Endoscopy, 2012, issue 1
Review articles
Laparoscopic splenectomy
prof.MUDr.Zdeněk Kala, CSc., MUDr.Vladimír Procházka, Ph.D., MUDr.Libor Červínek
Endoskopie 2012; 21(1): 4-7 
Laparoscopic splenectomy is a safe procedure for various pathological conditions of the spleen and of haematopoiesis. Contraindications to laparoscopic approach depend, in part, on the centre’s experience. Absolute contraindications are poor internal condition, portal hypertension, and massive splenomegaly. The most frequent indication is idiopathic thrombocytopenic purpura. Treatment of thrombocytopenia always begins with conservative first-line approaches: administration of corticosteroids and intravenous immunoglobulins. Splenectomy thus remains second-line treatment in a small proportion of patients. Postoperative complications are...
Minimally invasive liver resections
doc.MUDr.Zdeněk Šubrt, Ph.D., prof.MUDr.Alexander Ferko, CSc., MUDr.Filip Čečka, Ph.D., MUDr.Bohumil Jon, CSc.
Endoskopie 2012; 21(1): 8-11
Aim: To evaluate clinical experience with laparoscopic liver resections performed at the Department of Surgery, University Hospital in Hradec Kralove. Methods: The group of 47 patients who underwent a miniinvasive liver resection from May 2006 to December 2011 was analysed. The operation time, hospital and ICU stay length, perioperative blood loss, transfusion units used, and postoperative complications were prospectively recorded. The reasons for conversion to open surgery were also evaluated. Results: 33 laparoscopic liver resections were completed. There were 27 anatomical resections including hemihepatectomies and 6 non-anatomical laparoscopicaly...
Resection of tumours from abdominal cavity during laparoscopy
doc.MUDr.Eduard Kučera, CSc., MUDr.Petr Valha
Endoskopie 2012; 21(1): 12-14
Removal of an organ or its part from the abdominal cavity represents an important phase of surgery during laparoscopy. In gynaecological laparoscopic surgery, there are a number of situations when a tumour removed from the abdominal cavity has to remain intact. For this purpose, so-called endobags, disposable plastic bags, are used. Resection of a mass in which malignant changes cannot be ruled out is a separate topic in itself. Extreme caution is essential here since dissemination of malignant tumour content can substantially deteriorate the prognosis of the disease. Solid tumours, such as myoma, can be removed by morcellation by using special...
The role of NBI in the endoscopic diagnostics of squamous cell carcinoma of the head and neck
MUDr.Petr Lukeš, Ph.D., MUDr.Michal Zábrodský, doc.MUDr.Jan Plzák, Ph.D., MUDr.Martin Chovanec, Ph.D., MUDr.Eva Foltynová, MUDr.Jaroslav Betka, MUDr.Jan Kastner, prof.MUDr.Jan Betka, DrSc., FCMA
Endoskopie 2012; 21(1): 15-19
Narrow Band Imaging (NBI) is an endoscopic method which allows observation of mucosal changes characteristic for development and growth of epithelial tumours. A higher contrast between the mucosal epithelium and blood vessels is achieved using filtered light comparing to white light observations. This allows detection of small mucosal changes, few millimetres in diameter, which are not observable using white light. In otorhinolaryngology the method is used in flexible and rigid endoscopic investigation in an outpatient procedure, as well as during surgical procedures. It is used as a screening method, in the follow-up of patients with a history...
Use of perioperative endonasal ultrasound in evaluation of radicality of endoscopic transnasal resection of sellartumors
MUDr.Radim Lipina, Ph.D., MUDr.Petr Matoušek, Ph.D., MUDr.Tomáš Krejčí, MUDr.Jan Krajča, doc.MUDr.Pavel Komínek, Ph.D., MBA
Endoskopie 2012; 21(1): 20-23
Introduction: The objective of our work is to introduce our first experience using the perioperative ultrasound in evaluation of radicality of endoscopic transnasal resection of sellartumors. Methods: BetweenSeptember and October 2011 weperformed 13 endoscopic endonasal operation for intrasellar tumor. There was macro adenoma in 12 patients and meningeoma in one patient. In all patients an intraoperative in trashpenoidal ultrasound examination was performed. Postoperative MR findings were compared with perioperative ultrasound findings. Results: We concluded radical resection in 11patientsafterultrasoundexamination and partial resection in...
Acute endoscopy and nonvariceal upper gastrointestinal blleding
doc.MUDr.Vlastimil Procházka, Ph.D.
Endoskopie 2012; 21(1): 24-27
The review article summarizes current knowledge on the issue of endoscopy and nonvariceal upper gastrointestinal bleeding. Studies published in recent years provide information for optimal use of endoscopy in the context of comprehensive care. Based on the evidence, it is recommended to implement immediate endoscopy within 24 hours from the admission; immediately after achieving hemodynamic stability and administration of the proton pump inhibitors. To stop bleeding ulcer or visible vessel treatment, it is proposed to use clips or thermocoagulation, in monotherapy or in combination with vasoactive substances injection. The injection of vasoactive...
Our way with robot - year 2011
MUDr.Jan Rejholec, MUDr.Roman Maleček, MUDr.Martin Klíma
Endoskopie 2012; 21(1): 28-30
I have described the first experiences with robotic colorectal surgery in 2010. I have described a file of 55 patients, which went a robotic assisted operation through, because of colorectal carcinoma. In this announcement we would like to inform of experiences from the third year surgery with robotic system daVinci in the left colon and rectum area. Methods: Patients operated in 2011 with robotic system daVinci for dg. rectal carcinoma was placed to this file. Patients had a coloscopy, CT, EUS and laboratory examinations before the operation. According to staging patients had neoadjuvant oncology therapy. Standard operation was low anterior...
Role of percutaneous endoscopic gastrostomy in advanced head neck cancer therapy
MUDr.Libor Urbánek, MUDr.Pavla Urbánková
Endoskopie 2012; 21(1): 31-33
Malnutrition is one of the severe symptoms of advanced head and neck cancer (HNSCC). The most helpful procedure to establish adequate way of nutrition is percutaneous endoscopic gastrostomy (PEG). This approach is useful in the most of HNSCC patiens and significantly reducts indications for open gastrostomy. We create and use also alternative techniques of PEG implantation (peroperative PEG as a part of oncosurgical procedure on the head and neck through the open wound after primary tumor resection). This technique help us to spread PEG implantation for patients with severe tumorous stenosis of hypopharynx and proximal oesophagus and also to...
Treatment of inverted papilloma
MUDr.Zuzana Balatková, MUDr.Jan Vokurka, CSc., doc.MUDr.Jan Plzák, Ph.D., prof.MUDr.Jan Betka, DrSc., FCMA
Endoskopie 2012; 21(1): 34-36
Sinonasal papillomas are the second most common benign tumour in the nose and paranasal sinuses. Diagnosis and treatment of these tumours is of special interest even though they are benign. The cause of it is high tendency for recurrent disease, local aggressiveness and also their potential for malignant transformation. Possibilities of treatment have been discussed in literature lately especially surgical approaches and current limits and efficacy of endoscopic sinus surgery.