Laparoscopic sleeve gastrectomy for morbid obesity with natural orifice specimen extraction (NOSE).

Objective: An experience with laparoscopic sleeve gastrectomy using the natural orifice specimen extraction (NOSE) technique.

Background: Bariatric surgery is nowadays the only long term effective obesity treatment method.

Methods: Twenty one consecutive patients underwent laparoscopic sleeve gastrectomy with the use of natural orifice specimen extraction (NOSE) in the Surgical Clinic of Faculty Hospital Ostrava between May 2012 and August 2012.

Laparoscopic gastric resection with natural orifice specimen extraction for postulcer pyloric stenosis.

Although natural orifice specimen extraction is now relatively widely performed, there have been no reports on gastric resection with specimen extraction through the transgastric route for peptic ulcer disease. A hybrid technique of the laparoscopic and endoscopic approach is presented in the case of a 58-year old male patient. Preoperative gastric fibroscopy showed postulcer pyloric and antral stenosis.

Impact of blood transfusions on survival and recurrence in colorectal cancer surgery.

The aim of our study was to evaluate the prognostic significance of blood transfusion on recurrence and survival in patients undergoing curative resections for colorectal cancer. Retrospective analysis of prospectively collected data of patients after elective resections for colorectal cancer between January 2001 and December 2009 was undertaken. The main endpoint was overall survival, disease-free survival, and recurrence rate.

[Impact of anastomotic leakage on oncological outcomes after rectal cancer resection].

Introduction: The aim of the study was to determine the impact of anastomotic leakage on long-term outcomes after curative surgery for rectal cancer.

Material And Methods: The study included 174 patients who underwent elective, potentially curative open or laparoscopic resection with anastomoses for rectal cancer at the Department of Surgery of the University Hospital Ostrava from 1 January 2001 to 31 December 2009. Anastomotic leakage was defined as clinically or radiologically confirmed signs of local or diffuse peritonitis, gas, pus or stool from the drain, rectoscopy signs of anastomotic insufficiency, or rectovesical or rectovaginal fistula.

Laparoscopic approach for duodenal carcinoid.

Carcinoids are a heterogeneous group of neuroendocrine tumours. Duodenal localization is associated with relatively benign behaviour of the tumour, slow progression, low metastatic potential, and absence of endocrine activity. Type and extent of surgery depend on size and staging of the tumour.

Impact of conversion on outcome in laparoscopic colorectal cancer surgery.

Introduction: Long-term results after laparoscopic surgery with conversion to open surgery for colorectal cancer are seldom published.

Aim: The study analysed the impact of conversion of laparoscopic surgery to open resection for colorectal cancer on short- and long-term results.

Material And Methods: The prospectively collected data of 469 patients with colorectal cancer in the period from 1 January 2001 to 31 December 2006 were analysed.

Hand-assisted laparoscopic liver resection using Habib's technique: early experience.

Introduction: Hand-assisted laparoscopic liver surgery, a newly developed technique based on an innovative concept, has proved useful and safe for a variety of less invasive hepatectomies. Radiofrequency-assisted hepatic resection has been reported to be safe, associated with minimal morbidity and mortality and decreased intraoperative blood loss and transfusion requirements.

Aim: We describe how we perform hand-assisted laparoscopic radiofrequency-assisted hepatic resection using a bipolar radiofrequency device.

Radiofrequency-assisted liver resection: short-term results in a single institution.

Objectives: The main goal of the study was to evaluate the effectiveness and safety of radiofrequency-assisted liver resection.

Background: Liver resection is the "gold standard" for patients with resectable liver tumors. In the past years, the role of radiofrequency in liver surgery has been expanded from simple tumor ablation to its use in the technique of radiofrequency-assisted liver resection.

[A giant gastrointestinal stromal tumour - a case report].

Gastrointestinal stromal tumours represent a group of non-epithelial gastrointestinal tumours that have both benign and malignant character. Most frequently, they occur in the stomach and the intestine; however, as regards their overall incidence, they are rather infrequent tumour lesions. The present case report describes a rare bulky extragastrointestinal stromal tumour originating from the mesenterium in a young patient.

[NOSE (Natural Orifice Specimen Extraction) in laparoscopic colorectal surgery].

Introduction: The aim of this study was to asses our initial first experience with NOSE techniques in laparoscopic colorectal surgery with both transanal and transvaginal extraction.

Material And Methods: In this prospective study, the authors analyzed data from patients in whom NOSE laparoscopic sigmoid, rectosigmoid and rectal resections were performed in the Department of Surgery, University Hospital Ostrava, from May 2011 to October 2011. A group of 7 patients was analyzed based on demographic characteristics (sex,age and BMI).

[Prevention of parastomal hernia using laparoscopic introduction of a prosthetic mesh--initial experience].

Introduction: Parastomal hernia is a very common complication after stoma formation. Current surgical procedures for repairing parastomal hernia have unsatisfactory results. The aim of this study was to evaluate our initial experience with laparoscopic prophylactic mesh placement at the time of stoma formation.

[Nuss miniinvasive procedure for pectus excavatum in adolescents and adults].

Pectus excavatum is a congenital chest wall deformity with depression of the sternum and adjacent costal cartilages. Severe forms of this deformity lead not only to psychosocial deprivation but also limit physical performance due to lung volume reduction and cardiac compression. Open surgical correction using stemochondroplasty represented the gold standard of surgical treatment of pectus excavatum.

