Comparison of the overall stress during large bowel operations in senior patients (laparoscopy versus open surgery)
Authors: Robert Hvižď, Zdeněk Krška, Jan Kvasnička
Authors - sphere of activity: 1Univerzita Karlova v Praze, 1. lékařská fakulta, I. chirurgická klinika VFN; 2Univerzita Karlova v Praze, 1. lékařská fakulta, Trombotické centrum VFN
Article: Čas Lék čes 2012; 151: 201-207
Category: Original Article
Number of articles displayed: 104x
Colorectal surgery particularly as a treatment option for colorectal cancer comprises considerable and ever expanding spectrum of surgical procedures. Seniors (over 65 years of age) form the majority of patients operated for benign or malignant colon disease. High age in general poses one of the significant risks of the operation. The study analyses overall stress caused to patients by laparoscopy and laparotomy surgical procedures.
Literature analysis of surgical stress in patients and prospective study of our patients’ data collected over the period of four years. Comparable indicators: objectification of pre-operative stress and risks, per-operative cardiac and circulatory parameters, course of the lesion healing process, laboratory reactions of acute phase proteins, morbidity and lethality related to the surgery treatment.
Comparable results of tissue response examinations demonstrated no fundamental difference between laparoscopic and laparotomic operations performed on otherwise healthy younger individuals. Laparoscopic surgery, however, appears to be fully appropriate treatment modality in majority of patients suffering from colorectal disease, even in senior age. In advanced or complicated stages of the disease the open-section surgery still remains more efficient.
Age itself cannot be generally denoted as a fundamental risk factor. Co-morbid conditions, however, represent considerable risk, especially in high age patients. Laparoscopic surgery may well be applied even in senior age patients with no contra-indications. Yet, its application requires perfectly mastered laparoscopic technique and rational approach. Success of the operation in high-risk patients depends on close interdisciplinary cooperation, especially with anaesthetists.
colorectal cancer, laparoscopy vs open surgery, perioperative response, senior age.
The full wording of this article is available only to registered users. Plese register and you can read this article immediately.
If you are a subscriber, log in and enter the subscriber code from your magazine cover.
If you are not a subscriber, log in for unlimited access to older editions.
Tento článek si můžete přečíst pokud si aktivujete Premium účet.
Selection of CzMA JEP journals
- Vitamin D: Its physiology, pathophysiology and significance in etiopathogenesis of malignant diseases | views: 255
- Enterohaemorrhagic Escherichia coli – dangerous new pathogens | views: 225
- Thalidomide epidemics – 50 years after | views: 152
- Significance of human papillomavirus infections | views: 129
- Principles of dealing with human DNA and genotyping information | views: 91
- Sudden renal function deterioration in an elderly patient on vancomycin therapy for endocarditis | views: 88
- Acute multiple organ failure after endoscopic polypectomy | views: 85
- Irreversible electro- poration: local, non-thermal, ablation therapy of malignant tumours | views: 82
- The use of diagnoses related to tobacco use in the Czech Republic | views: 68
- Role of infection in the pathogenesis of obesity | views: 55
- Oxidative stress after anthracycline therapy in patients with solid tumors
Kocík Miroslav1, Zimovjanová Martina2, Petruželka Luboš2, Kodydková Jana1, Vávrová Lucie1, Žák Aleš1
- Irreversible Electroporation: Local, Non-Thermal, Ablation Treatment of Malign Tumours
Janík V.1, Škrabalová D.1, Gurlich R.2, Málek J.3
- The dynamics of changes in serum visfatin after abdominal surgery: a novel pro-inflammatory marker in early diagnosis?
1Teplan V. jr, 2Šenolt L., 2Hulejová H., 3 Teplan V., 3Štollová M, 1Gürlich R.
- Comparing quality of life in dialysis patients and patients after kidney transplantation: A questionnaire survey
Radka Bužgová, Štěpánka Šmotková