Download EAES Guidelines for Endoscopic Surgery by Edmund A. M. Neugebauer, Stefan Sauerland, Abe Fingerhut, PDF

By Edmund A. M. Neugebauer, Stefan Sauerland, Abe Fingerhut, Bertrand Millat, Gerhard F. Buess

Best ecu laparoscopic surgeons have compiled the concepts of the eu organization for Endoscopic surgical procedure (EAES) during this publication. All statements are established not just at the specialists' evaluations, but additionally on a proper evaluate of the medical literature. This paintings permits readers to achieve an outline of leading edge surgical examine. All ideas describe precisely the confirmed advantage of each one surgery and approach. so much instructions comprise key statements. All chapters stick to a based structure to permit quickly id of all thoughts. In precis, this paintings presents an ideal assessment of the achievements in laparoscopic surgical procedure during the final decade.

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Sample text

There were no significant differences in other QoL scores. Pfeifer et al. [97] used an ad hoc questionnaire to assess QoL in 69 patients undergoing colorectal resection for a variety of diseases, including cancer (2b). There were no significant differences 2 months after surgery. In addition to the previous comments, some experts noted that there are no data on QoL outcomes from randomized controlled trials with total mesorectal excision. Diverticular Disease Key Points and Suggestion for QoL Assessment For diverticular disease, laparoscopic and open approaches have similar long-term results in QoL improvement (EL 2b).

Five years after surgery, Roblick et al. [107] asked 45 matched patient pairs to assess their QoL using the SF-36 (2b). No significant differences were found at this late point in time after the surgery. Short or intermediate-term results were not available. Groin Hernia Key Points and Suggestion for QoL Assessment Compared to open hernia repair, laparoscopic surgery (TAPP and TEP) improves QoL more quickly (EL 1a). This is also true for bilateral hernia repair (EL 1b). Long-term restoration of QoL is not different (EL 1a).

Because differences have been shown at 6 months after surgery, measurement of QoL in future trials should be done at least 6 months. Background and Evidence Five randomized and four nonrandomized trials compared laparoscopic with open hysterectomy. Ellstræm et al. [30] administered the SF-36 to 76 patients (1b). Three weeks after operation, the laparoscopic group had significantly better scores in physical functioning, role-physical, bodily pain, and social functioning. At the end of follow-up, 12 weeks after surgery, there were no significant differences between the two patient groups.

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