Colonoscopia virtuală în practica chirurgicală
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SAMOHVALOV, Sergiu, DANCI, Alexandru, PLEŞCAN, Tatiana, BOCANCEA, Adrian, ERLIH, Mihail, PANTELEICIUC, Dorin. Colonoscopia virtuală în practica chirurgicală. In: Arta Medica , 2015, nr. 3(56), pp. 97-98. ISSN 1810-1852.
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Arta Medica
Numărul 3(56) / 2015 / ISSN 1810-1852 /ISSNe 1810-1879

Colonoscopia virtuală în practica chirurgicală

Virtual colonoscopy in surgical practice


Pag. 97-98

Samohvalov Sergiu, Danci Alexandru, Pleşcan Tatiana, Bocancea Adrian, Erlih Mihail, Panteleiciuc Dorin
 
Spitalul Clinic Municipal „Sfânta Treime”
 
 
Disponibil în IBN: 28 ianuarie 2022


Rezumat

Introducere: Colonoscopia virtuală este o procedură eficientă, non-invazivă, cu precisie înalt ă de diagnostic, folosit ă pentru detectarea patologiei colonului (polipi, cancerul colorectal și alte boli colonice). În cazurile dificile de examinare totală a colonului prin videocolonoscopie flexibilă, metoda de ețleiec pentru stabilirea diagnosticului de certitudine preoperator – este colonoscopia virtuală prin tomografie computerizată. Material și metode: Studiul prospectiv a cuprins 37 de paciețin cu afecțiuni chirurgicale ale colonului, examinați și tratați în perioada 2012-2014 în SR ACSR. Colonoscopia virtuală a fost efectuată cu ajutorul Tomografului GE Optima 660 Select Pro și a inclus pacienți la care videocolonoscopia flexibilă nu a permis examinarea totală, pînă la nivelul cecului sau au fost prezente semnele clinice sugestive pentru neoplasmul colonic. Rezultate: Din 37 de pacienți (20 – femei, 17 – barbați) în majoritatea cazurilor s-a depistat dolihocolon – n=19 (51,3%); în 6 (16,2%) cazuri – cancer de colon la nivelul cecului, neoplasmul colonului transvers și neoplasmul flexurei lienale – n=5 (13,6%) și, respectiv, n=3 (8,1%). La un singur (2,7 %) pacient s-a identificat hernia liniei Spieghel. În 2 (5,4%) cazuri au fost evidențiate stricturi ale anastomozei post-rezecție de colon. Într-un singur (2,7%) caz – situs inversus al colonului. Stabilirea coreăc ta diagnosticului preoperator a permis efectuarea tratamentului chirurgical corespunzător patologiei identificate. Concluzii: Colonoscopia virtuaăl este o metoda eficace pentru rezolvarea dăițfilcourl tdiagnostice și stabilirea tacticii chirurgicale adecvate în cazul patologiilor colonului. Aceasta poate fi recomandată ca o alternativă sigură în cazurile ce nu permit efectuarea videocolonoscopiei flexibile totale.

Introduction: Virtual colonoscopy is an effective, non-invasive procedure with high diagnostic accuracy used for detecting colonic pathology (polyps, colorectal cancer and other diseases of the colon). In difficult cases of whole colon examination with video-colonoscopes, the method of choice for preoperative precise diagnosis is considered virtual computed tomography colonoscopy. Materials and methods: The prospective study included 37 patients with surgical diseases of colon, examined and treated in 2012-2014 in RH CSRA. Virtual colonoscopy was performed using the Computed Tomography GE Optima 660 Select Pro and included cases, in which complete video-colonoscopy examination to the level of caecum was not possible, or were present clinical signs suggestive of colonic neoplasms. Results: In the group of 37 patients (20 – female and 17 – male) in most cases was found dolichocolon n=19 (51.3%); in 6 (16.2%) cases – the colon cancer in the caecum segment, transverse colon neoplasms and splenic flexure neoplasm – n=5 (13.6%) and, respectively, n=3 (8.1%). In one (2.7%) patient was identified hernia of Spieghelian line. In 2 (5.4%) cases were found strictures of the colon anastomosis after resection. In one (2.7%) case – situs inversus of colon. The correct preoperative diagnosis allowed the appropriate surgical treatment of identified pathology. Conclusions: Virtual colonoscopy is an effective method to resolve the diagnostic difficulties and surgical tactics for colon pathologies. It can be recommended as a safe alternative in cases that do not permit complete flexible video-colonoscopy.

