A complex view of the options for reconstruction of urethrovesical anastomosis

MUDr.Jakub Fejfar, MUDr.Miroslav Štursa

Endoskopie, 2010; 19(3-4): 94-95  

during laparoscopic or robot-assisted laparoscopic radical prostatectomy Article assesses the options for reconstruction of urethrovesical anastomosis during laparoscopic or robot-assisted laparoscopic radical prostatectomy. It focuses on the posterior reconstruction of the rhabdosphincter along with periurethral suspension stitch designed to shorter interval to recovery of continence in patients undergoing radical surgical treatment for prostate cancer.

A laparoscopic approach in the treatment of the upper urinary tract anomalies

doc.MUDr.Ján Ľupták, PhD., MUDr.Michael Vraný, MUDr.Boris Eliáš, PhD., doc.MUDr.Ján Švihra, PhD., MUDr.Roman Tomaškin, PhD., prof.MUDr.Ján Kliment, CSc.

Endoskopie, 2010; 19(3-4): 96-100  

Introduction: Authors report their experiences and results with laparoscopic approach to treatment of any congenital anomalies. Materials and methods: Between March 2000 and Februar 2010, 5 women and 4 men mean age 36.7 years (range 12 to 59), with upper urinary tract anomalies underwent treatment at our department. Anomalies included pelvic kidneys in 7 cases and a duplicated collecting system in 2 patients. Laparoscopic heminephrectomy was a standard treatment in 2 patients with an obstructed, poorly functioning upper/lower pole renal moiety. There were three nephrectomies, three pyelolithotomies and one Anderson-Hynes pyeloplasty of ureteropelvic...

Is laparoscopic adrenalectomy the gold standard ?

prof.MUDr.Mojmír Kasalický, CSc., MUDr.Radek Pohnán, MUDr.Radek Doležel, doc.MUDr.Tomáš Zelinka, CSc.

Endoskopie, 2010; 19(3-4): 101-104  

Background: Presently the laparoscopic adrenalectomy (LA) becomes most popular since 1992 when it was performed for the first time by laparoscopic method by Gagner. Typical indication for LA is the aldosteron-secreting adenoma, Cushing’s syndrome, feochromocytoma or rare tumors such as adrenal cyst or myelolipomas. Methods: LA is provided with transperitoneal lateral approach most frequently then in back side position. Retroperitoneal approach is used less commonly. Since 2006, firstly at the 1st Surgical department of 1st Medical School of Charles University and General Faculty Hospital and lastly at the Surgical department 2nd Medical...

The position of colonoscopy in inflamatory bowel diseases

prof.MUDr.Milan Lukáš, CSc.

Endoskopie, 2010; 19(3-4): 105-112  

Colonoscopy has to be considered as a crucial investigation and therapeutic method in every patients who are suffering from Crohn´s disease or ulcerative colitis. This is the most important investigation with the regard on diagnosis establishment, evaluation of disease activity and assessment a large bowel inflammatory involvement. It is a part of spectrum all procedures which are focused on differential diagnosis of IBD patients. Currently, colonoscopy is applied for evaluation of mucosal healing due to modern therapies include immunosuppressants and biologics. In some selected patients colonoscopy might be used as a therapeutical procedure...

Usefulness of endoscopy in early detection of colorectal neoplasia in patients with inflammatory bowel disease

MUDr.Martin Bortlík, Ph.D.

Endoskopie, 2010; 19(3-4): 113-116  

Inflammatory bowel diseases affecting substantial part of the large bowel increase the risk for colorectal cancer (CRC). Colonoscopic examination has been recognised to be the most important tool for the evaluation of the cancer risk as well as for the detection of premalignant lesions and early cancer. Severity of intestinal inflammation expressed by the presence of structural changes belongs to the most important cancer risk factors. Advanced endoscopic techniques, namely high-resolution endoscopy and chromoendoscopy, increase the diagnostic yield of colonoscopy and allow for the shift from the old, random biopsies-oriented surveillance programme...

Capsule endoscopy in patient with Inflammatory Bowel Diseases

MUDr.Tomáš Douda, Ph.D.

Endoskopie, 2010; 19(3-4): 117-120  

The best indication for performing wireless capsule endoscopy in patient with Inflammatory Bowel Diseases is suspected Crohn´s disease. Capsule can detect early small bowel involvement missed by other imaging techniques. Sensitivity capsule endoscopy is higher than for push-enteroscopy, CT/MR enteroclysis. Capsule endoscopy is useful in distinguishing between ulcerative and Crohn’s colitis and can better detect extent of disease. Capsule retention can occur. Stenosis is contraindication for capsule endoscopy. Scores for assessing the activity or severity of Crohn’s disease by capsule endoscopy is not widely accepted and validated...

