Polski przeglad chirurgiczny最新文献

{"title":"Performance of ChatGPT-5 on the Polish State Specialization Examination in General Surgery: An Evaluation Study.","authors":"Alicja Główka, Maja Bubnowska, Marcin Szukała, Barbara Więckowska, Tomasz Banasiewicz, Krzysztof Szmyt","doi":"10.5604/01.3001.0055.7863","DOIUrl":"https://doi.org/10.5604/01.3001.0055.7863","url":null,"abstract":"<p><p>&lt;p&gt;&lt;strong&gt;Introduction:&lt;/strong&gt; Artificial intelligence, particularly large language models like ChatGPT-5.0, is increasingly applied in medical education and decision support. At the same time, there is a lack of research assessing the effectiveness of the latest language models in high-stakes specialized examinations in Poland, which justifies the need for such an analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study evaluates ChatGPT-5.0's performance on the Polish Specialization Examination (PES) in general surgery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A total of 701 single-choice questions from six PES sessions (2023-2025) were analyzed. The questions were divided into various categories. Each question was independently posed to ChatGPT-5.0 three times, and responses were compared with official answer keys. AI performance was compared with that of residents.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; ChatGPT-5.0 achieved scores ranging from 75.6% to 82.8%, with an overall accuracy of 81-84%, consistently exceeding both the 60% pass threshold and the average score of residents. While ChatGPT-5.0 occasionally outperformed the top-performing residents, the highest human scores were superior in most sessions. Confidence scores were positively correlated with answer accuracy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; ChatGPT-5.0 demonstrates strong written exam performance in general surgery. These findings highlight the potential of AI in medical education and exam preparation, while underscoring the limitations of single-choice assessments for clinical competence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;The significance of the study:&lt;/strong&gt; This study provides the first systematic evaluation of ChatGPT-5.0 on the National Specialty Examination in General Surgery in Poland, offering new insights into how advanced AI models perform across clinical domains and cognitive task types, and highlighting their potential role in future surgical training frameworks.&lt;/p&gt.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 3","pages":"1-9"},"PeriodicalIF":0.7,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microbiological Signatures and Clinical Predictors of Severity in Diabetic Foot Infection.","authors":"Bartosz Molasy, Katarzyna Ewa Kuszewska, Agnieszka Piechowska, Małgorzata Wrzosek","doi":"10.5604/01.3001.0055.7787","DOIUrl":"https://doi.org/10.5604/01.3001.0055.7787","url":null,"abstract":"<p><p>&lt;p&gt;&lt;strong&gt;Introduction:&lt;/strong&gt; Diabetic foot infection (DFI) is a major complication of diabetes associated with high rates of amputation, recurrence, and healthcare utilization. The prognostic interaction between clinical and microbiological markers remains unclear.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim:&lt;/strong&gt; The present analysis aimed to characterize clinical, inflammatory, and microbiological predictors of course and resource use in surgically managed DFI.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Material and methods:&lt;/strong&gt; We retrospectively analyzed 121 hospitalizations of 86 patients treated surgically for DFI (2021-2025). Clinical, laboratory, and microbiological variables were assessed in relation to amputation, reamputation, rehospitalization, length of stay (LOS), and mortality.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; Amputation was performed in 72/121 episodes (59.5%), including 57 minor and 15 major procedures. Reamputation occurred in 13/72 cases (18.1%). Rehospitalization was recorded in 42/86 patients (48.8%). Median LOS was 13 days (IQR 8-21). A total of 227 isolates were obtained, with &lt;em&gt;Enterococcus faecalis&lt;/em&gt; (38 isolates, 16.7%) and &lt;em&gt;Staphylococcus aureus&lt;/em&gt; (28 isolates, 12.3%) being the most frequent. Polymicrobial infections were present in 75/121 episodes (63%). Neuro-ischemic ulcer phenotype independently predicted reamputation (aOR 3.72; p = 0.036). &lt;em&gt;Staphylococcaceae&lt;/em&gt; increased the likelihood of rehospitalization (aOR 3.32; p = 0.014). NLR &amp;gt;5 prolonged LOS by 42%, and &lt;em&gt;Enterococcus&lt;/em&gt; spp. by 51%. Repeat hospitalizations showed enrichment of ESBL &lt;em&gt;Klebsiella pneumoniae&lt;/em&gt; (5 cases) and HLAR E. faecalis (9 cases).