Biomedical subjects

Andrzej Budzyński

Publications and source records attributed to Andrzej Budzyński.

10 recordsLinked to original sources

PubMed2005

[Preoperative diagnostics in patients with adrenal tumors].

The aim of the study was analysis of preoperative diagnostics of patients who underwent laparoscopic adrenalectomy. In the preoperative diagnostics in 10 patients (22.2%) pheochromocytoma was found, in 8 (17.8%) Conn's syndrome, in 4 (8.9%) Cushing's syndrome and in 1 (2.2%) adrenal virilization. Full accordance between histopathological findings and preoperative diagnosis was achieved in 91% of cases. Four cases of discrepancy were: 1 false positive preoperative diagnosis of aldosteronoma, 1 false positive and 2 false negative diagnosis of pheochromocytoma.

Adosterol↗

PubMed2003

[Laparoscopic surgery of the large intestine].

Contemporary concepts regarding the use of laparoscopy in large bowel surgery were presented. Indications, contraindications and limitations of this technique were given. Operative technique of the most common procedures was discussed.

Colonic Neoplasms↗

PubMed2003

[The decade of laparoscopic cholecystectomy].

The role of laparoscopy in the treatment of gallbladder stones has been discussed. Operative technique, intraoperative difficulties, complications and its treatment were presented. Indications, postoperative course, advantages and drawbacks of minimally invasive techniques in the treatment of cholelithiasis were discussed.

Cholecystectomy, Laparoscopic↗

PubMed2003

[Laparoscopic emergency surgery].

Up-to-dated concepts about the use of laparoscopy in the "acute abdomen" have been discussed. Most frequently performed procedures in abdominal emergency and trauma were presented. Indications, contra-indications, advantages and drawbacks with regard to own 10 years experience and literature were discussed.

Abdomen, Acute↗

PubMed2003

[Acute appendicitis--open or laparoscopic surgery?].

UNLABELLED: Laparoscopy is used more and more frequently in the treatment of abdominal emergencies including acute appendicitis. This technique has a lot of advantages especially in the group of the young female patients, where the differential diagnosis between gynecological diseases and appendicitis is difficult. AIM OF THE STUDY: The study is designed to compare the results of open and laparoscopic exploration in patients with suspected appendicitis. MATERIAL AND METHODS: From 1998-2001 we performed 278 operations for suspicion of appendicitis in the 2nd Dept. of Surgery of the Jagiellonian University. There were 127 laparoscopic procedures performed in 46 men and 81 women (mean age 28.6 years) and 151 classical exploration in 99 men and 52 women (mean age 37.9 years). We reviewed retrospectively the patients' data analysing age, sex, duration of the procedure, length of the hospital stay, intraoperative and postoperative complication rate. RESULTS: The patients operated classically were older than patients operated laparoscopically. The proportion of male and female patients was reversed in both types of exploration. The female patients composed a majority (2/3) in the case of laparoscopic procedures and minority (1/3) in the case of open operations. The average duration of open appendectomy was 43 min. as compared with 49 min. of laparoscopic procedure, which was however getting shorter in the analysed period. The mean length of the hospital stay was twice shorter after laparoscopic appendectomy (4.8 days vs 8.4 days). There were only 4 (3.15%) complications connected with laparoscopic technique and 34 (22.52%) complications after open appendectomy. There were 12 (9.45%) conversions, most of them in patients with the retrocoecal position of the appendix. The diagnosis of acute appendicitis was confirmed in similar percentage in both operation types (laparoscopy--78.74%, open technique--79.47%). There were also similar proportions of the patients with no macroscopical changes in the appendix and with other abdominal diseases. CONCLUSIONS: Laparoscopy allows for the precise diagnosis and final treatment in most patients with the suspected acute appendicitis. Some patients also avoid laparotomy. Hospital stay is significantly shorter and complication rate is markedly lower among patients operated laparoscopically.

Acute Disease↗

PubMed2003

[Stromal tumor of the stomach in a 14 year old girl].

