Author/Editor		Raguž, K; Jerković, V; Kraljik, D; Latić, F; Samardžić, J; Bano, V; Penavić, I
Title		Naše izkušnje z laparoskopskim zdravljenjem malignih bolezni širokega črevesa
Translated title		Our experience with laparoscopic management of colorectal carcinoma
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 4, št. 10
Publication year		1999
Volume		str. 165-7
Language		slo
Abstract		The authors present their experience with laparoscopic colorectal surgery. From August 1995 to August 1999, a total of 289 patients were operated on at this Department for malignant lesions of the large intestine. Laparoscopic technique was used in 43 patients (14.87%). Conversion was required in 6 cases (13.95%). The laparoscopic operations performed during that period included: 9 right hemicolectomies, 14 left hemicolectomies, 11 abdominoperineal resections of the rectum and 3 Hartmann's procedures. Postoperative complications occurred in 8 patients (18.6%): hemorrhage in 2, cardiovascular problems in 2, partial dehiscence of anastomosis in 2, and cerebrovascular accident in one patient. One female patient died secondary to pulmonary embolism; so the operations carries a postoperative mortality of 2.32%. The authors maintain that treating Dukes A and B colorectal carcinoma by laparoscopic surgery can satisfy the criteria of "oncologic sterility".
Summary		Avtorji prikazujejo svoje izkušnje z laparoskopskim zdravljenjem malignih bolezni širokega črevesa. V obdobju od avgusta 1995 do avgusta 1999 smo na našem oddelku operirali skupaj 289 bolnikov zaradi malignih bolezni širokega črevesa. Z laparoskopsko metodo smo operirali 43 bolnikov, kar je 14,87% celotnega števila. V 6 primerih (13,95%) smo napravili preklop (konverzija). Laparoskopsko smo napravili 9 desnih hemikolektomij, 14 levih hemilektomij, 11 abdominoperinealnih ekscizij rektuma in 9 Hartmannovih operacij. Do pooperativnih zapletov je prišlo pri 8 bolnikih (18,6%): dve krvavitvi, dva kardiopulmonalna zapleta, pri dveh bolnikih je prišlo do delne dehiscence anastomoze in en bolnik je doživel cerebrovaskularni insult. Zaradi pljučne embolije je umrla ena bolnica. Poopertivna msrtnost je bila 2,32%. AVtorji poudarjajo, da se z laparoskopsko metodo zdravljenja malignih bolezni širokega črevesa v stadiju Dukes A in Dukes B lahko zadovoljijo pogoji "onkološke sterilnosti".
Descriptors		COLORECTAL NEOPLASMS SURGERY, LAPAROSCOPIC COLECTOMY