Rozhledy v Chirurgii最新文献

3D printed synthetic models for training minimally invasive pediatric surgery - our own experience and literature review. 用于训练微创儿科手术的3D打印合成模型-我们自己的经验和文献综述。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202511

P Zahradnikova, M Lindák, P Vitovič, M Laurovičová, T Tvrdoň, S Hnilicová, J Babala

{"title":"3D printed synthetic models for training minimally invasive pediatric surgery - our own experience and literature review.","authors":"P Zahradnikova, M Lindák, P Vitovič, M Laurovičová, T Tvrdoň, S Hnilicová, J Babala","doi":"10.48095/ccrvch202511","DOIUrl":"https://doi.org/10.48095/ccrvch202511","url":null,"abstract":"Pediatric surgery is a medical specialty focused on the diagnosis, treatment, and postoperative care of children with congenital and acquired anomalies and diseases. The goal of pediatric surgeons is to ensure that children receive the best possible care while minimizing the risks and complications associated with surgical procedures. Contemporary pediatric surgeons face many challenges, including a decline in the number of children with congenital developmental defects, economic pressures, and efforts to increase efficiency, leading to reduced time spent on individual surgeries. This can limit the opportunity for thorough training of young surgeons. These challenges require innovative approaches and continuous improvement in educational and training methods. Minimally invasive surgery has become a significant part of pediatric surgery, offering benefits such as faster recovery, smaller surgical wounds, and lower risk of infection. However, minimally invasive pediatric surgery is technically demanding and requires excellent technical skills. The need to maintain and improve surgical skills demands ongoing training. Current educational methods increasingly rely on simulation technologies to enhance the quality and safety of training without risk to patients. The integration of 3D printing technology and imaging data from CT and MRI scans has opened new possibilities for creating highly realistic simulation models for minimally invasive surgery. These models accurately replicate the environment encountered in procedures like neonatal surgery. In this article, we present our experience with the development and creation of 3D-printed synthetic models designed for training thoracoscopic surgery of esophageal atresia with tracheoesophageal fistula. The aim of this review article is to provide an up-to-date overview of the literature on synthetic 3D-printed models designed for training in minimally invasive pediatric surgery.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 1","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060426","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}

引用次数: 0

Surgical treatment of complications of duodenal diverticulosis. 十二指肠憩室病并发症的外科治疗。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025122

P Křenovský

引用次数: 0

Neoadjuvant treatment of locally advanced rectal cancer - a consensus procedure Comprehensive Cancer Center Brno. 局部晚期直肠癌的新辅助治疗-布尔诺综合癌症中心的共识程序。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch2025105

P Pospíšil, E Dvořáková, P Šlampa, I Kiss, J Tomášek, L Ostřížková, M Eid, Z Kala, J Katolická

{"title":"Neoadjuvant treatment of locally advanced rectal cancer - a consensus procedure Comprehensive Cancer Center Brno.","authors":"P Pospíšil, E Dvořáková, P Šlampa, I Kiss, J Tomášek, L Ostřížková, M Eid, Z Kala, J Katolická","doi":"10.48095/ccrvch2025105","DOIUrl":"https://doi.org/10.48095/ccrvch2025105","url":null,"abstract":"Significant changes have recently occurred in the treatment of locally advanced rectal cancer. These include a complete administration of systemic therapy in the neoadjuvant phase of treatment, nonsurgical interventions in case of clinically complete response and using of immunotherapy in patients with the deficiency ofmismatch repair. Although there is no universally accepted treatment standard, the concept of total neoadjuvant therapy, immunotherapy and non-operative management is widely accepted in clinical practice. The care of patients with rectal cancer is multimodal, comprehensive and should be based on consensual recommendations. A uniform approach in diagnostic and therapeutic procedures within the individual departments of the oncology center is a condition for high quality standard care. At the same time, unusual clinical situations and the specific wishes of patients should be taken into account. The listed recommended treatment procedures are a reflection of the efforts to unify patient care with rectal cancer at individual workplaces of the comprehensive oncology center in Brno. Defining general recommendations is not the goal.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 3","pages":"105-113"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008931","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}

引用次数: 0

Our experience with the localization of non-palpable breast lesions using the radioactive seed Advantage™ I-125. 我们使用放射性种子Advantage™I-125定位不可触及乳腺病变的经验。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202592

N Harciníková, K Jágrová, D Engelová, L Večeřová, Z Špůrková

{"title":"Our experience with the localization of non-palpable breast lesions using the radioactive seed Advantage™ I-125.","authors":"N Harciníková, K Jágrová, D Engelová, L Večeřová, Z Špůrková","doi":"10.48095/ccrvch202592","DOIUrl":"https://doi.org/10.48095/ccrvch202592","url":null,"abstract":"Introduction: Non-palpable breast lesions that are eligible for breast-conserving surgery require precise preoperative localization of the pathological site. Mammographic screening and modern diagnostic methods contribute to the increasingly early detection of these lesions.Methods: We present our two-year practical experience with the marking of non-palpa-ble breast lesions using the Advantage™ I-125 radioactive seed. This method was applied to 116 patients, 34 of whom had undergone successful neoadjuvant systemic therapy. The first 13 patients were marked using both the Frank wire method and radioactive seed application. The aim of our study was to evaluate the advantages and disadvantages of this method for both the patients and the entire multidisciplinary team.Results: All pathological lesions were successfully removed during the primary procedure. In four patients, we observed seed displacement; however, the pathological lesion and the seed were always identified within the surgical field. Among the total number of patients, 73 underwent surgery for ductal carcinoma, 20 for lobular carcinoma, 8 for carcinoma associated with microcalcifications, 2 for invasive papillary carcinoma, and 13 for ambiguous biopsy findings. The method enables precise targeting of non-palpa-ble lesions with minimal radiation exposure for both the patients and the surgical team. Additionally, the cosmetic outcomes of this method were assessed as clearly positive.Conclusion: The Advantage™ I-125 radioactive seed localization proved to be a reliable method for detecting non-palpable breast lesions with minimal complications. Its main advantages lie in the overall comfort for patients and the ability to optimize incision placement from an aesthetic perspective. Our results confirm the high effectiveness of this method in breast-conserving surgery while achieving R0 resection.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 3","pages":"92-96"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025798","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}

