Surgery, Gastroenterology and Oncology

Read article Background: Intersphincteric resection (ISR) has become a common procedure for lower rectal cancer. However, while the anus can be preserved, thereby avoiding colostomy, anal sphincter dysfunction remains a troublesome complication. This is a serious problem with no effective therapies available at present. We established a novel rat model with long-term anal sphincter dysfunction. The objective of this experiment was to assess anal functional recovery after electrical muscle stimulation (EMS) of the anal sphincter in anal dysfunction model rats.

Methods: Twenty....[more]

Read article Background: Life expectancy is increasing, technology progress and technique improvements allow performing more colonoscopies in more patients, and these circumstances determine an increasing rate of diagnosing diverticular disease (DD). The more is diagnosed, the better the respective patients will be followed in order to prevent the severe complications of this anatomical disease: diverticulitis, recurrences, bleeding, perforation, septic peritonitis, even death. Present statistics reveal that the number of patients
who suffer a recurrence of diverticulitis is higher t....[more]

Read article Background: Synchronous tumors are rare clinical entity. In most cases, they are found accidentally in the process of primary tumor staging. The detection rate of synchronous blastomas has increased over the past decades due to the advance and more frequent use of imaging modalities. Only a few cases of colorectal carcinoma (CRC) and concurrent incidental renal tumors have been reported in recent years, with their incidence rates varying as reported by different authors (0.043-4.85%).

Methods: We performed retrospective analysis of our database for patients, adm....[more]

Read article Background and aims: Periampullary tumour is a clinical condition often encountered by gastroenterologist and surgeon. There is limited data regarding clinical profile and endoscopic management of patients with periampullary tumour.

Methods: We retrospectively analyzed the ERCP (Endoscopic retrograde cholangio pancreatography) records of periampullary tumour patients who were referred to Department of Gastroenterology for ERCP over a period of three years from January 2015 to January 2018. Demographic profile, clinical findings and ERCP management were taken i....[more]

Read article Aim: The study evaluates the results of surgical procedures performed in patients with differentiated thyroid carcinoma. There are many discussions regarding the optimal surgical treatment of differentiated thyroid carcinoma; their focal point is the type or extent of thyroidectomy.

Material and Method: We performed a retrospective analysis on 85 patients diagnosed with differentiated thyroid carcinoma, treated in the period July 2007 - April 2017. The average age the patients, consisting of 15 males and 70 females, was of 41 (17-85) years. The gross findings a....[more]

Read article The solid cystic pseudopapillary tumour, known also as the tumour of Frantz, is a rare primary neoplasm of the pancreas with unknown etiology, occurring predominantly in young females. It is characterized by a paucity of clinical symptomatology and can reach large sizes before final diagnosis.
Degenerative cystic changes and haemorrhagic areas are typical, and the most common clinical manifestation is a cystic pancreatic tumour, palpable mass and uncharacteristic abdominal pain. Although resection of the tumour provides a 5-year survival rate of almost 90%, local recurrence or ....[more]

Read article Hepatic resection remains the only potentially curative treatment for patients with colorectal liver metastasis (CRLM) (1). Moreover, only15%-20% of patients with CRLM are suitable for surgical resection (2). Herein wepresent a video case-report of a radical laparoscopic central bisegmentectomy plus S3 subsegmentectomy for multiple liver metastasis after chemotherapy.
The patient was a 39-year-old man who was shown to have metachronous multiple liver metastases from sigmoid colon cancer. The size of the tumor in S3 was 7cm, and the size of the tumor in S4 S5 S8 was 13cm. At thi....[more]