Long-term results of laparoscopic versus open surgery for nonmetastatic colorectal cancer.

Purpose: Laparoscopic surgery for colon cancer has been proven safe, but controversy continues over implementation of laparoscopic technique for rectal cancer. The aim of this study was to compare the long-term outcomes of laparoscopically assisted and open surgery for nonmetastatic colorectal cancer.

Material And Methods: From January 2001 to December 2006 all patients with nonmetastatic adenocarcinoma of the colon and rectum were considered for inclusion in this prospective non-randomised trial.

[1000 laparoscopic colorectal operations].

Aim: The aim of this study was to asses the role of laparoscopy based on experiences with 1000 miniinvasive colorectal procedures.

Material And Methods: The prospective study of 1000 patients after elective laparoscopic procedures for colorectal diseases at Municipal Hospital Ostrava Fifejdy and the Surgical Clinic of University Hospital Ostrava between February 1993 and December 2010 was undertaken. Patients with both benign and malignant colorectal pathologies were included in the study.

[Predictive factors for non-sentinel lymph nodes affection in breast carcinoma--outcomes of a Czech multicenter study of sentinel lymph nodes].

Background: The aim of the study was to assess positivity nonsentinel lymph nodes in patients with macro, micro and submicrometastases in sentinel lymph nodes and find predictive factors of positivity nonsentinel lymph nodes. Study was conducted at the Department of Surgery in Pardubice, Pilsen, Ostrava and Zlín.

Material And Methods: Sentinel lymph nodes were assessed based on standards of Czech Pathological Society.

[Laparoscopic total gastrectomy].

Aim: Laparoscopic total gastrectomy for cancer have been rarely adopted in Czech Republic. The aim of this study is to assess results of these procedures analyzing our series of patients.

Material And Methods: From May 2002 to June 2010 43 laparoscopic total gastrectomies with lymphadenectomy were performed for patients with gastric cancer.

[Surgical management of perforations during colonoscopy].

Introduction: Colonoscopy is an effective both diagnostic and therapeutic method. Despite its wide use, however, colonoscopy may be associated with complications occurrence, of which the most serious is bleeding and perforation. Iatrogenic perforation can lead to the peritonitis with high morbidity and mortality.

[Giant Zenker's diverticulum--case report].

Zenker's diverticulum is one of the most common esophageal diverticuli. The reported prevalence in Czech population is approx. 0.

["Low volume" laparoscopic nephrectomy for relative-to-relative transplantation].

Aim: Worldwide, the number of suitable cadaverous donors is limited. Therefore, as a solution for patients with chronic renal failure appears to extend the group of living donors of healthy individuals who voluntarily donate kidney to relatives or emotionally related recipients. Given the altruistic circumstances of these operations, the main monitored parameters are security for donors and excellent graft function for recipients.

[Czech bariatry in 2010].

Introduction: It is only during the past two decades, when obesity has become to be considered a pandemic disorder. However, in 1953 Varco performed jejunoileal bypass as the world's first bariatric surgical procedure. 30 years later, Pesková performed the first bariatric surgery--a gastroplasty--in Czechoslovakia.

[Effects of infrainguinal bypasses on long-term patency in pelvic procedures--the significance of hybrid procedures].

Objective: The hitherto published data did not provide clear answer to whether the adjustment of poor runoff through infrainguinal by-pass can improve long-term patency of iliac interventions in patients with multiple-stage arterial lesion. Our intent was to respond to this question.

Material And Methods: In the period since 1st January 2003 until 31st May 2005 we evaluated two groups of revascularized patients with similar angiographic affection of the iliac and femoropopliteal arteries and statistically comparable input parameters.

[Advanced age--indication or contraindication for laparoscopic colorectal surgery?].

Aim: The aim of this study was to evaluate the results of laparoscopically-assisted (LAC) and open (OC) colorectal surgery in elderly patients (a 75 years) and to compare them to a cohort of younger patients (<75 years) undergoing similar surgical procedures.

Methods: Patients who underwent elective laparoscopically-assisted or open colorectal surgery in the period between January 2001 and December 2009 were included in the analysis. The primary end point was the incidence of short-term postoperative morbidity and mortality, long-term overall and colorectal cancer specific survival which were analyzed in relation to the age and operative technique.

[Is age a risk factor for laparoscopic colorectal surgery?].

Background: The aims of this study were to evaluate the results of laparoscopic colorectal surgery in elderly patients and compare them with the results of open procedures.

Methods: An analysis of a prospectively collected database of 705 patients who underwent in the period between January 2001 and December 2006 elective laparoscopic (LAC) or open (OC) colorectal surgery was performed. The primary end point was the morbidity rate, which was analysed in relation to the age (≤ 75 years, > 75 years) and operative technique (laparoscopic, open).

[Laparoscopic surgery for rectal carcinoma--long-term outcomes].

Introduction: Laparoscopic surgery for rectal cancer is still debated. The aim of this study was to compare long-term results for patients undergoing laparoscopic or open surgery for rectal cancer.

Material And Methods: The study included a group of 196 patients who underwent elective operation for rectal cancer using laparoscopic (103 patients) or open technique (93 patients) from 1 January 2001 to 31 December 2006.