{"title":"Roboto asistuojamos radikalios prostatektomijos pirminiai rezultatai Klaipėdos universitetinėje ligoninėje: vieno centro patirtis","authors":"Raimundas Venckus, Marius Jasėnas","doi":"10.15388/LIETCHIRUR.2019.18.3","DOIUrl":"https://doi.org/10.15388/LIETCHIRUR.2019.18.3","url":null,"abstract":"[straipsnis ir santrauka lietuvių kalba; santrauka anglų kalba] \u0000Roboto asistuojama radikali prostatektomija (RARP) tampa pagrindiniu lokalizuoto prostatos vėžio operacijos būdu. Straipsnyje analizuojami pirminiai RARP operacijų, atliktų Klaipėdos universitetinėje ligoninėje naudojant Senhance® robotinę operacinę sistemą, rezultatai. Pateikiami pirmųjų 23 operuotų ligonių rezultatai. Metodai. Tiriami pirmieji 23 ligoniai operuoti RARP su Senhance® robotine sistema Klaipėdos universitetinėje ligoninėje nuo 2018 m. lapkričio 21 d. iki 2019 m. kovo 1 d. Buvo registruojami ir analizuojami visi įmanomi operacijos duomenys. Rezultatai. Vidutinis operacijos laikas – 3 val. 36 min. Buvo 2 (8,7 %) chirurginės komplikacijos. Įvertinus pirmus 23 pacientus nustatyta, jog 81,8 % jų visiškai laiko šlapimą. Šio darbo trūkumai yra maža pacientų grupė, pats tyrimo pobūdis bei trumpas pooperacinio sekimo laikas. Išvada. RARP su Senhance® robotine sistema yra saugi, rezultatai panašūs į gaunamus operuojant su kita robotine sistema.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43360823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nurodymai autoriams ir bibliografiniai duomenys","authors":"Narimantas Evaldas Samalavičius","doi":"10.15388/lietchirur.2019.13136","DOIUrl":"https://doi.org/10.15388/lietchirur.2019.13136","url":null,"abstract":"[tekstas anglų ir lietuvių kalbomis]","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48593538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Robotinė pieloplastika: klinikinio atvejo analizė","authors":"Marius Jasėnas, Raimundas Venckus","doi":"10.15388/LIETCHIRUR.2019.18.5","DOIUrl":"https://doi.org/10.15388/LIETCHIRUR.2019.18.5","url":null,"abstract":"[straipsnis ir santrauka lietuvių kalba; santrauka anglų kalba] \u0000Dėl geresnių operacinių ir pooperacinių rezultatų urologai vis dažniau atlieka minimaliai invazyvias operacijas. Robotinė pieloplastika – vienas iš metodų, kuris palengvina pielourterinio segmento susiuvimą. Ši operacija mažiau vargina operuojantį gydytoją, trumpėja operacijos ir hospitalizacijos laikas. \u00002019 m. sausio 4 d. Klaipėdos universitetinėje ligoninėje atlikta pirmoji robotinė (Senhance Transenterixsistema) pieloplastika. Operuota 61 m. pacientė, turėjusi sunkių gretutinių ligų. Operacinis ir pooperacinis periodai praėjo be komplikacijų, ketvirtą parą pacientė išrašyta į namus. Po dviejų mėnesių pacientė kliniškai nusiskundimų neturėjo, atlikus KT tyrimą, nustatyta regresuojanti hydronefrozė po robotinės pieloplastikos. \u0000Įvertinus gautus rezultatus, galima teigti, kad robotinė pieloplastika yra minimaliai invazyvus, saugus ir efektyvus chirurginis metodas, išsiskiriantis labai greita paciento reabilitacija.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46795373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Salpingoovarektomija, naudojant Senhance® robotinę sistemą: klinikinis atvejis","authors":"Raimondas Šiaulys","doi":"10.15388/LIETCHIRUR.2019.18.6","DOIUrl":"https://doi.org/10.15388/LIETCHIRUR.2019.18.6","url":null,"abstract":"[straipsnis ir santrauka lietuvių kalba; santrauka anglų kalba] \u0000Straipsnyje aprašoma vienpusės sapingovarektomijos operacija, naudojant Senhance® robotinę sistemą. Aptariama operacijos atlikimo technika, nurodomi privalumai, pateikiami rezultatai.