We present a case of a 14 year old girl with gastrointestinal stromal tumor (GIST) of the stomach. The patient discovered epigastric tumor on palpation. CT and ultrasound revealed tumor arising from the gastric wall, biopsy suggested GIST. Gastroscopically 6 cm policyclic lesion covered by unchanged mucosa has been visualized. Patient was submitted to operative management. There were no features of dissemination or invasion of surrounding structures. Stomach resection according to the Rydygier procedure has been performed. Histologically tumor arose from the muscularis propria. Mitotic activity was high 8/50. Immunohistochemical reaction against CD-117 was positive and in some parts against CD-34 which confirmed GIST. SMA and ALK were negative which excluded myogenic or inflammatory myofibroblastic tumor. Postoperative course was uneventful. There were no indications for adjuvant therapy. No recurrences were observed during follow-up.

Adolescent↗

PubMed2002

Incidence of complications of peptic ulcers in patients with Helicobacter pylori (Hp) infection and/or NSAID use in the era of Hp eradication.

BACKGROUND: Hp and NSAID are considered as major pathogens in peptic ulcerations and their complications but little is known about the incidence of ulcers and their complications following wide-spread use of Hp eradication. The aims of the study were: 1) to analyze incidence of ulcers and their complications, bleeding and perforations at time when the Hp eradication has been used in ulcer therapy, and 2) to assess the impact of Hp infection and NSAID use on the incidence of ulcers and complications. MATERIAL/METHODS: From 1996 to 2001, 381 patients with complications of peptic ulcers were admitted to the emergency surgery, including 273 patients with bleeding ulcers and 108 with perforations out of a sample of 6515 dyspeptic patients examined with upper endoscopy and 13C-urea breath test (UBT). RESULTS: The rate of ulcer bleeding and perforations, remained relatively constant throughout the study period. NSAID use in that group increased form 15.8% in 1999 to 19.4% in 2001. The incidence of Hp in patients with complications assessed by UBT or CLO was 76.7%, while the incidence of Hp in 7920 patients ranged form 72.8% in 1996 to 53.8% in 2001. There were 1940 (29.7%) patients with duodenal and/or gastric ulcer diagnosed by upper gastroscopy. The decline in the prevalence of peptic ulcer from about 44% to 8% occurred over the same time. A slight increase in the number of ulcer resulting from NSAID use was observed so was the number of ulcers without Hp or NSAID (idiopathic). CONCLUSIONS: Despite decreased Hp prevalence, the incidence of ulcers complications remained unchanged probably due to increased use of NSAID and the appearance of idiopathic ulcers.

Anti-Inflammatory Agents, Non-Steroidal↗

PubMed2002

[Laparoscopy in abdominal emergencies].

Up-to-dated concepts about the use of laparoscopy in the "acute abdomen" have been discussed. Most frequently performed procedures in abdominal emergencies and trauma were presented. Indications, contraindications, advantages and drawbacks with regard to own experience and literature were discussed.

Abdomen, Acute↗

PubMed2002

[Minimally invasive endocrine surgery].

Contemporary concepts regarding the use of endoscopic techniques in endocrine surgery have been presented. Laparoscopic adrenalectomy as a generally accepted method of treatment of benign adrenal tumours was discussed. Indications and technique of transperitoneal and retroperitoneal access were given. Operations of hormonally active tumours of the pancreas, parathyroids and thyroid were presented.

Adrenalectomy↗

PubMedDate not supplied

[Percutaneous endoscopic gastrostomy in amyotrophic lateral sclerosis patients with dysphagia. A preliminary report].

Percutaneous endoscopic gastrostomy (PEG) has been proposed as symptomatic treatment of dysphagia in amyotrophic lateral sclerosis (ALS) patients. The aim of our study was to assess the safety and complications and survival after PEG implantations in 13 ALS patients. We discuss the factors related to survival in two groups: dead (6 out of 13 patients) and alive (7 out of 13) after PEG implantations. We demonstrate that the PEG procedure is quite safe and forced vital capacity (FVC) is a major factor related to survival after PEG implantation in studied patients.

Aged↗