引用次数: 0

From ice to refrigerator - innovations in static donor lung preservation. 从冰到冰箱——静态供体肺保存的创新。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch20257v10.48095/ccrvch20210.48095/ccrvch202575710.48095/ccrvch2025710.48095/ccrvch20257

R Novysedlák, J Tavandžis, Z Ozaniak Střížová, J Vachtenheim, R Lischke

{"title":"From ice to refrigerator - innovations in static donor lung preservation.","authors":"R Novysedlák, J Tavandžis, Z Ozaniak Střížová, J Vachtenheim, R Lischke","doi":"10.48095/ccrvch20257v10.48095/ccrvch20210.48095/ccrvch202575710.48095/ccrvch2025710.48095/ccrvch20257","DOIUrl":"https://doi.org/10.48095/ccrvch20257v10.48095/ccrvch20210.48095/ccrvch202575710.48095/ccrvch2025710.48095/ccrvch20257","url":null,"abstract":"The preservation of donor lungs and the effort to safely extend ischemic time while maintaining function is an important topic that the transplant community has been addressing for a long time. Recent publications, mainly from the Toronto team, have fundamentally influenced the existing standard of optimal preservation conditions, and their results provide a scientific basis for the shift from ice preservation to con-trolled hypothermia. Optimal preservation conditions are a necessary prerequisite for the safe extension of ischemic time. This brings additional potential for the development of the field and the possibility to improve the availability of lung transplantations and their outcomes. This review summarizes the key findings in the area of donor lung preservation from the first experimental attempts conducted 30 years ago to recent studies and discusses the various aspects that the change in preservation standard has influenced or is likely to influence.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005524","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}

引用次数: 0

Retained gallstone as a rare cause of recurrent fistula in the scar after laparoscopic cholecystectomy. 胆囊结石是腹腔镜胆囊切除术后瘢痕复发性瘘管的罕见原因。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202576

M Škrabal, V Pěkný, J Bělehrádek, A Polcar

{"title":"Retained gallstone as a rare cause of recurrent fistula in the scar after laparoscopic cholecystectomy.","authors":"M Škrabal, V Pěkný, J Bělehrádek, A Polcar","doi":"10.48095/ccrvch202576","DOIUrl":"10.48095/ccrvch202576","url":null,"abstract":"Introduction: Cholecystectomy is one of the most common operations in surgical departments. Complications after gallbladder removal are mainly bleeding, infection including abscess in the gallbladder bed or in the abdominal wall, wound dehiscence, acute pancreatitis or injury of the bile ducts. In the further course, hernias in the scar may appear after both laparoscopic and open cholecystectomy, strictures of the bile ducts and symptoms of the so-called postcholecystectomy syndrome. The presence of residual gallstones is rare, statistically reported in 0.08-0.3%.Case report: The goal of our message is to present the case of a patient taken into our care 7 years after laparoscopic cholecystectomy indicated for cholecystitis with wedged lithiasis in the gallbladder neck, proven by ultrasound. In our department, the -patient was treated for a re-current fistula in the scar of the right subcostal area. Definitive -healing from the initial manifestation of the fistula occurred despite repeated revisions after the precise localization and removal of the retained gallstone.Conclusion: Thanks to the use of an extensive spectrum of diagnostic methods and at the same time thinking about the rare causes of a recurrent purulent collection with a fistula, we purposefully searched for an infectious source. Only perioperative radiography with injection of contrast material identified the presence of a retained gallstone. It was possible to extirpate it from the space between the intercostal muscles and the peritoneum, thereby relieving the patient of her problems.","PeriodicalId":52413,"journal":{"name":"Rozhledy v Chirurgii","volume":"104 2","pages":"76-81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674550","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}

引用次数: 0

Isolated inflammatory process of the caecum. 孤立的盲肠炎症过程。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202571

L Truong, H H Truong, P Kofroň

引用次数: 0

Surprising finding of desmoid in a young man by an urologist. 泌尿科医生在一名年轻男子身上发现了令人惊讶的硬纤维瘤。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202561

J Marešová, J Kočárek-, M Čermák, L Plincelnerová

引用次数: 0

Four synchronous primary malignancies in one patient. 1例患者同时出现4例原发性恶性肿瘤。

Rozhledy v Chirurgii Pub Date : 2025-01-01 DOI: 10.48095/ccrvch202555

M Mišánik, M Grajciar, I Daňová, D Musová, J Miklušica, K Tobiášová, M Smolár