- Hepatocellular Carcinoma Treatment and Prognosis
- Gastrointestinal disorders and treatments
- Pancreatic and Hepatic Oncology Research
- COVID-19 and healthcare impacts
- Pancreatitis Pathology and Treatment
- Appendicitis Diagnosis and Management
- Esophageal and GI Pathology
- Shoulder and Clavicle Injuries
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Gallbladder and Bile Duct Disorders
- Liver Disease Diagnosis and Treatment
- Tracheal and airway disorders
- Congenital Anomalies and Fetal Surgery
- Parasitic infections in humans and animals
- Trauma Management and Diagnosis
- Anorectal Disease Treatments and Outcomes
- Colorectal Cancer Surgical Treatments
- Shoulder Injury and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Neuroendocrine Tumor Research Advances
- Biliary and Gastrointestinal Fistulas
- Abdominal vascular conditions and treatments
- Regional Development and Management Studies
- Thermal Regulation in Medicine
- Vascular Malformations and Hemangiomas
University Hospital Centre Zagreb
2016-2025
University of Zagreb
2015-2023
Klinički Bolnički Centar Rijeka
2019-2023
Universitätsklinik für Chirurgie Wien
2020
Sisters of Charity Hospital
2019
Zagreb School of Business
2019
Background/Objectives: Our study describes hyperbaric oxygen therapy (HBOT) as an additional in the conservative treatment of Crohn’s disease (CD) and its benefit early postoperative period to prevent surgical complications improve gastrointestinal motility. Methods: This retrospective evaluated HBOT patients hospitalized at Clinical Hospital Center Split for CD between 2015 2020. Patients (N = 61) aged 19 67 with perianal fistulas, abscesses, obstruction, stenosis, or bleeding were...
Background/Objectives: Acute necrotizing pancreatitis (ANP) with secondary infection of necrotic tissue is associated a high rate complications and mortality. The optimal approach still debatable, but the minimally invasive modality has gained great attention in last decade as it follows principle applying minimal surgical trauma to achieve satisfying therapeutic objective. We compared clinical outcomes between step-up (SUA) open necrosectomy (ON) treatment acute pancreatitis. Methods: A...
In this article, we comment on the article by Wang et al published in recent issue of World Journal Gastroenterology Surgery . Most prominent advancements liver surgery last two decades are related to refinements surgical technique (extraglissonean approach) and technology (laparoscopy robotics). authors present both these aspects: Laparoscopic segmentectomy using extraglissonean approach. Furthermore, they describe segmental resections all 8 segments which is main novelty that can be...
SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. This is a cross-sectional study reported in compliance with CHERRIES guidelines conducted through an online platform from June 14th July 15th, 2020. The primary outcome was burden burnout during indicated by validated Shirom-Melamed Burnout Measure. Nine hundred fifty-four completed survey. median length practice 10...
Background and aims Colorectal liver metastases (CRLMs) represent the most prevalent form of secondary tumors, insufficient future remnant (FLR) often leads to unresectability. To tackle this challenge, various methods for stimulating hypertrophy have been developed including portal vein embolization (PVE), associating partition ligation staged hepatectomy (ALPPS) newest one, venous deprivation (LVD). ALPPS was thoroughly studied over last decade it has shown induce rapid intensive FLR...
Abstract Background Minimally invasive total gastrectomy (MITG) is a mainstay for curative treatment of patients with gastric cancer. To define and standardize optimal surgical techniques further improve clinical outcomes through the enhanced MITG quality, there must be consensus on key technical steps lymphadenectomy anastomosis creation, which currently lacking. This study aimed to determine an expert from international panel regarding aspects performance oncological indications using...
Rectus sheath hematoma (RSH) is a rare but potentially dangerous clinical entity that requires medical supervision.Here we discuss one such case which describes the fatal course of spontaneous RSH during hospital admission.Usually, presents as minimal abdominal wall swelling with self-limiting in and size progression, specific conservative or invasive measures are necessary to prevent serious complications including hypovolemic shock death.
H-type tracheoesophageal fistula is a rare congenital anomaly that seldom diagnosed in the neonatal age. Documenting it and then locating at surgery are both difficult. A case presented to highlight diagnostic therapeutic utility of trans-fistula guidewire placement.
The associating liver partition and portal vein ligation (ALPPS) is a novel procedure with increasing number of scientific clinical studies, by now, it showed to be efficient safe in selected group patients. Here we present the first case ALPPS done after double TACE 64-years-old female patient extensive hepatocellular carcinoma right lobe. was successful remnant significant 90% hypertrophy which proves that sometimes can performed palliative procedures malignancies.
Chronic kidney disease (CKD) is a very common chronic non-communicable disease. Phosphate and calcium metabolism disorders are one of the most features CKD. Sevelamer carbonate widely used non-calcium phosphate binder. Gastrointestinal (GI) injury associated with sevelamer use documented adverse effect but underrecognized as cause gastrointestinal symptoms in patients We report case 74-year-old woman taking low-dose serious effects causing colon rupture severe bleeding.
Inflammatory myofibroblastic tumors (IMTs) are rare soft-tissue that can occur at virtually any anatomical site. We report the case of a 58-year-old male with an IMT fourth part duodenum who presented signs and symptoms high intestinal obstruction bilious vomiting. The patient underwent surgical resection end-to-end duodenojejunal anastomosis. follow-up period 6 months was uneventful no evidence recurrence. According to our knowledge, only six cases duodenal IMTs have been reported in...
Duodenum is the second most common location of intestinal diverticula. It extremely rare that periampullary duodenal diverticulum causes obstructive jaundice. This condition was first described by German surgeon Gerhard Lemmel in 1934.(1) Lemmel's syndrome defined as jaundice due to a absence choledocholithiasis or neoplasm. We present case 69-year-old male patient admitted our hospital for painless icterus. Diagnostic workup use MSCT revealed (Figure 1) while MRCP and endoscopy confirmed...
Gastrointestinal stromal tumors (GISTs), being the most common mesenchymal of gastrointestinal tract, arise commonly in stomach (60-70%) and small intestine (20-25%) while other sites origin are rare.In cases, they dia gnosed accidentally due to their indolent clinical course; however, 10-30% have malignant potential.Gastric esophageal GISTs carry a better prognosis than bowel similar size mitotic rate.Complete surgical resection is only potentially curative procedure, but despite its...
Atraumatic splenic rupture is an uncommon complication of acute pancreatitis. This article presents a case 35-year-old patient presenting with pancreatitis who subsequently developed vein thrombosis and requiring laparotomy splenectomy. rare but life-threatening requires prompt recognition management in patients develop sudden hemodynamic instability.
Hemangioma of the small intestine is a rare vascular malformation which mostly presents as occult gastrointestinal bleeding and iron-deficiency anemia. Patients are often asymptomatic except fatigue due to Hemangiomas can arise anywhere in luminal tract, with jejunum most commonly involved site. They very hard recognize their localization. Video capsule endoscopy balloon-assisted enteroscopy have much improved preoperative diagnostics made major contribution establishing diagnosis – was...