. . . "RIV/00216208:11150/13:10191663!RIV14-MSM-11150___" . "colorectal cancer; rectal cancer; circumferential resection margin; total mesorectal excision"@en . "Ferko, Alexander" . "Chobola, Milan" . . "Had\u017Ei Nikolov, Dimitar" . "Karcinom rekta do 10 cm. Srovn\u00E1n\u00ED radikality laparoskopick\u00E9 a otev\u0159en\u00E9 opera\u010Dn\u00ED techniky s ohledem na cirkumferentn\u00ED resek\u010Dn\u00ED okraj a na kompletnost mezorekt\u00E1ln\u00ED excize" . . "8"^^ . "RIV/00216208:11150/13:10191663" . "\u010Cerm\u00E1kov\u00E1, Eva" . "Ot\u00E1zka dosa\u017Een\u00ED radik\u00E1ln\u00EDho cirkumferentn\u00EDho okraje u laparoskopick\u00FDch resekc\u00ED kone\u010Dn\u00EDku nen\u00ED st\u00E1le uspokojiv\u011B objasn\u011Bna. V prezentovan\u00E9 pr\u00E1ci jsme se soust\u0159edili na vyhodnocen\u00ED cirkumferentn\u00EDho resek\u010Dn\u00EDho okraje a kvality mezorekt\u00E1ln\u00ED excize u n\u00E1dor\u016F st\u0159edn\u00EDho a doln\u00EDho rekta a jejich porovn\u00E1n\u00ED mezi laparoskopickou a otev\u0159enou technikou.Vyhodnoceny byly v\u00FDsledky resek\u010Dn\u00EDch v\u00FDkon\u016F pro karcinom st\u0159edn\u00EDho a doln\u00EDho rekta, kter\u00E9 byly provedeny na chirurgick\u00E9 klinice Fakultn\u00ED nemocnice v Hradci Kr\u00E1lov\u00E9 v obdob\u00ED od ledna 2011 do prosince 2012. Data byla sb\u00EDr\u00E1na prospektivn\u011B a ukl\u00E1d\u00E1na do registru pro karcinom rekta. Sledovan\u00E9 parametry byly v\u011Bk, pohlav\u00ED, BMI, lokalizace a topografie n\u00E1doru, klinick\u00E9 stadium, neoadjuvantn\u00ED chemoterapie a jej\u00ED odpov\u011B\u010F, typ opera\u010Dn\u00EDho v\u00FDkonu, charakter dist\u00E1ln\u00EDho a cirkumferentn\u00EDho okraje, kvalita mezorekt\u00E1ln\u00ED excize, pT a pN.V\u00FDsledky:Celkem bylo v uveden\u00E9m obdob\u00ED operov\u00E1no 161 pacient\u016F s karcinomem rekta. Po selekci vstoupilo do studie 94 pacient\u016F. Laparoskopicky bylo provedeno 40 a klasicky 54 operac\u00ED. Laparoskopicky bylo provedeno 33 n\u00EDzk\u00FDch p\u0159edn\u00EDch resekc\u00ED v\u010Detn\u011B 4 intersfinkterick\u00FDch resekc\u00ED, abdominoperine\u00E1ln\u00EDch amputac\u00ED bylo v tomto souboru 6 a 1Hartmannova operace. V souboru klasick\u00FDch v\u00FDkon\u016F bylo provedeno 26 n\u00EDzk\u00FDch p\u0159edn\u00EDch resekc\u00ED, 21 amputa\u010Dn\u00EDch v\u00FDkon\u016F a u 7 pacient\u016F provedena Hartmannova resekce.Kompletn\u00ED excize bylo dosa\u017Eeno v 45 % v laparoskopick\u00E9 proti 46,3 % ve skupin\u011B klasick\u00E9 techniky, \u010D\u00E1ste\u010Dn\u011B kompletn\u00ED excize byla provedena ve 22,5, resp. 11,1 %. Inkompletn\u00ED excize byly pops\u00E1ny ve 30, respektive 38,9 %. U 3 pacient\u016F nebyla kvalita mezorekt\u00E1ln\u00ED excize hodnocena.Rozd\u00EDly v kvalit\u011B mezorekt\u00E1ln\u00ED excize nebyly statisticky v\u00FDznamn\u00E9. Pozitivn\u00ED cirkumferentn\u00ED okraj se vyskytl p\u0159i laparoskopick\u00FDch operac\u00EDch u 5 pacient\u016F, v p\u0159\u00EDpad\u011B klasick\u00E9 resekce u 15 pacient\u016F. Ani zde nebyly v\u00FDsledky statisticky v\u00FDznamn\u00E9. Na\u0161e studie