Neovascularization after ischemic conditioning of the stomach and the influence of follow-up neoadjuvant chemotherapy thereon.

Introduction: Esophagectomy and reconstruction remain the optimal treatment for patients with resectable esophageal cancer. Neovascularization after ischemic conditioning of the stomach before esophagectomy is a laparoscopic procedure which may potentially reduce gastric conduit ischemia.

Aim: To investigate the influence of ischemic conditioning on neovascularization along the greater curvature of the stomach and to explore the effect of neoadjuvant chemotherapy on neovascularization after ischemic conditioning.

[Assessment of thoracic trauma at the 1st Department of Surgery in Brno (1 January 2011 - 31 December 2015)].

Introduction: The number of cases of thorax injury increased steadily between 2011 and 2015. This is probably related to a more active lifestyle of the younger generations and also to the increasing average age of citizens. The aim of the study was to show problems connected with thorax injury.

[Initial experience with using uniportal VATS (SITS) to treat the implications of thoracic trauma in the 1st Department of Surgery of the Faculty of Medicine at Masaryk University and St. Annes Teaching Hospital in Brno].

Thoracic trauma represents a multidisciplinary therapeutic challenge requiring individualized approach to every patient. Continuous development and implementation of mini-invasive techniques in thoracic surgery pave way to so far unique attempts to establish video-assisted thoracic surgery for thoracic trauma as well. The indication is limited by hemodynamic stability of the patient, extent of the trauma, as well as by time required for the treatment.

[Our experience with chest wall stabilization].

Introduction: An unstable chest wall is defined as a fracture of at least three adjacent ribs broken at least in two planes. As a result of impaired mechanical strength of the chest wall, paradoxical movements occur, resulting in insufficient pulmonary ventilation with the development of respiratory insufficiency with typical consequences - hypoxia, hypercapnia and acidosis.

Methods: In this paper we describe a group of 16 patients who underwent stabilization of the chest wall.

Association of the postoperative white blood cells (WBC) count in peripheral blood after radical surgical treatment of left upper lobe non-small cell lung cancer (NSCLC) with overall survival - single center results.

Introduction: The individual patient prognosis after radical surgery for Non-small cell lung cancer (NSCLC) of left upper lobe remains still unclear. The purpose of this study is to evaluate the predictive value of elevated white blood cell count in peripheral blood as early indicator of postoperative NSCLC prognosis.

Methods: A retrospective statistical analysis was performed studying patients subject to radical treatment of left upper lobe NSCLC in period of five years with subsequent one to three-year monitoring of morbidity and mortality of the patient population.

[Multiple Primary Lung Cancer - a Case Report and Literature Review].

Background: Multiple primary lung cancer is a relatively rare nosological entity. This case report is a reminder and points out the pitfalls of its diagnosis and therapy.

Case Report: A 62-year-old patient was indicated for surgical therapy for non-small cell lung cancer of the middle lobe and right lung, which were diagnosed during a screening investigation after the patient had undergone previous mastectomy of the right breast with axillary dissection for invasive ductal adenocarcinoma.

[Repeated resection for recurrent pulmonary metastases].

Introduction: Repeated pulmonary resections are predominantly used in sarcomas, colorectal cancer, Grawitz tumours, and at a young age in general. Patients with the recurrence of pulmonary metastases within a period of six months have a poor prognosis.

Material And Methods: During the period from I/1997 to XII/2011, a total of 165 operations were performed in 149 patients.

[Wound microbial sampling methods in surgical practice, imprint techniques].

The wound is a damage of tissue. The process of healing is influenced by many systemic and local factors. The most crucial and the most discussed local factor of wound healing is infection.

[Rates of metastatic affections of mediastinal nodes during pulmonary metastasectomy].

Object: The aim is the evaluation of lymph node metastasis rate during pulmonary metastasectomy harvested by technique of systematic mediastinal lymphadenectomy in year 2009-2010.

Methods: We performed systematic mediastinal lymphadenectomy (the same technique as in non-small cell lung cancer) during pulmonary metastasectomy.

Results: There was found lymph node metastasis in four cases from 70 patients.

[Spontaneous pneumomediastinum--a case review].

The authors present in the following case review a patient with spontaneous pneumomediastinum which can be on of the causes of acute chest pain and it is necessary to think about it in the differential diagnosis of this condition.

[Is pneumonectomy justified in the management of lung metastases?].

The authors discuss about questions of possibility pneumonectomy in concept of lung metastasis therapy. They analysed in detail indications, surgery, complications, survival and factors of survival. The authors also introduce case report of one patient with pneumonectomy in your group of patients.

[Open pleural window at treatment of the advanced thoracic empyema: 20 high-risk patients' treatment experience].

Unlabelled: The aim of the retrospective clinical study was the analysis of the 20 high-risk patients operated in our department within years 2000-2008 by the modified Eloesser procedure for the serious thoracic empyema.

Material And Methods: We have analyzed the data of the 17 men and 3 women. The most important objectives were the cause of the disease, type of procedure, perioperative mortality, length of stay and subsequent procedures.

[Malignant mediastinal teratoma--a case review].

In this case report the authors present a case of mediastinal malignant teratoma of a 23 years old patient, who suddenly suffers form chest pain as the only symptom. During examination is a huge mediastinal tumor diagnosed. After histological diagnosis is a radical surgery performed.

[Multiple lung metastasectomy for the poor differentiated metastatic synovial sarcoma].

Objectives: Synovial sarcoma is the rare indication for the pulmonary metastasectomy due to its aggressive biologic behavior and early dissemination. The radical surgical approach in therapy of the multiple pulmonary metastases could improve quality of life and median survival in carefully selected patients.

Methods: From the group of 7 patients with the lung metastases of the synovial sarcoma operated in our department during the last 5 years we are presenting the case of the 39 years old man with the previous history of the surgical removal of the synovial sarcoma near the cubital fossa one year before.

Rare incidence of pulmonary gangrene--algorithm of the treatment.

The pulmonary gangrene is rare and serious disease. Our experience is based on the treatment of the 2 patients with pulmonary gangrene during the last twenty years. The first and lifesaving step in the treatment of sepsis is the early removal of the necrotic tissue.

Videomediastinoscopy for the diagnosis of the diseases of the lung and mediastinum.

Background: The biopsy of the mediastinum by mediastinoscopy is established as the most accurate method especially in the lung cancer staging, but helps also in the diagnosis of various diseases of the lung and mediastinum. The videomediastinoscopic equipment offers more precise procedure and shorter learning curve in comparison with classical technique due to the sharing of the procedure with other (more experienced) surgeon. The aim of our work was to confirm the safety and reliability of the videomediastionoscopy in our department, where the use of the traditional technique was exceptional.

[ Sentinel node detection and its importance in the surgical treatment of non-small cell lung carcinoma--review].

The optimal type of treatment of the non-small lung cancer has not been found, yet. Systematical mediastinal lymphadenectomy, which is the method of choice in the surgical resection of the lung cancer, is potentially risky and its role is still unclear. The sentinel lymph node technique represents a promising alternative to the standard treatment.

A case of a pulmonary arteriovenous malformation treated by lobectomy.

We present a case of pulmonary arteriovenous malformation (PAVM) in central localisation (type IIIa) of the upper lobe of the left lung. We discuss diagnostic (Doppler ultrasonography, CT, MRI, angiography) and therapeutic (embolization therapy) options and a current role of surgery in this uncommon clinical condition. Our patient underwent left upper lung lobectomy as an ultimate therapeutic method without subsequent morbidity.