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Ulcer phenotype and systemic inflammatory response were the strongest predictors of adverse outcomes. Microbiology contributed selective yet clinically meaningful prognostic information, particularly regarding &lt;em&gt;Staphylococcaceae&lt;/em&gt; and &lt;em&gt;Enterococcus&lt;/em&gt; spp.&lt;/p&gt.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 3","pages":"1-10"},"PeriodicalIF":0.7,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety, Feasibility, and Oncologic Outcomes of Versius-Assisted Colorectal Cancer Surgery: A Single Center Experience.","authors":"Tomasz Sachańbiński, Maciej Miodoński, Michał Wójcik","doi":"10.5604/01.3001.0055.6949","DOIUrl":"10.5604/01.3001.0055.6949","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Robotic platforms are increasingly used in colorectal surgery. Versius&lt;sup&gt;&lt;/sup&gt; is a modular robotic system whose safety and feasibility are currently being evaluated in routine clinical practice.&lt;b&gt;Aim:&lt;/b&gt; To assess the safety, feasibility, and short-term oncologic outcomes of Versius-assisted colorectal cancer surgery in a single center during a two-year implementation period.&lt;b&gt;Material and methods:&lt;/b&gt; A retrospective observational study was conducted, including patients undergoing elective robotic colorectal cancer resection using the Versius system between December 5, 2022, and August 27, 2025. Demographic characteristics, operative parameters (skin-to-skin time, docking time, console time, blood loss, conversions), intra- and postoperative complications (Clavien-Dindo classification), reoperations, 30-day readmissions and mortality, length of stay, and oncologic outcomes (resection margins, lymph node yield, mesorectal quality) were analyzed.&lt;b&gt;Results:&lt;/b&gt; A total of 191 patients were included (51.8% male, mean age 69.7 9.8 years). The most common procedures were anterior resection (41.4%) and right hemicolectomy (26.7%). The median skin-to-skin operative time was 225 minutes (IQR 185-269). Median length of stay was 6 days (IQR 5-7). Conversion to laparotomy occurred in 8 patients (4.2%). Postoperative complications occurred in 40 patients (20.9%), including minor complications (Clavien-Dindo I-II) in 26 (13.6%) and major complications (≥III) in 14 (7.3%). Reoperation was required in 13 patients (6.8%), and 30-day readmission occurred in 6 (3.1%). One perioperative death was recorded (0.5%). Median lymph node yield was 22 (IQR 14-25), and ≥12 nodes were retrieved in 87.9% of patients. Complete mesorectal excision was achieved in 75.3%, with a combined rate of complete and nearly complete excision of 95.7%.&lt;b&gt;Conclusions:&lt;/b&gt; Versius-assisted colorectal cancer surgery is feasible and safe in a center with established laparoscopic expertise. Acceptable complication rates and adequate oncologic parameters support its implementation in routine colorectal practice.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 2","pages":"1-5"},"PeriodicalIF":0.7,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe hand injuries: mechanisms of occurrence and prevention: a review.","authors":"Andrzej Żyluk","doi":"10.5604/01.3001.0055.6531","DOIUrl":"10.5604/01.3001.0055.6531","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Hand injuries are common, accounting for between 7 and 28% of all injuries. These are both closed injuries (joint dislocations and bone fractures) and open injuries (wounds and amputations). They occur in workplaces, in agriculture, during housework, sports, and during traffic accidents. &lt;br&gt;&lt;br&gt;&lt;b&gt;Aim:&lt;/b&gt; The aim of the paper was to review the literature and present own experiences on the mechanisms of occurrence and methods of preventing severe hand injuries. &lt;br&gt;&lt;br&gt;&lt;b&gt;Material and methods:&lt;/b&gt; Data from the literature were obtained from the Medline and PubMed databases, using keywords such as those in this paper. In addition, data from the author's institution experience are presented. &lt;br&gt;&lt;br&gt;&lt;b&gt;Results:&lt;/b&gt; Various mechanisms of hand injuries when operating various devices, e.g., circular saws, angle grinders, mechanical presses, agricultural machinery, and fireworks, are presented. The most common causes of injury at operating these devices are discussed. Methods to prevent injuries that are specific to each device were discussed. The number of serious accidents in factories and workplaces has decreased noticeably over the last 10 years, while their incidence in households remains unchanged. &lt;br&gt;&lt;br&gt;&lt;b&gt;Conclusions:&lt;/b&gt; Most injuries occur when operating devices with a rotating blade: circular saw, angle saw, and manual circular grinder. The cause of these injuries is most often careless handling of tools and failure to follow the operating instructions when tinkering at home. &lt;br&gt;&lt;br&gt;&lt;b&gt;Relevance of the study to the development of the field:&lt;/b&gt; The results of this work may contribute to increasing public attention to the observance of safety when operating mechanical equipment.