A novel labeling modality of intra-abdominal lesions with Magseed magnetic marker and extirpation by Sentimag probe navigation.

Objective: This study aimed to evaluate our experience with the use of Magseed, the magnetic metallic marker, as a localization technique followed by Sentimag probe detection in patients with solitary intra-abdominal local metastases with subsequent resection of the lesions.

Methods: Five patients underwent resection after the lesion was marked with the Magseed magnetic marker. Prior to the surgery, a computed tomography scan of the chest and abdomen and/or positron emission tomography was performed to rule out the dissemination of the disease.

Obesity in cases undergoing the surgical procedure of lung lobectomy: risk or benefit?

Objective: The aim of the study was to evaluate the effect of body mass index on patients' short-term results following lung lobectomy.

Methods: In this retrospective study, we compared the perioperative and short-term postoperative results of obese (BMI≥30 kg/m2) versus non-obese patients (BMI<30 kg/m2) who underwent anatomical lung resection for cancer. The two groups had the same distribution of input risk factors and the same ratio of surgical approaches (thoracoscopy vs.

Ileus as a complication of butterfly wing disease case report.

Epidermolysis bullosa or butterfly wing disease is a rare genetic disorder of connective tissue associated with the formation of blisters. The clinical manifestations are very diverse and affect not only the skin cover, but also mucosal surfaces of the gastrointestinal, urogenital and respiratory systems. A large proportion of patients suffer from severe constipation with the development of megacolon.

Lifetime Carcinogenic Risk Proportions from Inhalation Exposures in Industrial and Non-Industrial Regions.

The aim of this work was to estimate the share of selected significant risk factors for respiratory cancer in the overall incidence of this disease and their comparison in two environmentally different burdened regions. A combination of a longitudinal cross-sectional population study with a US EPA health risk assessment methodology was used. The result of this procedure is the expression of lifelong carcinogenic risks and their contribution in the overall incidence of the disease.

[Laparoscopic diverting ileostomy in rectal cancer surgery].

Introduction: Low anterior resection (LAR) with total mesorectal excision (TME) represents the gold standard for patients with low rectal carcinoma. Protective ileostomy (PI) is commonly performed during LAR in an effort to protect low rectal anastomosis. The aim of this study is to analyse outcomes in our own patient population, focusing on morbidity associated with PI.

Diverting ileostomy in laparoscopic rectal cancer surgery: high price of protection.

Background: Anastomotic leakage presents the most feared complication after low anterior resection (LAR). A proximal diversion of the gastrointestinal tract is recommended to avoid septic complications of anastomotic leakage. The aim of the present study was to evaluate the benefits and risks of diverting ileostomy (DI) created during laparoscopic LAR because of low rectal cancer.

[Laparoscopic resection rectopexy in the treatment of obstructive defecation syndrome].

Introduction: Obstructive defecation syndrome (ODS) presents a common medical problem, which can be caused by various pelvic disorders; multiple disorders are frequently diagnosed. At the present, a high number of corrective techniques are available via various surgical approaches. Laparoscopic resection rectopexy is a minimally invasive technique, which comprises redundant sigmoidal resection with rectal mobilisation and fixation.

Intrathoracic splenosis - lesson learned: a case report.

Background: Intrathoracic splenosis presents an extremely rare thoracic lesion occurring after a simultaneous rupture of the spleen and diaphragm as a consequence of heterotopic autotransplantation and implantation of splenic tissue. Intrathoracic splenosis is usually an asymptomatic, incidental finding, which should be ideally managed without surgical intervention.

Case Presentation: We present a case of 68-year old woman with intrathoracic splenosis.

Laparoscopic sleeve gastrectomy for morbid obesity with natural orifice specimen extraction (NOSE).

Objective: An experience with laparoscopic sleeve gastrectomy using the natural orifice specimen extraction (NOSE) technique.

Background: Bariatric surgery is nowadays the only long term effective obesity treatment method.

Methods: Twenty one consecutive patients underwent laparoscopic sleeve gastrectomy with the use of natural orifice specimen extraction (NOSE) in the Surgical Clinic of Faculty Hospital Ostrava between May 2012 and August 2012.

3D high resolution anorectal manometry in functional anorectal evaluation.

Introduction: Anorectal manometry is a diagnostic tool designed for the evaluation of functional parameters and assessment of anorectal activity coordination. In the last decade, the development of 3D high-resolution (HR) manometry and its expansion in experimental and clinical settings has been evident. Literature search (in the MEDLINE and PubMed databases) focusing on studies about 3-dimensional HR manometry was performed.

Laparoscopic gastric resection with natural orifice specimen extraction for postulcer pyloric stenosis.

Although natural orifice specimen extraction is now relatively widely performed, there have been no reports on gastric resection with specimen extraction through the transgastric route for peptic ulcer disease. A hybrid technique of the laparoscopic and endoscopic approach is presented in the case of a 58-year old male patient. Preoperative gastric fibroscopy showed postulcer pyloric and antral stenosis.

[Surgical rectocele repair - many techniques, few unambiguous conclusions].

Introduction: Surgical treatment of rectocele represents a controversial issue on the boundary between medical specialisations with many different corrective surgical techniques. Is it possible, based on the available knowledge, to determine an optimal operative technique for rectocele repair?