Endoscopic ballon dilatation in the treatment of anastmotic strictures in patients with Crohn’s disease

MUDr.Martin Bortlík, Ph.D., MUDr.Eva Bouzková, MUDr.Dana Ďuricová, MUDr.Viktor Komárek, MUDr.Naďa Machková, prof.MUDr.Milan Lukáš, CSc.

Endoskopie, 2010; 19(3-4): 121-124  

Background: Patients with Crohn´s disease have up to 80 % probability to develop stenosing or perforating type of the disease, and surgery is then necessary to remove affected part of the bowel. Recurrence of stenosing disease is of high probability in such patients. Aim and methods: We performed a retrospective analysis of the efficacy and safety of the endoscopic balloon dilatations in patients treated in a single centre specialized in the care of patients with inflammatory bowel diseases. Results: We enrolled 54 patients (mean age 40.5 ± 12.8 years), in who 86 dilatations were performed. Immediate endoscopic success was achieved in...

ORL zákroky.

MUDr.Karel Sláma

Endoskopie, 2010; 19(3-4): 129-132  

Robotic surgery in E.N.T., head and neck surgery and its application Transoral Robotic Surgery (TORS) and transaxillary thyroidectomy represent the most effective robotic surgery for diseases of the head and neck available today. Robotic surgery allows the surgeon to provide patient with procedures equivalent to traditional transoral or external approaches in the region of laryngopharynx and thyroid gland due with the advantages of 3D high-definition visualization. Comparing to the external approaches robotic surgery offers the advantages of endoscopic surgery as minimal morbidity, improved functional and cosmetic outcomes. Robotic surgery...

Arthroscopic rotator cuff repair

MUDr.Pavel Přikryl, MUDr.Mohibulah Rafi, MUDr.Jiří Selucký

Endoskopie, 2010; 19(3-4): 133-135  

Arthroscopy is a modern method of treatment of articular structures and the options of treating pathological findings arthroscopically continue to expand. In the shoulder area, the progress is very rapid due to the development of repair technologies; therefore, goodquality treatment of shoulder rotator cuff tear with arthroscopy is currently common. To achieve a good functional result, the aetiology of rotator cuff tear needs to be understood and an optimal technology to repair it has to be chosen. Arthroscopically, the cause of the tear can be removed and a firm and functional reinsertion to the greater tubercle of the humeral head can be...

Recurrent gastrointestinal bleeding from arterio-intestinal fistula

MUDr.Martin Hanousek, MUDr.Vladimíra Štefková, MUDr.Petr Fojtík, MUDr.Martin Kliment, MUDr.Přemysl Falt, MUDr.Ondřej Urban, Ph.D., doc.MUDr.Čestmír Neoral, CSc., doc.MUDr.Roman Havlík, Ph.D., MUDr.Jaroslav Krátký

Endoskopie, 2010; 19(3-4): 125-128  

HAA is a rare disease. Its rupture is a very serious complication with high mortality. Up to 46 % of symptomatic patients present with gastrointestinal bleeding from arterio-intestinal fistula. The diagnosis of HAA is possible with the help of abdominal ultrasound, computerized tomography (CT), angiography, magnetic resonance imaging (MRI) or rarely endoscopic ultrasonography (EUS) and esophagogastroduodenoscopy. A case report with short video of the case of successfully treated 38-years old man with recurrent duodenal bleeding is presented here. We believe, EUS had a major role in the preoperative diagnosis. Nevertheless, to successfully manage...

Jaká je vaše diagnóza?

Endoskopie, 2010; 19(3-4): 138  

Transvaginal hydrolaparoscopy

doc.MUDr.Tonko Mardešić, CSc.

Endoskopie, 2010; 19(3-4): 136-137  

Laparoscopy is the only method allowing to accurately diagnose the tubal-peritoneal factor of infertility. Due to its invasive nature, transabdominal laparoscopy is often delayed to the end of the diagnostic process. Transvaginal hydrolaparoscopy is an outpatient, minimally invasive procedure not interfering with the patient‘s everyday life. Since it is excellently tolerated and easy to implement, transvaginal hydrolaparoscopy is performed at the beginning of the diagnostic algorithm, allowing early development of a rational therapeutic strategy.