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 2","pages":"1-9"},"PeriodicalIF":0.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Characteristics and Surgical Outcomes of Adolescent Gynecomastia: A Retrospective Observational Study.","authors":"Iwona Beata Anderko, Konrad Januchta, Danuta Januszkiewicz-Lewandowska, Izabela Miechowicz, Przemysław Mańkowski, Patrycja Sosnowska-Sienkiewicz","doi":"10.5604/01.3001.0055.6392","DOIUrl":"10.5604/01.3001.0055.6392","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Adolescent gynecomastia is a common benign enlargement of male breast tissue that may cause significant psychosocial distress. Persistent cases often necessitate surgical intervention. This study aimed to evaluate clinical features, surgical techniques, outcomes, complications, and patient satisfaction in adolescents undergoing gynecomastia surgery at a single center. &lt;br&gt;&lt;br&gt;&lt;b&gt;Aim:&lt;/b&gt; The present study was undertaken to retrospectively analyze the clinical characteristics, surgical techniques utilized, treatment outcomes, complications, and patient satisfaction following surgical management of gynecomastia in adolescent boys treated at a single surgical center for the macro-region of western Poland between 2000 and 2025. The study also aimed to identify factors associated with treatment results to improve and individualize patient care in this population. &lt;br&gt;&lt;br&gt;&lt;b&gt;Methods:&lt;/b&gt; A retrospective observational study analyzed data from 26 boys aged 10-17 years who underwent surgical treatment for unilateral or bilateral gynecomastia between 2000 and 2025 at the Clinic of Pediatric Surgery, Traumatology, and Urology, Karol Jonscher Clinical Hospital, Poznan University of Medical Sciences. Surgical management primarily involved periareolar excision of glandular tissue, with selective liposuction or skin resection based on severity. Collected data included demographics, gynecomastia laterality, operative times, histopathology, complications, and patient satisfaction (5-point Likert scale). Statistical analyses included descriptive statistics, t-tests, Mann-Whitney U tests, chi-square tests, and Spearman correlation. &lt;br&gt;&lt;br&gt;&lt;b&gt;Results:&lt;/b&gt; Bilateral gynecomastia was predominant (77%), with a median age at surgery of 16 years. Mean operative time was longer for bilateral procedures (58.5 min) than for unilateral ones (38.3 min). Histopathology confirmed benign glandular tissue in most cases. Postoperative complications were rare (11.5% hematomas; one transfusion), and no reoperations were required. Overall satisfaction was high (median 4/5), though older adolescents reported slightly lower satisfaction (Rs = -0.395, p = 0.046). &lt;br&gt;&lt;br&gt;&lt;b&gt;Conclusions:&lt;/b&gt; Surgical management of adolescent gynecomastia is safe, effective, and associated with high patient satisfaction. Bilateral cases require longer operative times, but complication rates remain low. Individualized preoperative planning, including weight optimization and age-appropriate counseling, enhances cosmetic and psychosocial outcomes. These results support timely surgical intervention in adolescents with persistent gynecomastia causing aesthetic or psychological concerns.