Methods: Complex literature search focusing on the identification of rectocele surgical repair studies in the MEDLINE, PubMed and Google Scholar databases. The aim of this paper is to offer a comprehensive review of the contemporary situation as regards rectocele surgical repair.

[Improving the quality of histopathological examination of colorectal cancer specimens through standard protocol implementation].

Introduction: Detailed, high-quality histopathological examination of colorectal carcinoma is an essential component of accurate disease staging. The aim of this study was to evaluate the influence of standard pathological protocol implementation on the quality of colorectal cancer specimen evaluation.

Material And Methods: The standard protocol for colorectal cancer specimens evaluation was created on the basis of the NCCN guidelines for colorectal carcinoma and in accordance with the American Joint Committee on Cancer (AJCC) recommendations.

Impact of blood transfusions on survival and recurrence in colorectal cancer surgery.

The aim of our study was to evaluate the prognostic significance of blood transfusion on recurrence and survival in patients undergoing curative resections for colorectal cancer. Retrospective analysis of prospectively collected data of patients after elective resections for colorectal cancer between January 2001 and December 2009 was undertaken. The main endpoint was overall survival, disease-free survival, and recurrence rate.

[Laparoscopic lavage and drainage in the management of acute diverticulitis: is it time to move on?].

Introduction: Diverticular disease management represents a very topical issue with many unanswered questions as yet. Laparoscopic lavage and drainage in patients with acute diverticulitis is one of the controversial areas. Miniinvasive approach presents a possible treatment alternative for CT-guided percutaneous drainage and also for radical colon resection in the form of Hartmanns procedure or resection with primary anastomosis.

[The staple line in sleeve gastrectomy].

Introduction: Postoperative leak and bleeding from the staple line are potentially serious early complications following laparoscopic sleeve gastrectomy.

Aim: This study aims to assess the significance of oversewing the staple line after laparoscopic sleeve gastrectomy in preventing leak and bleeding in our group of patients.

Material And Methods: Patients after laparoscopic sleeve gastrectomy were included in the trial.

[Impact of anastomotic leakage on oncological outcomes after rectal cancer resection].

Introduction: The aim of the study was to determine the impact of anastomotic leakage on long-term outcomes after curative surgery for rectal cancer.

Material And Methods: The study included 174 patients who underwent elective, potentially curative open or laparoscopic resection with anastomoses for rectal cancer at the Department of Surgery of the University Hospital Ostrava from 1 January 2001 to 31 December 2009. Anastomotic leakage was defined as clinically or radiologically confirmed signs of local or diffuse peritonitis, gas, pus or stool from the drain, rectoscopy signs of anastomotic insufficiency, or rectovesical or rectovaginal fistula.

Laparoscopic approach for duodenal carcinoid.

Carcinoids are a heterogeneous group of neuroendocrine tumours. Duodenal localization is associated with relatively benign behaviour of the tumour, slow progression, low metastatic potential, and absence of endocrine activity. Type and extent of surgery depend on size and staging of the tumour.

Impact of conversion on outcome in laparoscopic colorectal cancer surgery.

Introduction: Long-term results after laparoscopic surgery with conversion to open surgery for colorectal cancer are seldom published.

Aim: The study analysed the impact of conversion of laparoscopic surgery to open resection for colorectal cancer on short- and long-term results.

Material And Methods: The prospectively collected data of 469 patients with colorectal cancer in the period from 1 January 2001 to 31 December 2006 were analysed.

[NOSE (Natural Orifice Specimen Extraction) in laparoscopic colorectal surgery].

Introduction: The aim of this study was to asses our initial first experience with NOSE techniques in laparoscopic colorectal surgery with both transanal and transvaginal extraction.

Material And Methods: In this prospective study, the authors analyzed data from patients in whom NOSE laparoscopic sigmoid, rectosigmoid and rectal resections were performed in the Department of Surgery, University Hospital Ostrava, from May 2011 to October 2011. A group of 7 patients was analyzed based on demographic characteristics (sex,age and BMI).

[Prevention of parastomal hernia using laparoscopic introduction of a prosthetic mesh--initial experience].

Introduction: Parastomal hernia is a very common complication after stoma formation. Current surgical procedures for repairing parastomal hernia have unsatisfactory results. The aim of this study was to evaluate our initial experience with laparoscopic prophylactic mesh placement at the time of stoma formation.

Long-term results of laparoscopic versus open surgery for nonmetastatic colorectal cancer.

Purpose: Laparoscopic surgery for colon cancer has been proven safe, but controversy continues over implementation of laparoscopic technique for rectal cancer. The aim of this study was to compare the long-term outcomes of laparoscopically assisted and open surgery for nonmetastatic colorectal cancer.

Material And Methods: From January 2001 to December 2006 all patients with nonmetastatic adenocarcinoma of the colon and rectum were considered for inclusion in this prospective non-randomised trial.

[1000 laparoscopic colorectal operations].

Aim: The aim of this study was to asses the role of laparoscopy based on experiences with 1000 miniinvasive colorectal procedures.

Material And Methods: The prospective study of 1000 patients after elective laparoscopic procedures for colorectal diseases at Municipal Hospital Ostrava Fifejdy and the Surgical Clinic of University Hospital Ostrava between February 1993 and December 2010 was undertaken. Patients with both benign and malignant colorectal pathologies were included in the study.