3 research outputs found
Laparoscopic rectal resections: practical aspects
Abordul laparoscopic in chirurgia cancerului de rect este o considerat standardul de aur ce ofera rezultate oncologice similar cu o
recuperare postoperatorie imbunatatita, si o rata minimala de complicatii. Pe fondul complexitatii crescute, cu toate astea, abordul
laparoscopic ar trebui efectuat in centre tertiare, fiind rezervat chirurgilor cu o curba de invatare adecvata. O selectie atenta a cazurilor
si o planificare adecvata ar trebui luata in considerare in cadrul acestui abord. Prezentarea de fata surprinde aspectele practice de
baza precum si variatii tatice in cadrul rezectiilor de rect laparoscopice, precum si pasii potentiali in atingerea curbei de invatare.Laparoscopic approach is an already established procedure in rectal cancer which offers a similar oncological outcome, with improved
postoperative recovery and fewer complications. Due to its increased complexity, however, the laparoscopic approach should be
reserved for high-volume centers and for experienced surgeons with an adequate learning curve. Appropriate patient selection and
planning must be carefully considered when opting for this approach. In this presentation, the primary practical aspects as well as
certain tactical approaches will be covered regarding the laparoscopic rectal resections as well as the potential steps in achieving the
learning curve
Laparoscopic distal pancreatectomies for benign lesions
Pancreatectomia distala este o procedura standard pentru tumorile benigne sau maligne cu risc scazut. Abordul laparoscopic cu
prezervarea splinei ramane in continuare o procedura de dificultate tehnica mai ridicata. Desi avansurile tehnologice si laparoscopice
recente au facilitat realizarea acestei procedure, exista o serie de pasi cheie care trebuie mentinuti. Studiile recente au demonstrat
beneficiile pe termen scurt si lung in prezervarea splinei, precum reducerea riscului de sepsa, astfel ca de fiecare data cand este
posibil, prezervarea splinei este standardul de aur. Aceasta prezentare subliniaza indicatiile abordului laparoscopic, prezentand pasii
respectati in ingrijirea preoperatorie, tehnica operatorie explicate in detaliu cu enuntarea pasilor important, metodele de prezervare a
splinei precum si ingrijirea si urmarirea postoperatorie.Distal pancreatectomy is a standard procedure for benign tumors or tumors with low risk of malignancy. Laparoscopic distal
pancreatectomy with preservation of the spleen is a technically demanding procedure. Although recent technical and laparoscopic
advances have made the procedure more feasible and accessible, there are important steps that need to be maintained. Previous
studies have shown both the short and long-term benefits of spleen preservation, such as lowering the risk of sepsis, therefore
whenever it’s possible, splenic preservation should be the standard of care. This presentation highlights the indications for the
laparoscopic approach, presenting the important steps in the preoperative care of such patient, the surgical technique described in
detail with enunciation of the key steps, the methods of spleen preservation as well as the postoperative care and follow-up