COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUM
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 presenc...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2015-02-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/12 |
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| _version_ | 1849396957709074432 |
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| author | A. G. Khitar’Yan E. E. Glumov K. S. Veliev R. N. Zavgorodnyaya M. E. Provotorov |
| author_facet | A. G. Khitar’Yan E. E. Glumov K. S. Veliev R. N. Zavgorodnyaya M. E. Provotorov |
| author_sort | A. G. Khitar’Yan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-28bda501311147ebaba43aff1367dc11 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2015-02-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-28bda501311147ebaba43aff1367dc112025-08-20T03:39:11ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252015-02-011741525810.24884/0042-4625-2015-174-1-52-5811COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUMA. G. Khitar’Yan0E. E. Glumov1K. S. Veliev2R. N. Zavgorodnyaya3M. E. Provotorov4Railway hospital on the Rostov stationRailway hospital on the Rostov stationRailway hospital on the Rostov stationRailway hospital on the Rostov stationRailway hospital on the Rostov stationThe 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.https://www.vestnik-grekova.ru/jour/article/view/12emergency surgerycolon and rectal cancersurgerytraumatic injury |
| spellingShingle | A. G. Khitar’Yan E. E. Glumov K. S. Veliev R. N. Zavgorodnyaya M. E. Provotorov COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUM Вестник хирургии имени И.И. Грекова emergency surgery colon and rectal cancer surgery traumatic injury |
| title | COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUM |
| title_full | COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUM |
| title_fullStr | COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUM |
| title_full_unstemmed | COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUM |
| title_short | COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUM |
| title_sort | comparative research of traumatic injury of open hand assisted laparoscopic anterior resection of the rectum |
| topic | emergency surgery colon and rectal cancer surgery traumatic injury |
| url | https://www.vestnik-grekova.ru/jour/article/view/12 |
| work_keys_str_mv | AT agkhitaryan comparativeresearchoftraumaticinjuryofopenhandassistedlaparoscopicanteriorresectionoftherectum AT eeglumov comparativeresearchoftraumaticinjuryofopenhandassistedlaparoscopicanteriorresectionoftherectum AT ksveliev comparativeresearchoftraumaticinjuryofopenhandassistedlaparoscopicanteriorresectionoftherectum AT rnzavgorodnyaya comparativeresearchoftraumaticinjuryofopenhandassistedlaparoscopicanteriorresectionoftherectum AT meprovotorov comparativeresearchoftraumaticinjuryofopenhandassistedlaparoscopicanteriorresectionoftherectum |