Biomedical subjects

V Havelka

Publications and source records attributed to V Havelka.

3 recordsLinked to original sources

PubMed2002

[Bronchopleural fistula after anatomic pulmonary resection].

OBJECTIVE: The authors evaluate in a retrospective study the incidence of bronchopleural fistulae after lung resections implemented in their department in the course of 12 years, and reflect on the causes of their development. METHOD: They compare their experience with mechanical and manual suture of the large bronchi in relation to the incidence of fistulae, with experience assembled by other departments. RESULTS: While preferring mechanical suture of the bronchus, they achieved in a group of 1601 pulmonary resections a 0.87% incidence of bronchopleural fistulae whereby after mechanical suture a fistula was recorded in 0.74% and after manual suture in 2.52%. CONCLUSION: Based on the results of their observations which they compare with work of others, the authors assume that if the department has adequate experience, impaired healing of the bronchus is rare regardless whether the manual or mechanical technique of suture is used.

Adult↗

PubMed2002

[Videothorascopic lung biopsy--diagnostic yield of one biopsy sample].

OBJECTIVE: The authors evaluate in a retrospective study the diagnostic yield of videothorascopic (VTS) biopsy of the lungs and evaluate the representativeness of one wedge-shaped bioptic specimen of the lungs collected by an endoscopic device according to HRCT, and the macroscopic finding on operation. METHOD: Based on the indication of a pneumologist in 1993-1999 210 patients were subjected to VTS pulmonary biopsy when all non-invasive diagnostic methods had been exhausted. RESULTS: The bioptic specimens gave diagnostic yields in 202 cases (96.2%), the most frequent histological finding included idiopathic pulmonary fibrosis and sarcoidosis. CONCLUSION: From the results ensues that collection of one sufficiently large and aimed bioptic specimen leads to a correct diagnosis in a high percentage of cases.

Adolescent↗

PubMed1998

[Complications after pulmonary resection].

This retrospective study analyses the postoperative complications of the 587 lung resections performed at our department in the period of 1993--1996. Of 587 resections 435 ones were performed for bronchogenic cancer. The mean age of the patient at the time of operation was 53.3 years ranging from 9 to 79. 30 patients were 70 years old and older. In that group there were 452 men and 135 women. The most frequent resection procedure was lobectomy (61.2%) followed by pneumonectomy (19.8%), wedge resection (11%), bilobectomy (6.1%) and segmentectomy (1.9%). Bronchoplastic procedures made up 6.5% of all procedures. 5 patients died within 30 days of the surgery (mortality 0.85%). 3 of them had undergone pneumonectomy (mortality 2.6%) and 2 of them lobectomy and bilobectomy (mortality 0.5%). Postoperative complications occurred in 89 patients (15.2%). In this group the mortality was significantly higher for the patients after pneumonectomy. The morbidity was significantly higher for patients 70 years or older (23.3%). The morbidity after pneumonectomy (9.5%) was not higher than the morbidity after less extensive resections. We conclude, that low incidence of mortality and major morbidity reflects careful preoperative management, selection of appropriate surgical procedure and anesthestesia and postoperative care.

Aged↗