Title ULOGA LAPOROSKOPIJE U GINEKOLOŠKOJ ONKOLOGIJI
Title (english) THE ROLE OF LAPOROSCOPY IN GYNEKOLOGIC ONCOLOGY
Author Matea Verlić
Mentor Alemka Brnčić-Fischer (mentor)
Committee member Emina Babarović (predsjednik povjerenstva)
Committee member Aleks Finderle (član povjerenstva)
Committee member Tea Štimac (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Gynaecology and Obstetrics) Rijeka
Defense date and country 2018-07-13, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Gynecology and Obstetrics
Abstract Ginekološka laparoskopija je kirurška tehnika kojom je omogućeno izvođenje različitih dijagnostičkih i kirurških zahvata uz minimalno invazivni pristup. U ginekološkoj onkologiji zauzima vrlo bitnu ulogu u određivanju stupnja karcinoma, limfadenektomiji te radikalnoj kirurgiji. Pri samom zahvatu nema ekspozicije trbušnih organa atmosferskom zraku, izbjegava se tamponada crijeva zbog poboljšanja vidljivosti, manipulacija tkivima je znatno manja u odnosu na laparotomiju, kao i gubitak krvi te stvaranje postoperativnih priraslica. Laparoskopiju karakterizira kraća hospitalizacija, brži postoperativni oporavak s manje komplikacija i bolji kozmetski ishod. Najveći nedostaci laparoskopskih operativnih zahvata su skupa oprema i dugotrajna edukacija. Nedostatak može predstavljati i korištenje velikih razina ugljikovog dioksida, koji može uzrokovati promjene humuralnog statusa. Laparoskopska kirurgija u terapiji karcinoma endometrija ima dijagnostičku i terapijsku ulogu uključujući resekcije ginekoloških organa, limfadenektomiju te operativno određivanje stadija. U terapiji karcinoma cervixa ranih stadija, laparoskopija se koristi u zahvatima TLRH i laparoskopske limfadenektomije. Ovi operativni zahvati su dužeg trajanja, ali navedenih karakterističnih prednosti u odnosu na klasične laparotomijske pristupe pri kojima je odstranjen jednak broj limfnih čvorova. Laparoskopski zahvati se upotrebljavaju i za dijagnostičko određivanje stadija prije terapije u lokalno uznapredovalih karcinoma cervixa. Uspoređujući laparoskopiju i MR, laparoskopsko određivanje stadija se pokazalo superiornijim u detektiranju mikroskopskih metastaza u limfnim čvorovima. Minimalno invazivna kirurgija u terapiji karcinoma ovarija se primarno koristi u dijagnostičke svrhe uključujući potvrdu dijagnoze, određivanje resektabilnosti tumora, utvrđivanje stadija bolesti, izvođenje operacija drugog pogleda te dijagnosticiranje recidiva bolesti.
Abstract (english) Gynecologic laparoscopy is a surgical technique which allows conducting different diagnostic and surgical procedures using minimal invasive approach. In gynecologic oncology, laparoscopy takes an important part in determining the stage of carcinoma, lymphadenectomy and radical surgery. During the laparoscopic procedure, abdominal organs are not exposed to atmospheric air, bowel tamponade is avoided because of the improvement of the visualisation, there is less tissue manipulation than in laparotomy, also less blood loss and creation of postoperative adhesions. Characteristics of laparoscopy are shorter hospitalization, faster postoperative recovery with fewer complications and better aesthetic outcome. The biggest disadvantages of the laparoscopic operative procedures are expensive equipment and long-term education. Use of large amounts of carbon dioxide can also represent a disadvantage, which can cause changes in humural status. Laparoscopic surgery in endometrial carcinoma therapy has a diagnostic and therapeutical role including resections of gynecologic organs, lymphadenectomy and operative stage assessment. In therapy of early stage cervix carcinoma, laparoscopy is used in TLRH procedures and laparoscopic lymphadenectomy. These procedures are longer, but have stated characteristic advantages in regards to classical laparotomic approach, which have equal number of removed lymph nodes. Laparoscopic procedures are also used for diagnostic staging assessment before therapy in locally advanced cervix carcinomas. Comparing laparoscopy and MRI, laparoscopic staging assessment has shown to be more superior in detecting mycroscopic metastases in lymph nodes. Minimal invasive surgery in ovarial carcinoma therapy is primarily used in diagnostic purposes.including confirmation of diagnosis, tumor resectability assessment, staging definition, performance of ˝second-look˝ procedures and diagnosing the reccurence of the disease
Keywords
laparoskopija
ginekološka onkologija
minimalno invazivni pristup
Keywords (english)
laparoscopy
gynecologic oncology
minimal invasive approach
Language croatian
URN:NBN urn:nbn:hr:184:420954
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Access restricted to students and staff of home institution
Terms of use
Created on 2018-11-15 14:37:38