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Význam elektivní laparoskopické kolorektální operativy na zkrácení hospitalizační doby u nemocných s kolorektálním karcinomem
[Importance of elective laparoscopic colorectal surgery to shorten the hospital stay in patients with colorectal cancer]

Špička P., Řezáč T., Langová K., Klos D., Klementa I.

. 2021 ; 25 (2) : 24-33.

Jazyk čeština Země Slovensko

Typ dokumentu randomizované kontrolované studie, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc21027409

Introduction: Colorectal cancer is one of the most common cancers. Surgical treatment consists of radical resection with lymphadenectomy. Resection is performed laparotomically, laparoscopically or robotically. Laparoscopic operations are more time consuming, while short-term perioperative morbidity appears to be lower. Operations of the colon are costly, and laparoscopic procedures seem to be more expensive in our conditions. The costs are reduced mainly by lower postoperative morbidity and shorter hospital stay. Methods: We prospectively compared both approaches in the length of the operation, hospitalization, stay in the ICU, in the occurrence of complications and in the costs reported to health insurance companies to evaluate their cost-benefit. Results: It was shown that the duration of surgery was significantly higher in the observed period for laparoscopies (median = 119 min) than for open surgery (median = 105 min), p = 0.047. The length of hospitalization in the case of laparoscopies was 10.1 days (median = 8.5 days), in the case of open resection 11.8 days (median = 10.0 days), the value of p = 0.150, ie without a statistically significant difference. The stay in the ICU was shorter in laparoscopies (median = 3.5 days) than in open operations (median = 6.0 days), p = 0.373, therefore no statistically significant difference was found here either. There was also no statistically significant difference in other monitored parameters. Conclusion: We did not find a statistically significant difference in the main monitored parameters - in the length of hospitalization and stay in the ICU, which is probably due to the size of both groups. In the case of a higher number of operations, a difference with statistical significance would probably already be proven. We demonstrated a statistically significant difference between the two groups in the length of surgery. Furthermore, we found up to 2.75 times higher value of ZUM in the group of laparoscopic resections.

Importance of elective laparoscopic colorectal surgery to shorten the hospital stay in patients with colorectal cancer

Komentář:

Martínek, Lubomír. Komentář ku článku. 2021.

Bibliografie atd.

Literatura

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