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Biomedical subjects

J Kabát

Publications and source records attributed to J Kabát.

10 recordsLinked to original sources
PubMed1996

[Caroli's disease].

As compared with the past Caroli's disease will be more frequently diagnosed due to new examination methods. In case of clinical manifestation when the disease is confined to one lobe the possibility of lobectomy should be considered, as it is the method of choice as regards the surgical approach. It is important to emphasize the possible concurrent presence of cystic degeneration of the extrahepatic biliary pathways and renal cystosis, the possible occurrence and risk of development of cholangiocarcinoma which increases with advancing age.

Adult↗
PubMed1996

[Reoperation after gastroesophageal reflux surgery].

In a group of 19 patients reoperated after a primary operation on account of gastrooesophageal reflux the authors demonstrate that the reason for reoperation can be either a relapse of the reflux or also other complaints (most frequently dysphagia). The selection of a suitable operation is strictly individual. Cases of a short oesophagus are most difficult to resolve. The decisive factor is a correct surgical approach-laparotomy or thoracotomy.

Adult↗
PubMed1996

[Zenker's diverticulum].

In the course of 10 years 72 patients with an oesophageal diverticulum were operated, incl. 56 with a Zenker diverticulum. The incidence of operative and postoperative complications declined markedly after the introduction of peroperative fibroscopy and the use of fine absorbable atraumatic fibres, in indicated cases also puncture pharyngostomy was used. The authors did not record practically any relapses of diverticula, 81.4% of the patients are after a long-term follow up free from complaints.

Aged↗
PubMed1994

[Surgical treatment of esophageal reflux disease associated with a short esophagus].

Supradiaphragmatic fundoplication is effective therapy of complicated GER with a feasible morbidity and low mortality. These favourable results moreover do not apply to patients with primary oesophagitis but to a small percentage of patients suffering either from severe transmural oesophagitis or previous unsuccessful fundoplication. Under these conditions surgery is difficult regardless of the selected technique. An alternative possibility of supradiaphragmatic fundoplication in short oesophagus is Collis gastroplasty and fundoplication. The authors recorded good results of this operation/4, 12/. It may be, however, assumed that, at least in patients after previous fundoplication, mobilization of the oral portion of the stomach is associated either a further alteration of its blood supply and thus the risk of ischaemia of the "neo-oesophageal" suture. Supradiaphragmatic fundoplication is thus in the author's opinion the most effective therapeutic method in oesophagitis, performed on account of gastroesophageal reflux in short oesophagus.

Esophagus↗
PubMed1994

[Carcinoma of the cervical esophagus].

Resection of carcinoma of the cervical portion of the oesophagus, if it is to be radical surgery, calls as a rule for concurrent laryngectomy. Patients with severe dysphagia accept gladly even this variant of surgery. In the authors' opinion it is safest to replace the extirpated oesophagus by the colon on a vascular pedicle of the left colic arteries. In some instances in that case even the caecum remains vital. Perspectively the method of choice of a resected cervical oesophagus will be replacement by an isolated jejunal loop.

Esophageal Neoplasms↗
PubMed1991

[Problems in perineal wound healing after abdominoperineal excision of the rectum per primam].

The authors analyze different methods of treatment of perineal wounds after abdominoperineal extirpation of the rectum. They do not recommend for wider use the method of filling the cavity with an omental flap or loops of the small intestine. They consider haemostatic tamponades of the perineal cavity as obsolete in view of the large number of postoperative infectious complications. In their trials they used as a filling absorbable polymer. They elaborated a method of lavage drainage of the perineal wound which, in view of the favourable results achieved, is considered the method of choice.

Animals↗
PubMed1990

[Removal of pulmonary metastases using the Nd:YAG laser].

The authors submit a case-history on their first successful application of a Nd:YAG laser in pulmonary surgery. They operated a 17-year-old boy with metastases of a synovial sarcoma in both wings of the lungs. First the boy was operated on the left side by the classical technique, half a year later the authors used a Nd:YAG laser on the right side. By means of the laser four metastases were removed. The postoperative course was without complications. One month after operation the patient was discharged from the care of oncologists and was free of complaints. The authors compare the surgical techniques and the postoperative course of the patient. A Nd:YAG laser is a suitable supplement of the equipment of pulmonary surgeons. Since the described case the authors used the laser in same indication in another three patients.

Adolescent↗