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 1","pages":"37-44"},"PeriodicalIF":0.7,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The realities of oncological surveillance after surgery for pancreatic adenocarcinoma in Poland and worldwide - a narrative review.","authors":"Magdalena Gajda, Ewa Grudzińska, Marek Zielonka, Sławomir Mrowiec","doi":"10.5604/01.3001.0055.6328","DOIUrl":"10.5604/01.3001.0055.6328","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Pancreatic ductal adenocarcinoma (PDAC) is one of the most common causes of cancer mortality worldwide, and most patients develop local and/or distant recurrence at some point during follow-up. &lt;br&gt;&lt;br&gt;&lt;b&gt;Aim:&lt;/b&gt; This review aims to present the follow-up protocols used in Poland and worldwide for patients undergoing surgical treatment for PDAC. &lt;br&gt;&lt;br&gt;&lt;b&gt;Material and methods:&lt;/b&gt; The analysis included studies on oncological follow-up following surgical treatment for pancreatic adenocarcinoma. After searching PubMed, Scopus, and Google Scholar databases using the terms &quot;pancreatic adenocarcinoma recurrence&quot;, &quot;surveillance after pancreatic adenocarcinoma resection\", &quot;postopererative follow-up for pancreatic adenocarcinoma&quot;, 50 articles were ultimately qualified for analysis. &lt;br&gt;&lt;br&gt;&lt;b&gt;Results:&lt;/b&gt; Currently, there are no unified international standards for postoperative follow-up for PDAC. Furthermore, standardized national guidelines do not exist in Poland; thus, the optimal modality and duration of surveillance remain undefined. Furthermore, the impact of early detection and treatment of recurrence on survival and quality of life is unknown. Early detection of recurrence potentially offers greater treatment options due to systematic improvements in the treatment of local recurrence and distant metastases (DM), but it may also be associated with increased economic burden on \"the payer\" (healthcare system), without clearly translating into benefits resulting from longer survival. Currently, there are no clear recommendations on this issue - it seems necessary to conduct prospective studies to assess whether increased postoperative surveillance can translate into improved survival of patients with PDAC. &lt;br&gt;&lt;br&gt;&lt;b&gt;Conclusions:&lt;/b&gt; Multidisciplinary collaboration in developing uniform, nationwide oncological surveillance principles can enable effective supervision of patients with PDAC and bring health benefits. &lt;br&gt;&lt;br&gt;&lt;b&gt;The importance of this work for the development of the field:&lt;/b&gt; This summary of the applicable guidelines and the proposed corrective actions proposed by the authors can translate into progress and improved treatment outcomes in this challenging therapeutic area.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 2","pages":"1-6"},"PeriodicalIF":0.7,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of correlation between RAD51 172G/T polymorphism and colorectal cancer in the Polish population.","authors":"Beata Filipek, Dawid Lewko, Aleksandra Binda, Bartosz Mucha, Lukasz Dziki, Adam Dziki, Ireneusz Majsterek","doi":"10.5604/01.3001.0055.5916","DOIUrl":"10.5604/01.3001.0055.5916","url":null,"abstract":"<p><p>Introduction: Colorectal cancer (CRC) is the second most common cancer worldwide. Much attention has recently been paid to the epigenetic features of CRC. Homologous recombination repair (HRR) is a biochemical pathway that plays a crucial role in maintaining genome integrity through the repair of double-strand breaks (DBS). RAD51 recombinase is widely considered a key enzyme in HRR. Genome-wide single nucleotide polymorphisms (SNPs) are a significant type of genetic variation. Aim: The aim of this study was to assess the association between the occurrence of individual genotypes/alleles of the RAD51 172G/T polymorphism (rs1801321) and the risk of CRC.Materials and methods: The material used for DNA isolation was peripheral blood from patients at the Department of General and Colorectal Surgery, Medical University of Lodz. The study recruited patients (n = 188) with histologically confirmed colorectal cancer. The control group consisted of undiagnosed individuals (n = 200), matched for age and gender, without a family history of cancer among first-degree relatives.Results: No statistically significant association was found between the frequency of the assessed alleles/genotypes and the presence of CRC. The analysis also showed that the 127G/T variant of the RAD51 gene was not statistically significantly associated with the development of colorectal cancer.Discussion: The 127G/T polymorphism of the RAD51 gene appears to be an unpromising marker for colorectal cancer. However, new observations regarding the variant in the distal promoter may open up prospects for future research on molecular markers.Conclusions: The study results indicate no association between the RAD51 172G/T polymorphism and the risk of CRC. Therefore, there is a need for further research in the area of selected polymorphisms in CRC.