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  • Laparoskopska kirurgija trebušne slinavke - indikacije, tehnike in naše izkušnje = Laparoscopic surgery for pancreatic disease - indications, techniques and our experience
    Pleskovič, Alojz ; Stanisavljević, Dragoje
    Background. The purpose of the paper was to determine the role of laparoscopy in the diagnosis and management of pancreatic diseases. Methods. Since 1995, when laparoscopic techniques were introduced ... in the diagnosis and assessment of local extension of malignant tumors, 24 cases of adenocarcinomas have been managed at the Department of Abdominal Surgery, University Medical Centre Ljubljana. In 10 of these, unresectable lesions were found preoperatively, and14 had diagnostic laparoscopy prior to planned surgery Laparoscopic treatment of pancreatic diseases has been used at the Department since 2000, and 24 patients were treated by laparoscopy during that period. Results. In three of the 14 patients (21.4%), metastases of the liver and peritoneum were discovered at laparoscopy, and 11 were successfully treated by laparoscopic resection of a panceratic tumor. Gastroenteric anastomosis was done in five patients with biliary stents. Three of four patients with cystadenoma of the left pancreas were treated by laparoscopic resection of the lesion; in one patient conversion to open surgery was required because of bleeding. Laparoscopic necretomy with drain placement was accomplished in three patientswith necrotizing pancreatitis. Conclusions. Laparoscopy can have an important role in the diagnosis and staging of malignant pancreatic disease. In the hands of an experienced and skilled surgeon, laparoscopy may prove a valuable technique for treating some benign and malignant diseases of the pancreas.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 7, št. 16/17, apr./jun. 2002, str. 23-27)
    Vrsta gradiva - članek, sestavni del
    Leto - 2002
    Jezik - slovenski
    COBISS.SI-ID - 15250393

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