prok\u00E1zala srovnateln\u00E9 v\u00FDsledky mezi laparoskopick\u00FDm a otev\u0159en\u00FDm p\u0159\u00EDstupem p\u0159i resekc\u00EDch rekta." . . "7"^^ . . "\u00D6rhalmi, Julius" . . "7"^^ . "Hovorkov\u00E1, Eva" . "Ot\u00E1zka dosa\u017Een\u00ED radik\u00E1ln\u00EDho cirkumferentn\u00EDho okraje u laparoskopick\u00FDch resekc\u00ED kone\u010Dn\u00EDku nen\u00ED st\u00E1le uspokojiv\u011B objasn\u011Bna. V prezentovan\u00E9 pr\u00E1ci jsme se soust\u0159edili na vyhodnocen\u00ED cirkumferentn\u00EDho resek\u010Dn\u00EDho okraje a kvality mezorekt\u00E1ln\u00ED excize u n\u00E1dor\u016F st\u0159edn\u00EDho a doln\u00EDho rekta a jejich porovn\u00E1n\u00ED mezi laparoskopickou a otev\u0159enou technikou.Vyhodnoceny byly v\u00FDsledky resek\u010Dn\u00EDch v\u00FDkon\u016F pro karcinom st\u0159edn\u00EDho a doln\u00EDho rekta, kter\u00E9 byly provedeny na chirurgick\u00E9 klinice Fakultn\u00ED nemocnice v Hradci Kr\u00E1lov\u00E9 v obdob\u00ED od ledna 2011 do prosince 2012. Data byla sb\u00EDr\u00E1na prospektivn\u011B a ukl\u00E1d\u00E1na do registru pro karcinom rekta. Sledovan\u00E9 parametry byly v\u011Bk, pohlav\u00ED, BMI, lokalizace a topografie n\u00E1doru, klinick\u00E9 stadium, neoadjuvantn\u00ED chemoterapie a jej\u00ED odpov\u011B\u010F, typ opera\u010Dn\u00EDho v\u00FDkonu, charakter dist\u00E1ln\u00EDho a cirkumferentn\u00EDho okraje, kvalita mezorekt\u00E1ln\u00ED excize, pT a pN.V\u00FDsledky:Celkem bylo v uveden\u00E9m obdob\u00ED operov\u00E1no 161 pacient\u016F s karcinomem rekta. Po selekci vstoupilo do studie 94 pacient\u016F. Laparoskopicky bylo provedeno 40 a klasicky 54 operac\u00ED. Laparoskopicky bylo provedeno 33 n\u00EDzk\u00FDch p\u0159edn\u00EDch resekc\u00ED v\u010Detn\u011B 4 intersfinkterick\u00FDch resekc\u00ED, abdominoperine\u00E1ln\u00EDch amputac\u00ED bylo v tomto souboru 6 a 1Hartmannova operace. V souboru klasick\u00FDch v\u00FDkon\u016F bylo provedeno 26 n\u00EDzk\u00FDch p\u0159edn\u00EDch resekc\u00ED, 21 amputa\u010Dn\u00EDch v\u00FDkon\u016F a u 7 pacient\u016F provedena Hartmannova resekce.Kompletn\u00ED excize bylo dosa\u017Eeno v 45 % v laparoskopick\u00E9 proti 46,3 % ve skupin\u011B klasick\u00E9 techniky, \u010D\u00E1ste\u010Dn\u011B kompletn\u00ED excize byla provedena ve 22,5, resp. 11,1 %. Inkompletn\u00ED excize byly pops\u00E1ny ve 30, respektive 38,9 %. U 3 pacient\u016F nebyla kvalita mezorekt\u00E1ln\u00ED excize hodnocena.Rozd\u00EDly v kvalit\u011B mezorekt\u00E1ln\u00ED excize nebyly statisticky v\u00FDznamn\u00E9. Pozitivn\u00ED cirkumferentn\u00ED okraj se vyskytl p\u0159i laparoskopick\u00FDch operac\u00EDch u 5 pacient\u016F, v p\u0159\u00EDpad\u011B klasick\u00E9 resekce u 15 pacient\u016F. Ani zde nebyly v\u00FDsledky statisticky v\u00FDznamn\u00E9. Na\u0161e studie prok\u00E1zala srovnateln\u00E9 v\u00FDsledky mezi laparoskopick\u00FDm a otev\u0159en\u00FDm p\u0159\u00EDstupem p\u0159i resekc\u00EDch rekta."