Our experience in surgical treatment of diverticula of the colon.
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Biomedical subjects
Publications and source records attributed to B Lazarkiewicz.
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Results of the treatment of 225 patients operated between 1991-1995 on the colorectal carcinoma in the II Clinic of Surgery, Medical Academy Wroclaw are evaluated. The analysis of the own material covers the tumor site, age of the patients, histologic grade and clinical stage according to Dukes. The type of surgical procedure--curative or palliative and the evaluation of the survival, death and recurrence rate is presented. Curative procedures were possible only in approximately 60% of cases. The Dukes stage C and D was established in 55.5% of the operated patients. Authors believe that such a significant number of advanced cases was the reason of so poor results. In conclusion they suggest to introduce screening tests for early detection of colorectal carcinoma.
We have included PGE-1 to the clinical management of varicose ulcers of the leg. We found the results very interesting and promising. The literature on using PGE-1 for this disease entity is rather poor and the biomechanics is still unclear.
During the last 30 years, 280 retrosternal esophageal replacements from stem intestinal grafts were performed at GIT Surgery Clinic AM in Wroclav. Both clinical and auxiliary investigations showed the small intestine grafts have been of the best function as to the food passage. In esophagi made from the large intestine, the following and mostly frequent changes occur: the dilatations of their lumina, the stop of food passage and inflammatory changes varying in both the degree and extent. Inflammatory changes as well as ulcers are rather difficult to detect by radiology. Through the last years, the Second Clinic of General Surgery AM in Wroclav provides endoscopy of artificial esophagi. Being sophisticated, this approach is of benefit in early determining pathologic changes in the esophageal wall, the collection of contents for biochemical tests, tissue biopsies for histology and the initiation of appropriate therapy.
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223 rectal carcinoma patients were treated between 1965 and 1985 at the Department of Surgery of the Academy of Medicine at Wrocław in Poland. Radical surgery was performed in 136 patients and a palliative method of 72 patients. Among the 136 radically treated patients, the five-year survival rate was 46.3% and the 10-15 year survival rate 14.7%. Of the 72 patients subjected to palliative surgery, only three survived for five years.
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