Published in Khirurgii︠a︡
Anti-reflux laparoscopic operations replaced conventional surgery and are now widely available, because of the advantages of this type of surgery. One of the main reasons for the high complications rate in this type of operations is the lack of experience of the surgeons, although recently in the reports of most leading authors complications and in...
Published in Khirurgii︠a︡
Despite the small sample size, our series clearly demonstrate the benefits of DCS and open abdomen in trauma patients with exsangiunating bleeding. The survival rate is highly dependent on the rapid implementation of DCS in properly selected patients. V.A.C. and VP provide a high rate of primary fascial closure in trauma.
Published in Khirurgii︠a︡
The Peutz-Jeghers syndrome is inherited condition, characterized by hamartomatous gastrointestinal polyposis and with mucocutaneous pigmentation. We have experienced a case with typical clinical features, diagnosed before complication's development. In order to prevent cancer setting it is recommended to perform aggressive screening and high-techno...
Published in Khirurgii︠a︡
The filed of liver transplantation (LT) continues to evolve and is highly effective therapy for many patients with acute and chronic liver failure resulting from a variety of causes. Improvement of perioperative care, surgical technique and immunosuppression in recent years has led to its transformation into a safe and routine procedure with steadi...
Published in Khirurgii︠a︡
Based on the results of 62 simultaneous operations in patients with synchronous liver metastases from colorectal cancer, an attempt was made to calculate the index, assisting the surgeon in the selection of the liver resection, considering the sensitivity and specificity of the test. The index is calculated using equations based on variables and th...
Published in Khirurgii︠a︡
Further randomized controlled trials are required for extensive research of this problem.
Published in Khirurgii︠a︡
The combination of modern non-invasive imaging methods reaches diagnostic sensitivity and specificity sufficient to identify the liver hemangioma and take a decision on the therapeutic conduct. The possibilities for surgical treatment is limited and is applied upon strict indications. Liver resections in different volume and enucleations should be ...
Published in Khirurgii︠a︡
The follow up of patients operated for colorectal cancer (CRC) and the early detection of recurrences and metachronous tumors improves significantly the results of treatment and the survival of the patients. Computed Tomography (CT) and fibro-colonoscopy (FCS) are the main applied image diagnostic methods for this aim. Alternative unified method is...
Published in Khirurgii︠a︡
Mucinous cystic neoplasm (MCN) with low grade dysplasia of the liver is rare. It had been previously called hepatobiliary cystadenoma and is seen almost exclusively in women without an associated invasive carcinoma. There are different theories for development of MCN of the liver. One of these is developing from endodermal immature stroma or primar...
Published in Khirurgii︠a︡
The synchronous bleeding from upper and lower GIT should be considered, especially in the cases with portal hypertension. The angiography and computed tomography angiography are valuable diagnostic methods, able to localize the bleeding a thus to reduce the morbidity and mortality.
