Slovo úvodem

doc. MUDr. Ladislav Jarolím CSc

Endoskopie 2008; 17(3): 53  

Laparoscopic sleeve gastrectomy - two years experience

doc. MUDr. Pavol Holéczy CSc

Endoskopie 2008; 17(3): 55-58  

Aim: To present our experience with relatively new and quickly spreading bariatric operation. Material and methods: In the time period from 1. 10. 2006 to 31. 7. 2008 46 sleeve gastrectomies were performed. Description of our operative technique is presented together with our results in the two years follow up. Results: In the presented group there were 30 female and 16 male. Mean age in the group was 46,5 year. Preoperative mean weight was 128,5 kg. It means average BMI 44,2 kg/m2. There were four early complications observed. Two patients were reoperated on for bleeding. In one case two reoperation were necessary for fistula in the resection...

Quality of transurethral resection in immediate and high risk primary non-muscle invasive bladder cancer

MUDr. Roman Tomaškin

Endoskopie 2008; 17(3): 59-63  

The aim of study was to evaluate the quality of primary transurethral resection of bladder tumour, to determine the incidence of residual tumour (RT) and the impact of clinical and histopathological characteristics of primary tumour on the risk of occurence of RT. Consecutive 260 patients with intermediate and high risk primary non-muscle invasive bladder cancer were included in the study, repeat TUR was performed in 124 patients. Gender, age, pT stage, grade, number and diameter of primary tumours, presence/absence of muscle in TUR specimen and intravesical instillation of epirubicin within 6 hours after TUR were evaluated. Statistical univariate...

Surgical treatment of haemorrhoids using radiofrequency coagulation Ligasure

doc. MUDr. Jaromír Šimša Ph.D

Endoskopie 2008; 17(3): 64-67  

Introduction: Haemorrhoidectomy can be performed using several different types of procedure, from simple excision of nodules, followed by dopler-guided haemorrhoidal artery ligation and finally with the Longo procedure. The aim of this study was to present first experiences with the new method – haemorrhoidectomy with the Ligasure device. Methods: Prospective unicentric study was performed to asses efficacy and safety of haemorrhoidectomy with the Ligasure bipolar coagulation device. The analysis focuses on early surgical complications. Results: In the period of 10 months (1st January–31 st October 2008), the Ligasure haemorrhoidectomy...

Role of endoscopy in diagnostic of Clostridum colitis

MUDr. Jiří Drábek

Endoskopie 2008; 17(3): 68-70  

Colitis caused by Clostridum difficile is a possible complication of antimicrobial therapy. Clostridum difficile was described in literature in 1935, but its importance is connected with the widespread of newer broad-spectrum antibiotics. Changes of intestine microflora and subsequent production of toxins A and B by Clostridium difficile play the main role in ethiopathogenesis of the disease. The diagnosis is based on the detection of toxins A and B, eventually on cultivation of Clostridium difficile and the proof of toxigenity of particular tribe. The role of endoscopy in diagnostic of this disease has been discussed. In our work we proved in...

Laparoscopic hysterectomy in a teaching hospital

MUDr. Eduard Kučera CSc

Endoskopie 2008; 17(3): 71-73  

The laparoscopic assisted vaginal hysterectomy (LAVH) was introduced in the year 1988. Since this date we register a wide spread of this technique in gynecologic surgery for benign and malignant disease. It combines two very advantageous operative access – vaginal and laparoscopic. Until now there were published also other different types of laparosopic hysterectomy e. g. total laparoscopic hysterectomy (TLH). This article is a review of different types of laparoscopic hysterectomy and their indications. It also presents author ´s personal exeperience with this technique and the position of laparoscopic hysterectomy in the teaching hospital.

Laser in endourology

MUDr. Jan Pokorný

Endoskopie 2008; 17(3): 74-79  

The laser surgery is superior to conventional treatment of more and more medical disorders. It is very suitable for minimal invasive equipment use. The intracorporal laser lithotripsy is commonly used as a treatment of urinary calculi. The urothelial and prostate tissue incision, resection and ablation are effective and less risky. The Ho:YAG laser can be considered as the most adapted world wide equipment in urology. The Er:YAG laser is a somewhat recent addition, Tm:YAG is under research.

Jaká je vaše diagnóza ?

doc. MUDr. Jaromír Šimša Ph.D

Endoskopie 2008; 17(3): 80  

Endoscopic submucosal dissection of early gastric carcinoma

MUDr. Ondřej Urban Ph.D

Endoskopie 2008; 17(3): 81-84  

Endoscopic submucosal dissection (ESD) is an endoscopic method designed to treat some early neoplasms of the gastrointestinal tract. In 2006, we were the first in the Czech literature to have reported on its successful use in the rectum (1). The aim of the paper is to report on a successful application of ESD in the stomach.