Introducere: Suferinåele majore ale bolnavilor cu colostazã cronicã determinã adresabilitatea crescutã cãtre
instituåiile medicale. Medicaåia conservativã aplicatã acestor bolnavi deseori este inefecace. Studiul nostru relevã
analiza comparativã a rezultatelor intervenåiilor chirurgicale clasice versus cele miniinvazive la pacienåi cu colostaza
cronicã.
Scopul lucrãrii: Efectuarea unui studiu comparativ al eficacitãåii tratamentului chirurgical tradiåional şi miniinvaziv al
pacienåilor cu dolicosigmã complicatã cu colostaza cronicã.
Material şi metode: In perioada anilor 2000-2010 în clinica 2 chirurgie au fost internaåi æi tratati chirurgical 107
pacienåi cu dolicosigme. Raportul dintre bãrbaåi şi femei a fost de 1:6, iar vîrsta medie a pacienåilor a constituit 43
ani. Rezecåia laparascopicã a sigmei s-a realizat în 11 cazuri (10,3%).
Rezultate: Au fost comparate rezultatele postoperatorii la pacienåii operaåi tradiåional (lotul 1) versus bolnavii supuşi
intervenåiilor miniinvazve (lotul 2). Durata spitalizãrii pacienåilor primului lot a constituit 13,4 zile, faåã de 5,6 zile
pentru pacienåii operaåi laparascopic. Metoda aplicatã la bolnavii lotului 2 a impresionat prin aspectul estetic,
perioda postoperatorie legerã şi rezultatele funcåionale bune. Concluzii. Dolicosigma refracterã la medicaåia
conservativã rãmîne a fi indicaåie pentru tratament chirurgical, iar rezecåia laparascopicã a sigmei cu anastomoza
termino-terminalã „hand asistend” fiind preferabilã celei clasice.

Introduction: Major sufferings of patients with chronic cholestasis draw a high addressing to medical institutions.
Nonsurgical treatment applied to these patients shows being inefficient. Our study reveal the comparative analysis
of the results between classic surgical treatment and endoscopic one at patients with chronic cholestasis.
Work purpose: Create a comparative study of treatment efficiency between traditional and endoscopic surgical
treatment at patients with dolicosigma complicated with chronic cholestasis.
Methods and Material: In period of 2000-2010 years the 2-nd surgical department treated 107 patients with
doligosigmas. The ratio between men and women was 1:6 and the average age of patients was 43 years. Laparoscopic
resection of sigma was realized in 11 cases (10.3%).
Results: Postoperative results of patients after traditional treatment (group 1) were compared with postoperative results
of enoscopic treated patients (group 2). The average hospitalisation time of patients from 1-st group was for 13,4 days,
comparative to 5,6 days of patients from 2-nd group. The method apllied on patients from 2-nd group impressed by
its aesthetic aspect, a slightly postoperative period and good functional results.
Conclusions: Dolicosigma that can’t be treated in nonsurgical way remains to be an indication for surgical treatment,
but laparos-copic resection of the sigma with termino-terminal anastomosa “hand assistant” is preferable to the
classic one.