri dveh bolnikih, pri drugih dveh pa smo dodatno odstranili cisto jajčnika, pri treh bolnikih pa uvedli še kateter za peritonealno dializo. Enkrat smo kombinirali holecistektomijo z apendektomijo, enkrat pa z operacijo jetrne ciste. Obojestransko laparoskopsko operacijo dimeljske kile smo napravili pri 33 bolnikih. Rezultati. Vse sočasne operacije so bile uspešno končane brez pooperativnih zapletov. Zaključki. Izvedba več laparoskopskih posegov v eni seji za bolnika ne pomeni dodatne obremenitve, kot tudi ne podaljša hospitalizacije. Zmanjšanje stroškov zdravljenja pa pomeni dodatno prednost laparoskopske kirurgije.
Descriptors		SURGERY, LAPAROSCOPIC CHOLECYSTECTOMY, LAPAROSCOPIC ABDOMEN