[Complications after esophageal resection and its reconstruction].
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Biomedical subjects
Publications and source records attributed to L Marko.
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Malignant melanoma of soft parts (MMSP) is a rare tumor originally described by Enzinger in 1965 as clear cell sarcoma of tendons and aponeuroses because of its affinity to tenosynovial structures. Tumors are found predominantly at the extremities. First visceral case was described in 1993 in the duodenum. We describe the case of 64-years old man with malignant melanoma of soft parts in the stomach, in the pancreas, in the mesocolon, in the left thigh and in the left axilla. This patient was successfully treated surgically by the resection of the stomach, resection of the pancreatic head, extirpation of the tumor from mesocolon, from the left thigh and from the left axilla. In all these localisations the tumor was histologically and imunohistochemically proved to be MMSP (positivity: s-100 protein, vimentin, HMB-45 and negativity CK, EMA, desmin, actin). This multivisceral occurrence is extremely rare and according to the review of literature this is probably the first published case of MMSP in the stomach and in the pancreas.
We present the first experience with laparoscopic adrenalectomy, which was in Slovakia introduced to the surgical practice on March 3, 1996. We analyse first seven patients who underwent completed laparoscopic adrenalectomy (five leftsided, two right-sided). Four patients had cortex adenoma (clinically 2 incidentalomas and 2 Cishing syndroma), three patients had cortex hyperplasia (clinically Conn syndroma). Average duration of operation was 120 minutes, there were no postoperative complications. Average postoperative hospital stay was 5 days. Our initial experiences are comparable with that of surgical departments which has more than two-years experiences. Laparoscopic adrenalectomy is a perfect method for the small adrenal tumors and it is better than traditional transabdominal approach.
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The paper deals with pancreatic abscess as one of three entities of pancreatic infection. In spite of the common origin with infected pancreatic necrosis and infected pancreatic pseudocyst, the treatment of each kind of pancreatic necrosis has its own requirements. By comparing 30 pancreatic abscesses (mortality 18%), 29 infected pancreatic pseudocysts (mortality 6%) and 35 infected pancreatic necroses (mortality 43.5%) we concluded that the best treatment for pancreatic abscess is surgical evacuation with external drainage, for that of infected pancreatic pseudocyst internal drainage operation, and for infected pancreatic necrosis surgical debridement with external drainage, lavage and open-abdomen procedure. Differences in CT scan, treatment and prognosis require different surgical approach to each type of pancreatic necrosis. (Fig. 3, Ref. 24.)
Quantitative and qualitative changes in the blood producing organs and in the peripheral blood of mice are evaluated in this paper. The animals were irradiated for 42 days continually with a daily dosage of 957 mGy. Until the 7th day of irradiation a significant diminution of the cellularity of the bone-marrow and of the cellularity as well as the mass of the spleen could be observed. After the 14th day or irradiation a temporary stabilization of the cell number in the bone-marrow could be found until the 28th day, after that time there was a moderately strong decrease. The cellularity and the mass of the spleen increased temporarily until the 28th day of irradiation because of erythropoiesis and myelopoiesis increasing from 20% to 50%. The most significant changes in the peripheral blood could be observed in not granulated cells as a kind of sudden and permanent decrease. The diminution of the granulocyte and reticulocyte number proceeded somewhat more slowly, temporarily revealing an increasing tendency on the 28th day of irradiation. The erythrocyte numbers as well as the haematocrit and haemoglobin values decreased continually beginning from the 7th day of irradiation until the death of the test animals.
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The effect upon the stem cells in mouse bone marrow of continuous irradiation at different daily exposure rates ranging from 1R--1,000R was investigated by means of the exogenous spleen colony assay. At exposure rates between 1 and 50R/day, a stabilized state in the CFU value becomes established, its level decreasing with the increase in the daily exposure. Exposure rates between 80 and 1,000R/day lead to an initial steep, but later on flatter, decrease in CFU number until death of the animals. Mass deaths occur in mice when the CFU number falls below 5%. The results further delimit the range of exposure doses for which a dependence was found of the CFU number upon the total exposure dose of continuous radiation.
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