Uvod Results. The average value for the fi rst group overall survival was 36 months with a standard deviation of 4.8 months. The average overall survival in patients from the second group was 36 months with a standard deviation of 2.6 months. The average value of disease-free survival in the fi rst group was 18 months with a standard deviation of 2.22 months. In the second group, the median disease-free survival was 22 months with a standard deviation of 0.74 months. Conclusion. Overall survival in both types of operation is identical, and the average overall survival was 36 months. Diseasefree interval in the anatomical resection was 22 months, while it was 18 months in metastasectomy. From all the above it can be concluded that surgery is a fundamental and irreplaceable method in the treatment of liver metastases of colorectal cancer.
Spontaneous spleen rupture rarely occurs, and is primarily present in patients with splenomegaly. This is a life-threatening condition that, without adequate surgical treatment, always ends lethally. The very etiology of spontaneous atriumatic spleen rupture is not known, but it can often be associated with neoplastic diseases, liver cirrhosis, and some infectious diseases. Diagnosis is made by non-invasive methods (findings of red blood cell elements, ultrasonography, computerized tomography of abdominal CT, magnetic resonance NMR). The therapy consists of laparotomy, evacuation of the haemorrhagic content and removal of the spleen. Surgical treatment is successful, and as a postoperative complication, bleeding may occur as a result of inadequate care of the laryngeal artery and vein, and short gastric blood vessels. Here we presented a 58-year-old male patient who, due to a marked abdominal pain, low blood pressure, and low blood cell counts, was taken to hospital and successfully surgically treated at the Clinic for General and Abdominal Surgery.
Introduction. The protective ileostomy is a procedure that is now increasingly used after the creation of low colorectal anastomosis, and after resection of rectal cancer. The protective ileostomy is a procedure that, to a lesser extent, affects the prevention of anastomotic colorectal dehiscence, but it has a much greater signifi cance in reducing the severity of complications occurring after colorectal anastomosis dehiscence. However, the creation itself, as well as the closure of loop ileostomy are accompanied with certain complications.Aim of the study. The aim of this study was to determine the frequency and severity of complications of ileostomy and justifi cation for its creation, within the test sample of 42 patients.Patients and Methods. The study was designed as a retrospective-prospective study. 42 patients. with created protective ileostomy that occurred after low colorectal anastomosis, were included in the study. The average age was 64.38 years with a standard deviation of 9.63 years. The youngest patient was 36 years old and the oldest patient was 77 years old. The representation of patients by gender was 29 (69%) male patients and 13 (31%) female patients. During the study, functions and complications associated with the created loop ileostomy, as well as the need for surgical treatment and the period until the sinking of ileostomy were monitored in patients.Results. Out of the total number of observed patient complications of ileostomy occurred in 8 of them (19%), and in 34 (81%) patients there were no complications. Out of the total number of complications, only in cases of 2 (4.8%) patients , there was the need for surgical treatment. In 1(2.4%) patient, ileostomy remained permanently. Conclusion.This study showed that the loop ileostomy after the creation of low colorectal anastomosis is accompanied with fewer complications. The resulting complications are successfully disposed by conservative treatment, and only rarely require surgical re-intervention.
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