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<cfAbstr cfLangCode='RO' cfTrans='o'><p>Introducere: Colonoscopia virtuală este o procedură eficientă, non-invazivă, cu precisie &icirc;nalt ă de diagnostic, folosit ă pentru detectarea patologiei colonului (polipi, cancerul colorectal și alte boli colonice). &Icirc;n cazurile dificile de examinare totală a colonului prin videocolonoscopie flexibilă, metoda de ețleiec pentru stabilirea diagnosticului de certitudine preoperator &ndash; este colonoscopia virtuală prin tomografie computerizată. Material și metode: Studiul prospectiv a cuprins 37 de paciețin cu afecțiuni chirurgicale ale colonului, examinați și tratați &icirc;n perioada 2012-2014 &icirc;n SR ACSR. Colonoscopia virtuală a fost efectuată cu ajutorul Tomografului GE Optima 660 Select Pro și a inclus pacienți la care videocolonoscopia flexibilă nu a permis examinarea totală, p&icirc;nă la nivelul cecului sau au fost prezente semnele clinice sugestive pentru neoplasmul colonic. Rezultate: Din 37 de pacienți (20 &ndash; femei, 17 &ndash; barbați) &icirc;n majoritatea cazurilor s-a depistat dolihocolon &ndash; n=19 (51,3%); &icirc;n 6 (16,2%) cazuri &ndash; cancer de colon la nivelul cecului, neoplasmul colonului transvers și neoplasmul flexurei lienale &ndash; n=5 (13,6%) și, respectiv, n=3 (8,1%). La un singur (2,7 %) pacient s-a identificat hernia liniei Spieghel. &Icirc;n 2 (5,4%) cazuri au fost evidențiate stricturi ale anastomozei post-rezecție de colon. &Icirc;ntr-un singur (2,7%) caz &ndash; situs inversus al colonului. Stabilirea coreăc ta diagnosticului preoperator a permis efectuarea tratamentului chirurgical corespunzător patologiei identificate. Concluzii: Colonoscopia virtuaăl este o metoda eficace pentru rezolvarea dăițfilcourl tdiagnostice și stabilirea tacticii chirurgicale adecvate &icirc;n cazul patologiilor colonului. Aceasta poate fi recomandată ca o alternativă sigură &icirc;n cazurile ce nu permit efectuarea videocolonoscopiei flexibile totale.</p></cfAbstr>
<cfAbstr cfLangCode='EN' cfTrans='o'><p>Introduction: Virtual colonoscopy is an effective, non-invasive procedure with high diagnostic accuracy used for detecting colonic pathology (polyps, colorectal cancer and other diseases of the colon). In difficult cases of whole colon examination with video-colonoscopes, the method of choice for preoperative precise diagnosis is considered virtual computed tomography colonoscopy. Materials and methods: The prospective study included 37 patients with surgical diseases of colon, examined and treated in 2012-2014 in RH CSRA. Virtual colonoscopy was performed using the Computed Tomography GE Optima 660 Select Pro and included cases, in which complete video-colonoscopy examination to the level of caecum was not possible, or were present clinical signs suggestive of colonic neoplasms. Results: In the group of 37 patients (20 &ndash; female and 17 &ndash; male) in most cases was found dolichocolon n=19 (51.3%); in 6 (16.2%) cases &ndash; the colon cancer in the caecum segment, transverse colon neoplasms and splenic flexure neoplasm &ndash; n=5 (13.6%) and, respectively, n=3 (8.1%). In one (2.7%) patient was identified hernia of Spieghelian line. In 2 (5.4%) cases were found strictures of the colon anastomosis after resection. In one (2.7%) case &ndash; situs inversus of colon. The correct preoperative diagnosis allowed the appropriate surgical treatment of identified pathology. Conclusions: Virtual colonoscopy is an effective method to resolve the diagnostic difficulties and surgical tactics for colon pathologies. It can be recommended as a safe alternative in cases that do not permit complete flexible video-colonoscopy.</p></cfAbstr>
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