Article: [Comparative research of traumatic injury of open hand-assisted laparoscopic anterior resection of the rectum].
Vestnik khirurgii imeni I. I. Grekova
2015 Volume 174, Issue 1, Page(s) 52–58
Abstract: The article made a comparative assessment of traumatic injury of open hand-assisted laparoscopic anterior resection of the rectum in lateral and spinal positions. The presented technique of hand-assisted laparoscopic colon and rectal surgery is simple. ... ...
Abstract | The article made a comparative assessment of traumatic injury of open hand-assisted laparoscopic anterior resection of the rectum in lateral and spinal positions. The presented technique of hand-assisted laparoscopic colon and rectal surgery is simple. There are advantages in case of obesity presence (IMT more than 30 kg/m2), in significant shortening of the mesocolon and mesentery, high fixation of splenic flexure and intimate fixation of the spleen, in case of bad preparation of the bowels in partial intestinal obstruction or in case of emergency operation, big cancer size, expressed perifocal inflammation. A comparative analysis of dynamics of hormone stress content and metabolism (cortisol, adrenaline, thyrothrophic hormone) showed their expressed increase in blood during operation after traditional surgery. Less stressed reaction was noted after hand-assisted surgery, especially in overweight patients. An application of low invasive method allowed reduction of hemorrhage, pain syndrome, terms of patient's activation and restoration of intestinal motility after operation. |
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MeSH term(s) | Adult ; Aged ; Aged, 80 and over ; Colectomy/adverse effects ; Colectomy/methods ; Colectomy/statistics & numerical data ; Colon/pathology ; Colon/surgery ; Colonic Neoplasms/complications ; Colonic Neoplasms/pathology ; Colonic Neoplasms/surgery ; Comparative Effectiveness Research ; Female ; Humans ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Laparoscopy/statistics & numerical data ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Rectal Neoplasms/complications ; Rectal Neoplasms/pathology ; Rectal Neoplasms/surgery ; Rectum/pathology ; Rectum/surgery ; Treatment Outcome |
Language | Russian |
Publishing date | 2015 |
Publishing country | Russia (Federation) |
Document type | Comparative Study ; English Abstract ; Journal Article |
ZDB-ID | 603433-0 |
ISSN | 0042-4625 |
ISSN | 0042-4625 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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