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M Mirković

Publications and source records attributed to M Mirković.

13 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↗

[Injuries of the extrahepatic biliary tract].

We represented two injuries of extrahepatic bile ducts upon our clinics materijal within last ten years. With the first case we had isolated rupture calculus gallbladder by closed abdominal injury. Secend case had opend abdominal injury and rupture of gallbladder and common bile duct. We faund gallbladder teard off in Douglas spece. We solved both cases succesfully with cholecystectomy and in secend case we also aplied suture of common bile duct with T tube drainage.

Adolescent↗

[Liver injuries at the surgical clinic in Novi Sad from 1967-1978].

Experience gained from 80 ceses of liver injuries which have been under treatment at the Clinic of Surgical Diseases in Novi Sad in the period from 1967 to 1978 has been presented in this article. The number of liver injuries has amounted to 0,3% from a total of 23.300 injuried persons who have undergone the treatment at this clinic. The problems of dealing with liver injuries, especially those which can be expected in wartime, have been particularly emphasize.

Humans↗

[Surgical trauma in laparoscopic and classical cholecystectomy].

INTRODUCTION: Accidental or surgical trauma stimulates a response and its intensity is proportional to extent of trauma. The aim of this prospective study was to compare the intensity of the acute-phase reaction and metabolic changes in patients undergoing elective cholecystectomy for chronic cholecystitis. PATIENTS AND METHODS: Sixty patients with cholelithiasis were divided into two groups: thirty patients underwent laparoscopic cholecystectomy (LC group) and thirty patients open cholecystectomy (OC group). Glucose concentration, mean cortisol concentration, C-reactive protein, albumin levels and lactate-dehydrogenase activity were measured preoperatively and postoperatively for up to 48 hours. RESULTS AND DISCUSSION: The examined groups of patients were comparable in regard to age and sex. The duration of operation was similar in both groups. Postoperative hospital stay after laparoscopic operation was significantly shorter than after open cholecystectomy (p < 0.05). The mean glucose concentration (s.e.m.) during the initial 24 hours after surgery was significantly higher (p < 0.05) following open cholecystectomy. The mean cortisol concentration was significantly higher (p < 0.05) following open in regard to laparoscopic operation. Increase in plasma C-reactive protein was significantly higher (p < 0.05) after open cholecystectomy, with maximal levels 48 h after operation. There was a statistically significant decrease (p < 0.05) in albumin concentration after open cholecystectomy. Serum concentration of intracellular enzyme lactate-dehydrogenase increased significantly (p < 0.05) following open in regard to laparoscopic cholecystectomy. CONCLUSION: According to these results, aspects of metabolic and acute-phase responses and tissue damage are reduced following laparoscopic cholecystectomy. The mean postoperative hospital stay was significantly shorter after laparoscopic cholecystectomy with rapid patient recovery.

Acute-Phase Proteins↗