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43395736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Roboto asistuojama totalinė histerektomija: pirmoji patirtis","authors":"Raimondas Šiaulys","doi":"10.15388/LIETCHIRUR.2019.18.4","DOIUrl":"https://doi.org/10.15388/LIETCHIRUR.2019.18.4","url":null,"abstract":"[straipsnis ir santrauka lietuvių kalba; santrauka anglų kalba] \u0000Straipsnyje retrospektyviai analizuojamos Klaipėdos universitetinėje ligoninėje atliktos pirmosios 23 totalinės histerektomijos, naudojant Senhance® robotinę sistemą. Pacientės operuotos dėl gimdos vėžio, miomatozės, endometriozės, profilaktiškai po krūties vėžio gydymo ir atskirais atvejais esant gimdos kaklelio patologijų ar nustačius gerybinį kiaušidžių naviką. Aptariama operacijų atlikimo technika, pateikiami rezultatai. Išvados. Roboto asistuojama totalinė histerektomija – metodas, saugus pacientėms ir komfortiškas chirurgui.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44217887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Robotic Cholecystectomy: First Experience in Baltic Countries","authors":"O. Deduchovas, N. Samalavicius","doi":"10.15388/LIETCHIRUR.2019.18.2","DOIUrl":"https://doi.org/10.15388/LIETCHIRUR.2019.18.2","url":null,"abstract":"[full article, abstract in English; abstract in Lithuanian] \u0000In this retrospective study we report the first series of robotic cholecystectomies in Baltic countries. From Nov 2018 to Feb 2019, 13 robotic cholecystectomies were performed in Klaipėda University Hospital using the Senhance (TransEnterix) robotic system. Patients were diagnosed with symptomatic gallstone disease and had no life-threatening co-morbidities. We retrospectively investigated patient demographics and pre-, peri- and postoperative data. Five male and eight female patients were included in this study (n = 13). Mean age was 46 years (range 26–72); mean BMI was 26.7 kg/m² (range 21.1–37.7). Mean docking time was 18 min (range 8–27), and mean operative time was 85 min (range, 70–150). There were no conversions to standard laparoscopy or open surgery. There were no intra-operative complications. There was one post-operative bleeding from the gallbladder bed and subhepatic hematoma, successfully treated by laparoscopy. This study demonstrates the feasibility of robotic surgery in performing minimally invasive cholecystectomies.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47693049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Robotic Colorectal Surgery using Senhance® Robotic Platform: Single Center Experience with First 13 Cases","authors":"N. Samalavicius, O. Deduchovas","doi":"10.15388/LIETCHIRUR.2019.18.1","DOIUrl":"https://doi.org/10.15388/LIETCHIRUR.2019.18.1","url":null,"abstract":"[full article, abstract in English; abstract in Lithuanian] \u0000Until recently, robotic surgery has been associated only with da Vinci robotic system. A novel Senhance® robotic system (TransEnterix Surgical Inc., Morrisville, NC, USA) has been introduced almost 5 years ago. Published reports on experience in colorectal surgery using this robotic platform is very limited. We present a prospective analysis of first 13 robotic colorectal surgeries in Klaipėda University Hospital, Klaipėda, Lithuania. 13 patients underwent various colorectal resections: 10 for colorectal cancer and 3 for colonic polyps. 7 were men and 6 women, age range 32–77 years, on an average 56 years. Among 10 patients with colorectal cancer, 3 had stage I, 3 stage II, 3 stage III and 1 stage IV colorectal cancer. 2 patients were operated for unremovable ascending colon adenomas and 1 underwent prophylactic subtotal colectomy with ileorectal anastomisis for familial adenomatous polyposis. Complication occurred in 1 case (7.7%). This patient underwent robotic abdominoperineal resection for low rectal cancer, developed postoperative bleeding from perineal wound on day 7 and had to be taken to operative room for oversuturing the bleeding vessel. Operative time was on an average 3 hours 50 minutes, ranging from 2 hours and 55 minutes to 6 hours and 10 minutes. In-hospital stay ranged from 5 to 16 days, on an average 7 days. \u0000Conclusion. Our experience with different types of robotic colorectal resections allows us to state that Senhance® robotic system is feasible and safe for colorectal surgery, and wider implementation of this system in our specialty worldwide is simply a question of time.