[Use of intraoperative fiber-esophagoscopy in surgical treatment of rare esophageal diseases]
Furman M. Kozlowski M. Laudanski J. Gulaj C. Kurzyna A.
Kliniki Chirurgii Klatki Piersiowej Akademii Medycznej w Bialymstoku.
The aim of our study is to discuss our observations concerning surgical treatment of rare diseases of the oesophagus. 10 patients were operated on, 6 cases with benign tumours (including leiomyoma, Abrikossoff tumour, polyp of oesophageal mucose), 2 with intramural bronchogenic cysts of the oesophagus, 1 with benign stricture after inflammation and 1 with stricture of oesophagogastric anastomosis after Akiyama operation. In 6 cases tumour was resected without opening of the oesophageal lumen (enucleation), in 4 patients with tumours located on one of the walls, the wedge resection, transversely to the long oesophageal axis was performed. In cases with tumour located in mucose (Abrikossoff tumour, polyp, post-inflammatory scar), intraoperative fiber-esophagoscopy was conducted simultaneously to enable the exact localisation of tumour and evaluation of radical resection. There were no postoperative complications and dysphagia showed regression. The remote results (from 1 year to 6 years) have been found to be satisfactory. CONCLUSIONS: 1. The procedure of choice in the treatment of the intramural cysts and benign tumour of the oesophagus is enucleation and wedge resection with suture in layers in the tumour located in mucose. 2. Intraoperative fiber-esophagoscopy enables the exact lesion localisation and evaluation of radical resection.
[Diagnostic difficulties in a case of malignant carcinoma of the small intestine. Clinical reports]
Stefanski L. Lampe P. Gorka Z.
Katedry i Kliniki Chirurgii Przewodu Pokarmowego Slaskiej Akademii Medycznej w Katowicach.
The paper presents clinical findings in four patients with malignant tumours originally arising from the jejunum, which have been diagnosed and surgically treated in the Department of Alimentary Tract Surgery during the last six years. Diagnostic problems and the patients' postoperative course have been presented. One patient had a metastatic malignancy which turned out to be the Sister Mary Joseph tumour.
[Computer program PANCREAS]
Jakubowicz J. Jankowski M. Szomanski B. Switka S. Zagorowicz E. Pertkiewicz M. Szczygiel B.
Katedry i Kliniki Chirurgii Gastroenterologicznej Akademii Medycznej w Warszawie.
Contemporary computer technology allows precise and fast large database analysis. Widespread and common use depends on appropriate, user friendly software, usually lacking in special medical applications. The aim of this work was to develop an integrated system designed to store, explore and analyze data of patients treated for pancreatic cancer. For that purpose the database administration system MS Visual Fox Pro 3.0 was used and special application, according to ISO 9000 series has been developed. The system works under MS Windows 95 with possibility of easy adaptation to MS Windows 3.11 or MS Windows NT by graphic user's interface. The system stores personal data, laboratory results, visual and histological analyses and information on treatment course and complications. However the system archives them and enables the preparation reports of according to individual and statistical needs. Help and security settings allow to work also for one not familiar with computer science.