PubMed Health⌕ Search

Biomedical subjects

K Sarcev

Publications and source records attributed to K Sarcev.

6 recordsLinked to original sources

[Personal experience with segmental corporo-caudal allotransplantation of the pancreas in an experiment on dogs].

In the Institute for Surgery, its Experimental Centre, has already several years an experimental transplantations of pancreas been carried out with the aim of learning surgery technique and performing a clinical transplantation of that organ. In our work we have used a technique of corporacaudal allotransplatation of pancreas with vascular anastomosis. As the blood vessels of the graft we have used the arteria and vena lienalis with parts of aorta and portal vein, which have been anastomosed with a. and v. iliaca communis of the pancretotomized recipient. We have used techniques of the open pancreatic duct, ligated pancreatic duct, our own technique of permanent bleeding of the pancreatic graft during the transplantation pancreaticojejunostomy and pancreatico-vesicular anastomosis. As the parameters of function of allograft we are using: glycaemia, i.v. GT test, K constant, insulinaemia, amylasaemia, length of survival of animals and pathohistological finding. The average term of survival of experimental animals was 28 days. During the function of alograft the experimental animals shown some signs of laboratory subclinical diabetes. Refusal of transplant was followed by sudden increase of glycaemia, without any clinical or laboratory sign of anticipation of the refusal.

Animals↗

[20 years' experience in the treatment of abdominal echinococcosis (1966-1987)].

Primary echinococcus of abdominal localization at Clinic of Abdominal and Endocrine Surgery in Novi Sad in twenty years period is rare disease, without decreasing tendency. Mostly, there is general and local manifestations on which, one can suspect on disease, and almost in all cases prove it by US and CT. These diagnostical procedures contributed to earlier and better surgical treatment. The most common localization of the cyst is liver. Choice of operative procedure is termed by pathomorphological particularity of the cyst, type of complication and recidive prevention. Intraoperative exploration of biliary tract has an important place in prevention of biliary fistulas. Authors underlined controversy about uncomplicated cyst treatment and emphasized that they are often today grateful to noninvasive diagnostics methods.

Abdomen↗

[Total abdominal colectomy in treatment of acute malignant obstruction of the left colon].

This paper deals with an experience of a total abdominal colectomy in acute malignant obstruction of the left sided colon. Ten patients were treated with total abdominal colectomy during 1991 with a high frequency of synchronous carcinoma (in two patients) and precancerous lesions (a big polyp in one patient) in total 30%. One patient died after the treatment (10%) and a complete dehiscence of the ileo-rectal anastomosis and reoperation on the ninth postoperative day. One patient had had an infection of the wound. Total abdominal colectomy is an operation which can have an important role in decreasing malignant reoccurrence, avoiding stoma in the postoperative period of one month in most patients. Absolute indication for total abdominal colectomy in patients with acute malignant obstruction of the left sided colon is the "closed loop" obstruction with a decompensated colon, as well as the factor of heredity in close relatives and the absence of locally spread tumors and metasthases disregarding the age of the patient and the competence of the ileocecal valvula.

Acute Disease↗