@cs . "92" . . . "Du\u0161ek, Tom\u00E1\u0161" . "Rectal cancer within 10 cm.Comparison of the radicality of laparoscopic and open surgical techniques with regard to the circumferential resection margin and the completeness of mesorectal excision"@en . . "82388" . "6" . . . "Rozhledy v chirurgii" . "11150" . . . "The issue of achieving radical circumferential margin in laparoscopic rectal surgery has not yet been satisfactorily clarified.In this paper we have focused on circumferential margin assessment and the quality of the mesorectal excision,comparing laparoscopic and open resection for cancer of the middle and lower rectum.The results of surgical procedures for middle and low rectal cancer were analysed.All the interventions were performed at the Department of Surgery,Teaching Hospital in Hradec Kralove,during the period from Jan 2011 to Dec 2012.The data were prospectively collected and entered in the Rectal Cancer Registry. Age, gender,BMI,tumour localisation and topography,the clinical stage, preoperative chemoradiotherapy and response to it,the type of surgery,distal and circumferential margin characteristics,mesorectal excision quality, pT and pN were compared for laparoscopic and open surgery.A total of 161 patients were operated on for rectal cancer during the abovementioned period.94 patients were included in the trial following selection.Laparoscopy was used in 40 patients and open surgery in 54 patients.Laparoscopic approach was performed in 33 low anterior resections,6 abdominoperineal amputations and 1 Hartmann's procedure.Open surgery was used for 26 low anterior resections,21 APR and 7 Hartmann's procedures.Complete mesorectal excision was achieved in 45% of the laparoscopic resections vs. 46.3% of open resections.Nearly complete excision was performed in 22.5% and 11.1%, respectively.Finally, incomplete excision was described in 30% X 38.9%.No available data for TME was detected in three patients.Positive circumferential margin was found in 5 patients in the laparoscopy group;on the contrary,in the group undergoing open surgery, pCRO+ was found in 15 patients.Particularly, mesorectal excision quality and negative CRM results have proven that the laparoscopic technique is safe and comparable to open surgery in rectal cancer treatment."@en . . . "0035-9351" . "Karcinom rekta do 10 cm. Srovn\u00E1n\u00ED radikality laparoskopick\u00E9 a otev\u0159en\u00E9 opera\u010Dn\u00ED techniky s ohledem na cirkumferentn\u00ED resek\u010Dn\u00ED okraj a na kompletnost mezorekt\u00E1ln\u00ED excize"@cs . "Karcinom rekta do 10 cm. Srovn\u00E1n\u00ED radikality laparoskopick\u00E9 a otev\u0159en\u00E9 opera\u010Dn\u00ED techniky s ohledem na cirkumferentn\u00ED resek\u010Dn\u00ED okraj a na kompletnost mezorekt\u00E1ln\u00ED excize" . "CZ - \u010Cesk\u00E1 republika" . . "[639AC3DCB3A1]" . . . . . "Rectal cancer within 10 cm.Comparison of the radicality of laparoscopic and open surgical techniques with regard to the circumferential resection margin and the completeness of mesorectal excision"@en . "I" . "Karcinom rekta do 10 cm. Srovn\u00E1n\u00ED radikality laparoskopick\u00E9 a otev\u0159en\u00E9 opera\u010Dn\u00ED techniky s ohledem na cirkumferentn\u00ED resek\u010Dn\u00ED okraj a na kompletnost mezorekt\u00E1ln\u00ED excize"@cs .