The aim of the study was to evaluate a prognostic value preoperative neutrophil-to-lymphocyte ratio (NLR) on long-term survival cirrhotic and noncirrhotic hepatocellular cancer (HCC) patients managed by curative-intent liver surgery in developing country.During period between November 1, 2001, December 31, 2012, 109 underwent potentially curative hepatectomy for HCC. Data were retrospectively reviewed from prospectively collected database. median follow-up 25 months. NLR estimated dividing...

To date, it is unclear which treatment modality, liver resection (LR) or transarterial chemoembolization (TACE) the more appropriate for patients with huge (≥ 10 cm) hepatocellular carcinoma (HCC). The study aim was to compare, using propensity score matching, short- and long-term outcomes of HCC who underwent potentially curative LR TACE. Patients had been managed at Clinical Center by curative-intent palliative TACE between November 2001 December 2018 were retrospectively identified....

The occurrence of independent synchronous esophageal carcinoma in patients with grossly invasive cancer (GEC) is well known. Although multiple primary the esophagus not uncommon, exact prevalence controversial, and its clinicopathologic features remain relatively unknown.Fifty-four squamous cell GEC who underwent transthoracic esophagectomy systematic lymphadenectomy between 1987 1991 at Institute for Digestive Diseases, Belgrade University Clinical Center, were included study.Detailed...

<i>Background/Aims:</i> Intraoperative blood loss is still a major concern for surgeons operating on the liver since it associated with significantly higher rate of postoperative complications and shorter long-term survival. An original radiofrequency (RF)-assisted minimal technique transecting parenchyma presented. <i>Methods:</i> In prospective study, starting November 2001 ending December 2005, total 90 RF-assisted resections were done. Pre-cut coagulative...

Nutritional and immunological status of patients with obstructive jaundice is usually severely altered, high mortality rates. The n-3 polyunsaturate fatty acids (PUFA), particularly eicosapentaenoic acid (EPA, 20:5 n-3), posess potent immunomodulatory activities. Thus, our aim was to compare the plasma phospholipid (FA) composition these healthy subjects, as well before after 7 days preoperative supplementation doses EPA (0.9 g per day) docosahexaenoic (DHA, 22:6 n-3, 0.6 day). We found...

Introduction. The dilemma whether to use the mesh or non technique in management of umbilical, epigastric and small incisional hernia is slowly fading away. open preperitoneal "flat mesh" performed as ambulatory surgery may be one solutions. Aim. aim this retrospective study present results within Material methods. This included 34 patients (11 them with 13 8 hernia) operated by surgeon period January 2004 - 2006. Results. median operative time was 52 minutes for umbilical hernia?s, 43...

Treatment of colorectal metastatic cancer is still challenging, despite recent improvements in chemotherapy. A genetic profile, such as the KRAS (Kirsten rat sarcoma) gene status, plays a key role individualized tailored therapy. Molecular targeted therapy added to neo-adjuvant chemotherapy can achieve better pathological response and prolong survival. Pathological complete stage IV rare. 47-year-old female patient presented with rectal adenocarcinoma three liver metastases (cT3d/4, N2, Ml)....

The authors present a short overview of the development elective splenic resections. Past and indications are presented. Contemporary hemostatic technique for resection discussed. An original new transsegmental partial using RF generator (Radionic Cool Tip) without any additional procedures is This inovative when use properly it practically zero blood loss technique. A patient with Further clinical application necessary.

We report a case of heparin-induced thrombocytopenia thrombosis (HITT) syndrome in patient prophylactically treated with low molecular weight heparin. A 66-year-old men underwent radiofrequency-assisted partial liver resection for colorectal carcinoma metastases year-and-a-half after he had been operated rectal cancer. In the postoperative period, was prophilactically reviparin sodium. On 8th day, platelet count decreased by more than 50% without clinical signs thrombosis. HITT suspected on...

The aim of this study is to present our experience in the diagnosis and treatment pancreatic pseudocysts. A pseudocyst an incapsulated collection juice, enclosed by nonepithelial elements, containing a high concentration enzymes, bicarbonates necrotic detritus. It common complication acute pancreatitis trauma pancreas. In period between 1996 2001, 53 surgical procedures were performed for at Institute Digestive Diseases (First Surgical University Hospital), 35 male patients (67%) 17 female...

The aim of the present study was to microscopically assess tissue-sparing potential contemporary radiofrequency-assisted liver resection (RF-LR) techniques.Twenty-four pigs were subjected either (1) partial hepatectomy (PH) using sequential-coagulate-cut (SCC) technique (group SCC, n = 6) a monopolar electrode, bipolar electrode Habib-4X H, or "crush-clamp" CC, 6); (2) sham operation Sham, 6). At 48 h post-operation, parenchyma proximal ablation rim excised for histopathologic examination...

After the introduction of prosthetic material in hernia surgery fundamental changes operative strategy occurred. This is because coverage miopectineal orifitium with non-absorbable prosthesis decreases incidence recurrences. Because appearance lateral re-recurrences after classical Rives procedure, we modified technique. The technique consists following: always polypropilen mesh 15x10cm; creation new internal inguinal ring between Poupart's ligament and mesh; no notching anchoring 2-3cm from...

In solving inguinal hernias, surgeons today have in front of them many variations different operative procedures (both tensional and non-tensional techniques). They are performed through or endoscope approach. Classical tension techniques present the operation choice for smaller indirect, direct femoral hernias among younger patients while non/tensional best solution all types hernia older with big destruction transversal fascia most recurrent hernias. Positioning mesh can be completed on...

Radiofrequency (RF)-assisted resection techniques are associated with minimal blood loss providing safe hemostasis of the transected liver 1-3 parenchyma. Different RF-assisted have been developed. The presented RF technique is sequentional coagulate-cut (?The Belgrade technique?) and difference from other way electrode used. A cycle can be described as a process creating 30-mm long 6-8 mm wide cylinder coagulated desiccated tissue by applying energy through non-insulated tip inserted into...

The presence of benign and/or malignant liver lesions is not easy to determine, especially differentiated. Preoperative diagnosis has include more procedures for correlation data in order establish the correct and proper treatment. case a 72-year-old female patient who was admitted because appearance persistent dull pain under right rib cage. Ultrasound CT findings verify two changes liver, various radiographic characteristics. One change good, other cystic. easily elevated tumor markers...

Peripancreatic lymph node tuberculosis is a rare disease with difficult diagnosis. The case of 61-year-old patient who was admitted because intermittent dull pain in upper abdomen lasting 3-4 months followed by nausea, loss appetite and body weight. applied diagnostic procedures indicate change the head pancreas. method choice for establishing definitive histopathological diagnosis biopsy lesion. Biopsy changes can be done using U.S., CT, Endo U.S. laparoscopy. Surgery last resort only to establish