Lithuanian Surgery 2019-05-23T21:40:56+03:00 Aloyza Audra Lukšienė Open Journal Systems <p>Founded in 1993. Publishes scientific surgical articles written by Lithuanian and foreign authors.</p> Editorial Board and Table of Contents 2019-05-14T11:25:47+03:00 Narimantas Evaldas Samalavičius <p>[text in English and Lithuanian]</p> 2019-05-14T00:00:00+03:00 ##submission.copyrightStatement## Robotic Colorectal Surgery using Senhance® Robotic Platform: Single Center Experience with First 13 Cases 2019-05-23T21:39:57+03:00 Narimantas Evaldas Samalavičius Olegas Deduchovas <p>[full article, abstract in English; abstract in Lithuanian]</p> <p>Until recently, robotic surgery has been associated only with da Vinci robotic system. A novel Senhance® robotic system (TransEnterix Surgical Inc., Morrisville, NC, USA) has been introduced almost 5 years ago. Published reports on experience in colorectal surgery using this robotic platform is very limited. We present a prospective analysis of first 13 robotic colorectal surgeries in Klaipėda University Hospital, Klaipėda, Lithuania. 13 patients underwent various colorectal resections: 10 for colorectal cancer and 3 for colonic polyps. 7 were men and 6&nbsp;women, age range 32–77 years, on an average 56 years. Among 10 patients with colorectal cancer, 3 had stage I, 3 stage II, 3 stage III and 1 stage IV colorectal cancer. 2 patients were operated for unremovable ascending colon adenomas and 1 underwent prophylactic subtotal colectomy with ileorectal anastomisis for familial adenomatous polyposis. Complication occurred in 1 case (7.7%). This patient underwent robotic abdominoperineal resection for low rectal cancer, developed postoperative bleeding from perineal wound on day 7 and had to be taken to operative room for oversuturing the bleeding vessel. Operative time was on an average 3&nbsp;hours 50 minutes, ranging from 2 hours and 55 minutes to 6 hours and 10 minutes. In-hospital stay ranged from 5 to 16 days, on an average 7 days.</p> <p><strong>Conclusion.</strong>&nbsp;Our experience with different types of robotic colorectal resections allows us to state that Senhance® robotic system is feasible and safe for colorectal surgery, and wider implementation of this system in our specialty worldwide is simply a question of time.</p> 2019-05-14T00:00:00+03:00 ##submission.copyrightStatement## Robotic Cholecystectomy: First Experience in Baltic Countries 2019-05-23T21:39:45+03:00 Olegas Deduchovas Narimantas Evaldas Samalavičius <p>[full article, abstract in English; abstract in Lithuanian]</p> <p>In this retrospective study we report the first series of robotic cholecystectomies in Baltic countries. From Nov 2018 to Feb 2019, 13 robotic cholecystectomies were performed in Klaipėda University Hospital using the Senhance (TransEnterix) robotic system. Patients were diagnosed with symptomatic gallstone disease and had no life-threatening co-morbidities. We retrospectively investigated patient demographics and pre-, peri- and postoperative data. Five male and eight female patients were included in this study (n&nbsp;=&nbsp;13). Mean age was 46 years (range 26–72); mean BMI was 26.7&nbsp;kg/m² (range 21.1–37.7). Mean docking time was 18 min (range 8–27), and mean operative time was 85 min (range, 70–150). There were no conversions to standard laparoscopy or open surgery. There were no intra-operative complications. There was one post-operative bleeding from the gallbladder bed and subhepatic hematoma, successfully treated by laparoscopy. This study demonstrates the feasibility of robotic surgery in performing minimally invasive cholecystectomies.</p> 2019-05-14T00:00:00+03:00 ##submission.copyrightStatement## Robotic Pieloplasty: a case report 2019-05-23T21:39:37+03:00 Marius Jasėnas Raimundas Venckus <p>[full article and abstract in Lithuanian; abstract in English]</p> <p class="ISSN-abst-vidus">Minimally invasive surgeries for better operative and postoperative results are increasingly being performed by urologists in urology. Robotic pyeloplasty one of the methods that facilitate the joining of the pyramidal segment, shortens the surgery length, is less tiring to the doctor, who performs a surgery, also, shortens the hospitalization time.</p> <p class="ISSN-abst-vidus">The first robotic (Senhance Transenterix system) pyeloplasty surgery to a 61 years old patient with severe underlying diseases was performed on 04 01 2019 in Klaipėda university hospital. The operative and post-operative periods passed without complications, and the patient was discharged from hospital on the fourth day. After 2 months, the patient has no clinical complaints, the CT scan revealed regressing hydronephrosis after the robotic kyphoplasty surgery.</p> <p class="ISSN-abst-vidus">After evaluating the obtained results, it can be stated that robotic kyphoplasty surgery is a minimally invasive, safe and effective surgical<span class="char-style-override-5">&nbsp;</span>method with a very fast patient rehabilitation.