ABSTRACT
After total gastrectomy it is necessary to realize the reconstruction of the upper part digestive tract. It is necessary to choose the reconstruction method, which provides good life quality, and extensive physiologic regulation of gastrointestinal hormones after total gastrectomy. There is no ideal reconstruction method. Nowadays there are about 70 kinds of reconstruction methods. It is very important to preserve the duodenal passage. Also the production of reservoir is important. The conclusions of studies are not homogeneous. The patients can benefit from the reconstruction preserving duodenal passage and formed by pouch. (Fig. 1, Ref. 23.).
Subject(s)
Gastrectomy , Animals , Duodenum/surgery , Gastrectomy/methods , Humans , Quality of LifeABSTRACT
The authors describe their experience with laparoscopic operations of the colon. The first operation was made on February 1, 1993 and by the end of 1998 the authors implemented 115 of these operations on account of benign and malignant diseases. On the results of their work they provide evidence that laparoscopic operations of the colon meet all demands of radicality of surgery, while they ensure a greater postoperative comfort and more rapid convalescence of the patient.
Subject(s)
Colon/surgery , Laparoscopy , Adult , Aged , Aged, 80 and over , Colorectal Neoplasms/surgery , Female , Humans , Male , Middle Aged , Postoperative ComplicationsABSTRACT
We have been performing laparoscopic cholestystectomies since 1991. Despite of initial mistrust this method became unusual operation in most of surgical departments. This time is the only laparoscopic method reimbursed by health insurance. In the period of 30 months we performed 1,215 laparoscopic operations. The authors submit a review of the results in the period.
Subject(s)
Cholecystectomy, Laparoscopic , Adolescent , Adult , Aged , Aged, 80 and over , Child , Cholecystectomy, Laparoscopic/adverse effects , Female , Humans , Male , Middle Aged , ReoperationABSTRACT
The authors present their own experience with laparoscopic resection of the sigmoid colon. They discuss the technique, the postoperative course and the contribution of this new method.
Subject(s)
Colon, Sigmoid/surgery , Laparoscopy/methods , Adenocarcinoma/surgery , Aged , Aged, 80 and over , Humans , Male , Sigmoid Neoplasms/surgeryABSTRACT
The authors discuss the technique and indications for laparoscopic cholecystectomy. n the course of four and a half months they operated, using this technique, 74 patients, in two patients they had to switch over to open cholecystectomy. They did not perform peroperative biligraphy. Complications occurred twice, once an injured ductus choledochus, once a biliary fistula. The mean period of hospitalization was 4.7 days. Advantages of the procedure are minimal surgical trauma, less intense postoperative pain, a shorter hospitalization period, rapid convalescence.
