scholarly journals Video Endoscopy for Laser Photoresection in Tracheobronchial Pathology: Some Considerations After 9 Years Experience With 2105 Treatments

1995 ◽  
Vol 2 (2) ◽  
pp. 79-87 ◽  
Author(s):  
Jose Pablo Diaz-Jimenez ◽  
Jose Ignacio Martinez Ballarin ◽  
Eva Farrero Muñoz ◽  
Kevin L. Kovitz ◽  
Maria Jesus Castro Serrano ◽  
...  

Between 1984 and 1993 we performed 2105 laser treatments in 1210 patients: 52% of treatments were done for malignant pathology, 45% for benign tracheal stenoses and 3% were in a miscellaneous group. The procedure was carried out with a rigid bronchoscope under general anaesthesia. In patients with malignant tumors, it is a good palliative treatment—safe, well tolerated and with immediate results; it can be repeated as many times as needed with and is well accepted by the patient. In patients without tumors, this method avoids emergency tracheotomies. The long term results are now under evaluation.

Author(s):  
Sergio Renato PAIS-COSTA ◽  
Sergio Luiz Melo ARAÚJO ◽  
Olímpia Alves Teixeira LIMA ◽  
Sandro José MARTINS

ABSTRACT Background: Laparoscopic hepatectomy has presented great importance for treating malignant hepatic lesions. Aim: To evaluate its impact in relation to overall survival or disease free of the patients operated due different hepatic malignant tumors. Methods: Thirty-four laparoscopic hepatectomies were performed in 31 patients with malignant neoplasm. Patients were distributed as: Group 1 - colorectal metastases (n=14); Group 2 - hepatocellular carcinoma (n=8); and Group 3 - non-colorectal metastases and intrahepatic cholangiocarcinoma (n=9). The conversion rate, morbidity, mortality and tumor recurrence were also evaluated. Results: Conversion to open surgery was 6%; morbidity 22%; postoperative mortality 3%. There was tumor recurrence in 11 cases. Medians of overall survival and disease free survival were respectively 60 and 46 m; however, there was no difference among studied groups (p>0,05). Conclusion: Long-term outcomes of laparoscopic hepatectomy for treating hepatic malignant tumors are satisfactory. There is no statistical difference in relation of both overall and disease free survival among different groups of hepatic neoplasms.


2015 ◽  
Vol 174 (2) ◽  
pp. 70-76
Author(s):  
A. F. Romanchishen ◽  
K. V. Vabalaite

The authors studied the long-term results of surgical treatment of 949 patients with thyroid carcinoma. The malignant tumors of other organs were revealed in 55 (5,8%) cases during 20 years of follow-up. It was stated that patients with thyroid carcinoma had a higher risk of developing other malignant tumors than in population. A typical background for onset of other neoplasms was a latent hypothyroidism, hyperlipidemia, hypersecretion of gonadotropins, an influence of occupational hazard of chemical nature and hereditary load of oncology.


2020 ◽  
Vol 56 (2) ◽  
pp. 31-34
Author(s):  
D. A. Tuleuova ◽  
G. A. Serikbaev ◽  
A. K. Kurmanaliev ◽  
J. U. Pysanova ◽  
Sh. P. Najibulo ◽  
...  

Relevance: Surgical removal of locally advanced forms of skin cancer and multiple cutaneous and subcutaneous metastases of melanoma does not always provide satisfactory aesthetic, functional, and long-term results. The treatment outcomes depend on the size, shape, location, and some other characteristics of the tumor. The relapse rate after surgical removal of locally advanced skin cancer is 12.5-34%, and the long-term survival of patients with cutaneous and subcutaneous metastases of melanoma does not exceed 30%. Cutaneous and subcutaneous metastases of melanoma and some superficial tumors are usually initially inoperable. Their complications such as bleeding, infection, pain, and pitting cause serious clinical problems and often require local therapy even at the 4th stage of the disease. Electrochemotherapy (ECT) is one of the modern treatment methods for skin cancer, soft tissue sarcoma, and metastatic melanoma. ECT is a treatment of choice in the presence of contraindications to surgical and radiation therapy. ECT combines the physical properties of current-induced electroporation with the chemical properties of chemotherapeutic drugs. In this method, an electric current affecting the tissue causes a temporary increase in cell membrane permeability, thereby providing free access to the cell of large molecules, including cytostatics, which are not initially transferred to the cytosol. This significantly increases the potential toxicity of cytostatics. The purpose of this study was to demonstrate the immediate results of ECT in patients with malignant tumors of the skin, soft tissue, cutaneous, and subcutaneous melanoma metastases. Results: Since 2017, 27 patients were treated by ECT at the Centre for bone and soft tissue tumors and melanomas of Kazakh Institute of Oncology and Radiology (Almaty, Kazakhstan). After two months, 67% of patients had a complete response (CR), 26% – a partial response (PR), and 7% had progression of the tumor. Side effects included local edema (n=13, 40%) which independently disappeared within several days to 2 weeks, local pains (12%) which disappeared within six months after treatment in 3% and within a month in 11% of patients, and hyperthermia in the early postoperative period in 6% of patients which was stopped within 10-15 min after the procedure


1996 ◽  
Vol 166 (1) ◽  
pp. 79-84 ◽  
Author(s):  
F W Winkelbauer ◽  
R Schöfl ◽  
B Niederle ◽  
R Wildling ◽  
S Thurnher ◽  
...  

2017 ◽  
Vol 34 (01) ◽  
pp. 021-028 ◽  
Author(s):  
Andreas Gohritz ◽  
Erich Kaiser ◽  
Merlin Guggenheim ◽  
Arnold Dellon

Background Selective joint denervation has become a reliable palliative treatment, especially for painful joints in the upper and lower extremity. Methods This article highlights the life and work of Nikolaus Rüdinger (1832–1896) who first described joint innervation which became the basis of later techniques of surgical joint denervation. The historical evolution of this method is outlined. Results Rüdinger made a unique career from apprentice barber to military surgeon and anatomy professor in Munich, Germany. His first description of articular innervation of temporomandibular, shoulder, elbow, wrist, finger, sacroiliac, hip, knee, ankle, foot, and toe joints in 1857 stimulated the subsequent history of surgical joint denervation. Comparing his investigations with modern joint denervation methods, developed by pioneers like Albrecht Wilhelm or A. Lee Dellon, shows his great exactitude and anatomical correspondence despite different current terminology. Clinical series of modern surgical joint denervations reveal success rates of up to 80% with reliable long-term results. Conclusion The history of joint denervation with Rüdinger as its important protagonist offers inspiring insights into the evolution of surgical techniques and exemplifies the value of descriptive functional anatomy, even if surgical application may not have been realized until a century later.


2017 ◽  
Vol 68 (5) ◽  
pp. 967-969
Author(s):  
Catalin Stefan ◽  
Gabriel Lostun ◽  
Alexandra Lostun

The carcinoma of the tonsil represents 10-15% of the total of malignant tumors in the oral cavity, having a predilection for males and the great majority is represented by squamous cell carcinomas. In order to improve the long term results of oncologic treatment for patients with tonsillar malignancies early diagnosis and disease free margins during surgery are mandatory. These can be obtained using lugol iodine staining during resection surgery for malignant tumors of the tonsil. This method has been shown to be effective, easy to use, cheap and safe.


Author(s):  
Włodzimierz Otto ◽  
Janusz Sierdziński ◽  
Justyna Smaga ◽  
Krzysztof Dudek ◽  
Krzysztof Zieniewicz

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