"342580" . "Dostal\u00EDk, Jan" . "89" . "[BC27450BFCFE]" . "Praktick\u00FD l\u00E9ka\u0159" . . . "RIV/00843989:_____/09:00100608" . . "Gu\u0148kov\u00E1, Petra" . . "11" . "Posouzov\u00E1na byla laparoskopick\u00E1 opera\u010Dn\u00ED technika v l\u00E9\u010Db\u011B karcinomu rekta. Studie zahrnovala soubor 196 pacient\u016F, kte\u0159\u00ED podstoupili elektivn\u00ED operaci karcinomu rekta laparoskopickou nebo otev\u0159enou technikou. Nebyl rozd\u00EDl v \u010Detnosti v\u00FDskytu chirurgick\u00FDch a nechirurgick\u00FDch komplikac\u00ED. Nebyl prok\u00E1z\u00E1n rozd\u00EDl v morbidit\u011B mortalit\u011B. Celkov\u00E9 p\u011Btilet\u00E9 p\u0159e\u017E\u00EDv\u00E1n\u00ED otev\u0159en\u00E9 a laparoskopick\u00E9 techniky bylo v souboru v\u0161ech operovan\u00FDch pacient\u016F 46 % resp. 55 %, pro kurativn\u00ED operace 60 % resp. 75 %, pro st\u00E1dium I 88 % resp. 86 %, st\u00E1dium II 87 % resp. 83 %, st\u00E1dium III 41 % vers. 72 %, st\u00E1dium IV. u obou 0 %. S v\u00FDjimkou signifikantn\u011B lep\u0161\u00EDho p\u011Btilet\u00E9ho p\u0159e\u017E\u00EDv\u00E1n\u00ED ve skupin\u011B laparoskopicky operovan\u00FDch pacient\u016F st\u00E1dia III jsme nezaznamenali rozd\u00EDl v dlouhodob\u00E9m p\u0159e\u017E\u00EDv\u00E1n\u00ED u srovn\u00E1van\u00FDch opera\u010Dn\u00EDch technik. Stejn\u00FD v\u00FDsledek jsme z\u00EDskali anal\u00FDzou kumulativn\u00EDch k\u0159ivek p\u0159e\u017E\u00EDv\u00E1n\u00ED. Laparoskopick\u00E1 chirurgie karcinomu rekta m\u00E1 potenci\u00E1l ke zlep\u0161en\u00ED kr\u00E1tkodob\u00FDch v\u00FDsledk\u016F bez diskreditace dlouhodob\u00FDch onkologick\u00FD"@cs . "RIV/00843989:_____/09:00100608!RIV10-MZ0-00843989" . "5"^^ . "CZ - \u010Cesk\u00E1 republika" . . "Sou\u010Dasn\u00FD stav laparoskopick\u00E9 chirurgie karcinomu rekta - na\u0161e zku\u0161enosti"@cs . . "Sou\u010Dasn\u00FD stav laparoskopick\u00E9 chirurgie karcinomu rekta - na\u0161e zku\u0161enosti" . . "Posouzov\u00E1na byla laparoskopick\u00E1 opera\u010Dn\u00ED technika v l\u00E9\u010Db\u011B karcinomu rekta. Studie zahrnovala soubor 196 pacient\u016F, kte\u0159\u00ED podstoupili elektivn\u00ED operaci karcinomu rekta laparoskopickou nebo otev\u0159enou technikou. Nebyl rozd\u00EDl v \u010Detnosti v\u00FDskytu chirurgick\u00FDch a nechirurgick\u00FDch komplikac\u00ED. Nebyl prok\u00E1z\u00E1n rozd\u00EDl v morbidit\u011B mortalit\u011B. Celkov\u00E9 p\u011Btilet\u00E9 p\u0159e\u017E\u00EDv\u00E1n\u00ED otev\u0159en\u00E9 a laparoskopick\u00E9 techniky bylo v souboru v\u0161ech operovan\u00FDch pacient\u016F 46 % resp. 55 %, pro kurativn\u00ED operace 60 % resp. 75 %, pro st\u00E1dium I 88 % resp. 86 %, st\u00E1dium II 87 % resp. 83 %, st\u00E1dium III 41 % vers. 72 %, st\u00E1dium IV. u obou 0 %. S v\u00FDjimkou signifikantn\u011B lep\u0161\u00EDho p\u011Btilet\u00E9ho p\u0159e\u017E\u00EDv\u00E1n\u00ED ve skupin\u011B laparoskopicky operovan\u00FDch pacient\u016F st\u00E1dia III jsme nezaznamenali rozd\u00EDl v dlouhodob\u00E9m p\u0159e\u017E\u00EDv\u00E1n\u00ED u srovn\u00E1van\u00FDch opera\u010Dn\u00EDch technik. Stejn\u00FD v\u00FDsledek jsme z\u00EDskali anal\u00FDzou kumulativn\u00EDch k\u0159ivek p\u0159e\u017E\u00EDv\u00E1n\u00ED. Laparoskopick\u00E1 chirurgie karcinomu rekta m\u00E1 potenci\u00E1l ke zlep\u0161en\u00ED kr\u00E1tkodob\u00FDch v\u00FDsledk\u016F bez diskreditace dlouhodob\u00FDch onkologick\u00FD" . . . "Current status of laparoscopic surgery for rectal carcinoma - our experience"@en . "Gu\u0148ka, Igor" . . . . "rectal cancer; laparoscopy; outcomes"@en . . . "V" . "Mart\u00EDnek, Lubom\u00EDr" . "The aim was objective assessment of laparoscopic surgical technique in therapy of rectal carcinoma. The study included a set of 196 patients who underwent elective operation for rectal cancer using laparoscopic or open technique. There was no difference in frequency of surgical and non-surgical complications. No difference was proved in morbidity and mortality. Overall five-year survival with open and laparoscopic surgery for all patients was 46 % and 55 % , curative operations 60 % and 75 % , stage I 88 % and 86 %, stage II 87 % and 83 % , stage III 41 % vs. 72 %, stage IV 0 % in both groups. Except for significantly better five-year overall survival in group of patients with laparoscopic technique and stage III we reported no difference in long-term overall survival. The same results, were obtained by analysis of cumulative survival curves. Laparoscopic surgery of rectal carcinoma holds the potential for improving the short-term results without discrediting long-term oncological r"@en . "V\u00E1vra, Petr" . . "5"^^ . "0032-6739" . "Sou\u010Dasn\u00FD stav laparoskopick\u00E9 chirurgie karcinomu rekta - na\u0161e zku\u0161enosti"@cs . "5"^^ . "Sou\u010Dasn\u00FD stav laparoskopick\u00E9 chirurgie karcinomu rekta - na\u0161e zku\u0161enosti" . . . . "Current status of laparoscopic surgery for rectal carcinoma - our experience"@en .