</p> 2019-05-14T00:00:00+03:00 ##submission.copyrightStatement## First Results of Robot Assisted Radical Prostatectomy in Klaipėda University Hospital: Single Center Experience 2019-05-23T21:39:28+03:00 Raimundas Venckus Marius Jasėnas <p>[full article and abstract in Lithuanian; abstract in English]</p> <p><span class="None">Robot-assisted radical prostatectomy (RARP) has become the main surgical option for localised prostate cancer. We analyzed RARP results in Klaipeda university hospital using Senhance® robotic system. We report our early experience with first 23 patients operated using Senhance® robotic system.&nbsp;</span><em>Patients and methods.</em><span class="None">&nbsp;This is single center case series included first 23 patients undergoing RARP in Klaipeda university hospital, Lithuania during period from November 21, 2018 to March 1, 2019. All the data including surgical complications were recorded.&nbsp;</span><em>Results</em><span class="None">. Operation time average was 3 hours and 36 minutes. 2 (8,7%) complications were recorded. After the initial 23 cases patients was completely pad free 81,8 % in early postoperative time. The limitations of the present study is small patients group, uncontrolled nature and short follow up time.&nbsp;</span><em>Conclusion</em><span class="None">: We demonstrated that RARP with Senhance® robotic system is safe and feasible, and our results are similar compared to those achived with other robotic system.</span></p> 2019-05-14T00:00:00+03:00 ##submission.copyrightStatement## Robotic Assisted Total Hysterectomy: the First Experience 2019-05-23T21:39:18+03:00 Raimondas Šiaulys <p>[full article and abstract in Lithuanian; abstract in English]</p> <p>We analyzed 23 cases of robotic assisted total hysterectomy performed in Klaipėda university hospital using Senhance® robotic system. Patients were operated on using Senhance® robotic system for endometrial cancer, myomatosis, endometriosis, prophylacticaly after breast cancer treatment, single cases for cervical pathology and benign tumor of ovary. Surgical technique and results are discussed.<em>&nbsp;Conclusion.</em>Robotic assisted total hysterectomy is a safe method for patient and comfortable for the surgeon.</p> 2019-05-14T00:00:00+03:00 ##submission.copyrightStatement## Salpingoovarectomy Using Senhance® Robotic System: a Case Report 2019-05-23T21:39:09+03:00 Raimondas Šiaulys <p>[full article and abstract in Lithuanian; abstract in English]</p> <p>A case of salpingoovarectomy using Senhance<span xml:lang="ar-SA">®</span>&nbsp;robotic system<span xml:lang="ar-SA">&nbsp;</span>– surgery technic, benefits and results are described in this article.</p> 2019-05-14T00:00:00+03:00 ##submission.copyrightStatement## Author Guidelines and Bibliographic Data 2019-05-14T11:25:42+03:00 Narimantas Evaldas Samalavičius <p>[text in English and Lithuanian]</p> 2019-05-14T00:00:00+03:00 ##submission.copyrightStatement## Editorial Board and Table of Contents 2019-04-10T19:24:39+03:00 Lietuvos chirurgija T. 17 <div>[text in Lithuanian]</div> 2018-12-03T00:00:00+02:00 ##submission.copyrightStatement## Origins of neurosurgery in the beginning of the XIXth century in Vilnius clinics 2019-05-23T21:40:56+03:00 Eglė Sakalauskaitė-Juodeikienė Robertas Kvaščevičius Dalius Jatužis <p>[full article and abstract in Lithuanian; abstract in English]</p> <p><strong>Objectives</strong></p> <p>Before the end of the XIXth century neurosurgical operations were rarely performed in European university clinics and city hospitals. The development of neurosurgery was not possible without major medical discoveries: anaesthetics and antiseptics, effective haemostasis and atraumatic surgical techniques. The aim of this work is to discover the origins of neurosurgery, to determine what type of surgical operations of the nervous system were performed in the beginning of the XIXth century in Vilnius.</p> <p><strong>Material and methods</strong></p> <p>We analyzed doctoral theses devoted for neurosurgery and defended in Imperial university of Vilnius during 1803–1832.</p> <p><strong>Results</strong></p> <p>Five theses (out of 26) were included into analysis: dissertation on brain commotion, external head injuries, trepanation, encephalocele and brain fungus, and the ligation of the common carotid artery. Evaluating patients with external head injuries, University professors and students performed primitive neurological examination and estimated signs of brain compression.</p> <p>Dizziness, somnolence and stupor, stertorous breathing, headache and weakness of voluntary movements were evaluated, taking the side of hemiplegia as one of the most important signs. If the patient presented with head trauma which caused brain compression, but no external head injuries and signs of skull fractures were observed, then the side of limbs paralysis was evaluated and trepanation performed contralaterally to paralysis. Post mortem examinations of the deceased patients in Vilnius Surgery clinic were performed to confirm the clinical diagnosis.</p> <p><strong>Conclusions</strong></p> <p>The origin of neurosurgery in Vilnius goes back to the beginning of the 19th century. Trepanation, evacuation of epidural or subdural hematomas, ligation of the common carotid artery and excision or ligation of the surface head tumors were performed in Vilnius Surgery clinic.</p> 2018-12-03T00:00:00+02:00 ##submission.copyrightStatement##