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 2","pages":"13-18"},"PeriodicalIF":0.7,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"POEM in the Treatment of Achalasia - A Retrospective Analysis of 484 Cases from a Single Center.","authors":"Urszula Zawada, Przemysław Piotr Kasprzyk, Zuzanna Nowicka, Michal Spychalski","doi":"10.5604/01.3001.0055.5917","DOIUrl":"10.5604/01.3001.0055.5917","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Achalasia is a primary esophageal motility disorder of unclear etiology. The development of third-space endoscopy has enabled the advancement of peroral endoscopic myotomy (POEM) as a promising therapeutic alternative. &lt;br&gt;&lt;br&gt;&lt;b&gt;Aim:&lt;/b&gt; To assess the safety profile of the POEM procedure in patients with diverse clinical characteristics. &lt;br&gt;&lt;br&gt;&lt;b&gt;Material and methods:&lt;/b&gt; A retrospective analysis of 484 consecutive POEM procedures performed between 2015 and 2024 at PCZ in Brzeziny (Brzeziny specialized medical center) was conducted. The analysis included demographic data, procedure duration, type of achalasia, as well as intraoperative and early postoperative complications. &lt;br&gt;&lt;br&gt;&lt;b&gt;Results:&lt;/b&gt; Significant complications during or post hospitalization occurred in 26 patients (5.4%), including bleeding, mucosal perforation, pain requiring prolonged treatment, and asymptomatic elevation of inflammatory markers. Two cases of mediastinitis and 7 readmissions were recorded. All complications were successfully managed conservatively. &lt;br&gt;&lt;br&gt;&lt;b&gt;Conclusions:&lt;/b&gt; POEM is characterized by a high safety profile in the treatment of achalasia.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 2","pages":"19-25"},"PeriodicalIF":0.7,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous round ligament necrosis. Case report and review of literature.","authors":"Agata Chwarścianek, Mateusz Jagielski, Janusz Ogonowski, Marek Jackowski","doi":"10.5604/01.3001.0055.5897","DOIUrl":"10.5604/01.3001.0055.5897","url":null,"abstract":"<p><p>&lt;b&gt;Introduction:&lt;/b&gt; Necrosis of the round ligament of THE liver is an extremely rare cause of peritonitis, its nonspecific clinical signs frequently causing diagnostic difficulties. For this reason, contrast-enhanced multiphasic CT scan of the abdomen and pelvis is crucial in the diagnostic management.&lt;b&gt;Case report:&lt;/b&gt; A 77-year-old male patient with epigastric pain and suspicion of acute cholecystitis was diagnosed with suspected necrosis of the round ligament of the liver on diagnostic imaging. The patient was qualified for surgical treatment. During the laparoscopic procedure, the necrosis of the round ligament of the liver was confirmed, and the necrotic ligament was subjected to laparoscopic resection. The patient was discharged home in good general condition on postoperative day 3.&lt;b&gt;Conclusions:&lt;/b&gt; Necrosis of the round ligament of the liver is a rare but clinically significant entity that should be taken into consideration in the differential diagnosis of acute abdomen, particularly presenting with nonspecific symptoms. In most cases, the treatment of choice involves minimally invasive surgical treatment in the form of laparoscopic resection.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 2","pages":"68-71"},"PeriodicalIF":0.7,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Management of Ovarian Masses in the Paediatric Population: Current Practices and Future Directions.","authors":"Karolina Michalik-Jarczyńska, Danuta Januszkiewicz-Lewandowska, Przemysław Mańkowski, Patrycja Sosnowska-Sienkiewicz","doi":"10.5604/01.3001.0055.6363","DOIUrl":"10.5604/01.3001.0055.6363","url":null,"abstract":"<p><p>Ovarian lesions in the paediatric population are rare and may be either non-neoplastic or neoplastic in nature. Among the neoplastic lesions, the vast majority are benign, with mature teratomas being the most common subtype. This review outlines the current surgical management of ovarian lesions in paediatric patients, with particular focus on recent research findings and advances in the field. Ovary-sparing, minimally invasive surgical techniques, including robot-assisted approaches, are recommended for benign lesions. In cases where malignancy is suspected, laparotomy with complete tumour excision, oophorectomy, and staging is performed. Accurate evaluation of the lesion's nature and early diagnosis are critical to preventing complications and preserving future fertility.</p>","PeriodicalId":501107,"journal":{"name":"Polski przeglad chirurgiczny","volume":"98 2","pages":"1-8"},"PeriodicalIF":0.7,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147794340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}