Blíží se laparoskopický armagedon, opravdu se kruh uzavírá?

doc. MUDr. Eduard Kučera, CSc.

Endoskopie 2011; 20(2): 43  

Robotic surgery in gynecology

prof.MUDr.Radovan Pilka, Ph.D.

Endoskopie 2011; 20(2): 46-50  

Objective: The objective of this article is to review the recent adoption, experience, and applications of robot-assisted laparoscopy in gynecologic surgery. Methods: Review of literature with robotic surgery. Results: Robotic-assisted laparoscopic surgeries in gynecology include benign hysterectomy, myomectomy, tubal reanastomoses, radical hysterectomy, lymph node dissections, and sacrocolpopexies. Robot-assisted gynecologic surgery is often associated with longer operating room time but generally similar clinical outcomes, decreased blood loss, and shorter hospital stay when compared to open or laparoscopic surgery. Conclusions: Well-designed,...

Retrospective analysis and prevention of complications in gynecological laparoscopy

MUDr.Radek Müller, doc.MUDr.Eduard Kučera, CSc., MUDr.Zdeněk Vocásek

Endoskopie 2011; 20(2): 51-53  

This article is focused on identification of incidence of complication in gynecologic endoscopy. Described surgical technic is presented by laparoskopic assisted vaginal hysterectomy (LAVH), what have been include in spectrum among gynecologic operations in year 1988. Except presented complications, we are thinking about possibilities of their prevention. We come out original work, which was group of 487 patients, which were operated by method LAVH in „Ústav pro péči o matku a dítě“ in Prague Podolí during 2005–2008. We compare this data with data in „Národní registr komplikací v gynekologické laparoskopii“. LAVH...

Detection of sentinel nodes in endometrial carcinoma

MUDr.Petr Valha, doc.MUDr.Eduard Kučera, CSc., MUDr.Petr Sák, Ph.D.

Endoskopie 2011; 20(2): 54-56  

Detection of sentinel nodes, originally developed for malignant melanoma, has gradually spread throughout the oncological surgery. It became a standard method for melanoma, breast cancer, carcinoma of the cervix and vulva. The first report of the sentinel lymph node biopsy in endometrial carcinoma is 1996 – Burke, 3 years earlier than cervical carcinoma (1). The first laparoscopic lymphadenectomy was performed in 1989 for cancer of the cervix – Dargent (2).

Endoscopic transnasal approach to lesions of sellar region

MUDr.Radim Lipina, Ph.D., MUDr.Petr Matoušek, Ph.D., MUDr.Tomáš Paleček, Ph.D., doc.MUDr.Pavel Komínek, Ph.D., MBA

Endoskopie 2011; 20(2): 57-61  

Introduction: Authors reviewed series of endoscopic transnasal operations performed for pathology in sellar region. Methods: Between March 2007 and December 2010 sixty five endoscopic transnasal operations were performedin our clinic. We provided 55 operations for pituitary adenomas, 8 operations for non-pituitary leasions, 1 patient was operated for Rathke’s cleft cyst and two patients were operated for spontaneous CSF leak. Results: Total removal was achieved in 75 % of patients with non-functioning pituitary adenomas and in all patients with functioning adenomas and meningiomas. Subtotal removal was performed in 1 patient with craniopharyngeoma...

Mini-invasive surgery and esophageal cancer

doc.MUDr.Čestmír Neoral, CSc., doc.MUDr.René Aujeský, CSc.

Endoskopie 2011; 20(2): 62-65  

In the past decade, the development of mini-invasive surgery positively affected operative lethality and morbidity in resections of the esophagus. Early post-operative complications were always associated with the unfavourable localisation of the esophagus in the mediastinum, which is only accessible via two approaches. The first, transhiatal approach, represents dissection without visual control when using a conventional operative method, and the second, thoracotomy, is accompanied by a higher frequency of respiratory complications. The video-assisted transhiatal approach to the lower half of the esophagus, which we have been using at the...

Miniinvasive sling surgical techniques in stress incontinence treatment

MUDr.Martina Poršová, MUDr.Jaroslav Porš, MUDr.Ivan Kolombo, FEBU

Endoskopie 2011; 20(2): 66-69  

Clinically significant stress incontinence affects 20 % of women aged around 45 years. In its treatment we can use pelvic floor exercise, that is the first choice in conservative treatment of stress incontinence. The other posibilities include electrostimulation, pesarotherapy or paraurethral injection of the bulking agents. This article describes miniinvasive operations that have slowly replaced the classic operations in the treatment of the stress urinary incontinence. Stress incontinence is clinically significant complication of the radical prostatectomy and less often of the endoscopic or open procedure of prostate for benign hyperplasie....

FEES - Flexible Endoscopic Evaluation of Swallowing

MUDr.Michal Černý, MUDr.Miloš Kotulek, prof.MUDr.Viktor Chrobok, CSc., Ph.D.

Endoskopie 2011; 20(2): 70-75  

Flexible endoscopic evaluation of swallowing (FEES) is a method used for examination of oral transport and pharyngeal phase of swallowing. Together with modified barium swallowing (MBS) it belongs to the standard methods of diagnostic and treatment of swallowing disorders. The flexible endoscope is passed through nasal cavity into pharynx and passage of food of various consistency is assessed. The authors describe technical equipment, methodology of examination and assessment, advantages and disadvantages of the method.

Jaká je vaše diagnóza ?

MUDr. Martin Bortlík

Endoskopie 2011; 20(2): 79  

The use of laparoscopic methods in diseases of the renal pelvis

Bc.Anna Žúborová, Bc.Blanka Drápelová

Endoskopie 2011; 20(2): 76-78  

Treatment of hydronephrosis should be minimally invasive, with the aim to relieve the patient‘s symptoms and to save or improve renal function. Laparoscopic pyeloplasty is a surgical method depends on the skill and experience of the surgical team. With significant improvements in recent years more and more indications for laparoscopic method, which is already regarded as standard.