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44067481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case report of desmoid type fibromatosis of the breast","authors":"Lina Pankratjevaite","doi":"10.26717/BJSTR.2019.14.002518","DOIUrl":"https://doi.org/10.26717/BJSTR.2019.14.002518","url":null,"abstract":"Background. Desmoid type fibromatosis of the breast is a rare fibroblastic proliferative disease. It may be sporadic or associated with trauma, Gardner’s syndrome, etc. Desmoid tumour of the breast is a benign, locally aggressive disease. However, it does not metastasize. Case report. We report a case of a 65-year-old woman with right breast desmoid type fibromatosis. Conclusions. Diagnosis of breast desmoid tumour is difficult: clinically and radiologically it may mimic carcinoma. Definitive diagnosis is proved just by histopathological examination results. First choice treatment of breast fibromatosis is a radical surgical excision.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43460254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Redakcinė kolegija ir turinys","authors":"Algimantas Merkevičius","doi":"10.15388/lietchirur.2019.12764","DOIUrl":"https://doi.org/10.15388/lietchirur.2019.12764","url":null,"abstract":"[tekstas anglų ir lietuvių kalbomis]","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44660925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lietuvos ChirurgijaPub Date : 2018-12-03DOI: 10.15388/LIETCHIRUR.2018.3-4.12049
Diana Maldžiūtė, Vilma Rukauskaitė, Kęstutis Trainavičius
{"title":"Ovarian Dysgerminoma with Metastases in Supraclavicular Lymph Nodes Diagnosed in a 16-year-old Girl: Clinical Case and Literature Review","authors":"Diana Maldžiūtė, Vilma Rukauskaitė, Kęstutis Trainavičius","doi":"10.15388/LIETCHIRUR.2018.3-4.12049","DOIUrl":"https://doi.org/10.15388/LIETCHIRUR.2018.3-4.12049","url":null,"abstract":"[full article, abstract in English; abstract in Lithuanian] \u0000Background \u0000Tumors of children reproductive system are rare, the most frequent among them is ovarian tumor. The most frequent histological type of ovarian tumor in girls and adolescents is germ cell tumor, with dysgerminoma being the most frequent of all. Symptoms are very non-specific, this is why these tumors are often diagnosed late. Dysgerminoma is a malignant tumor, thus if not treated, it may be potentially lethal. \u0000Case report \u0000We present a 16-year old patient, who has come to Vilnius University Hospital Santaros Klinikos, Children’s unit, due to a sudden emergence of a growth above the left clavicle. The girl did not have any other specific complaints. Huge hard growth was founded during palpation of the abdomen. After the cancer marker test (alfa-fetoprotein – 1,9 kU/L, beta-human chorionic gonadotropin – 1231.0 U/L; lactate dehydrogenase – 2721.0 U/L; Ca125 – 665.8 kU/L), pelvic ultrasound examination, computed tomography and histological evaluation of the supraclavicular mass, dysgerminoma of the right ovary FIGO stage IV was diagnosed. The patient was treated with laparotomic oophorectomy and chemotherapy before and after surgery. Treatment was successful as 100% of tumor cells necrosis was achieved. \u0000Conclusions \u0000Girls and adolescents should be suspect to ovarian masses if they complains about abdominal pain, a growth in the abdominal area, disruptions of menstrual cycle or signs of premature puberty. Early diagnosis and treatment of ovarian dysgerminoma have a very good recovery rate in girls and adolescent.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45709539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}