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Extralobar pulmonary sequestration
Ulys A,Samalavicius NE,Cicenas S,Petraitis T
International Medical Case Reports Journal , 2011,
Abstract: Albertas Ulys, Narimantas Evaldas Samalavicius, Saulius Cicenas, Tadas Petraitis, Mantas Trakymas, Dmitrij Sheinin, Leonid GatijatullinInstitute of Oncology, Vilnius University, Santariskiu, Vilnius, LithuaniaAbstract: Prevalence of pulmonary sequestration accounts for up to 6.4% of all congenital pulmonary malformations. We report on a 40-year-old woman who underwent excision of an aberrant solid retroperitoneal mass in the left subdiaphragmatic area. The mass was identified to be an extralobar pulmonary sequestration. The diagnosis could be made without surgery by percutaneous tissue biopsy and imaging. We encourage keeping in mind pulmonary sequestration anomaly presenting as an aberrant retroperitoneal mass. The aim of this case report is to increase awareness about the condition and review the criteria for its definitive diagnosis and treatment.Keywords: retroperitoneal aberrant mass, extralobar pulmonary sequestration
Extralobar pulmonary sequestration
Ulys A, Samalavicius NE, Cicenas S, Petraitis T, Trakymas M, Sheinin D, Gatijatullin L
International Medical Case Reports Journal , 2011, DOI: http://dx.doi.org/10.2147/IMCRJ.S15261
Abstract: ralobar pulmonary sequestration Case report (2477) Total Article Views Authors: Ulys A, Samalavicius NE, Cicenas S, Petraitis T, Trakymas M, Sheinin D, Gatijatullin L Published Date April 2011 Volume 2011:4 Pages 21 - 23 DOI: http://dx.doi.org/10.2147/IMCRJ.S15261 Albertas Ulys, Narimantas Evaldas Samalavicius, Saulius Cicenas, Tadas Petraitis, Mantas Trakymas, Dmitrij Sheinin, Leonid Gatijatullin Institute of Oncology, Vilnius University, Santariskiu, Vilnius, Lithuania Abstract: Prevalence of pulmonary sequestration accounts for up to 6.4% of all congenital pulmonary malformations. We report on a 40-year-old woman who underwent excision of an aberrant solid retroperitoneal mass in the left subdiaphragmatic area. The mass was identified to be an extralobar pulmonary sequestration. The diagnosis could be made without surgery by percutaneous tissue biopsy and imaging. We encourage keeping in mind pulmonary sequestration anomaly presenting as an aberrant retroperitoneal mass. The aim of this case report is to increase awareness about the condition and review the criteria for its definitive diagnosis and treatment.
Transanal endoscopic microsurgery for rectal adenomas: single center experience
Edgaras Smolskas,Kipras Mikelis,Narimantas Evaldas Samalavicius,Robertas Samalavicius
- , 2016, DOI: 10.5114/wiitm.2015.56408
Abstract:
Usefulness of Anorectal Manometry for Diagnosing Continence Problems After a Low Anterior Resection
Audrius Dulskas,Narimantas E. Samalavicius
- , 2016, DOI: 10.3393/ac.2016.32.3.101
Abstract: For several decades, the low anterior resection (LAR) with total mesorectal excision (TME) has been the gold standard for treating patients with rectal cancer. Up to 90% of patients undergoing sphincter-preserving surgery will have changes in bowel habits, so-called 'anterior resection syndrome.' This study examined patients' continence after a LAR for the treatment of rectal cancer
The quality of life after a total gastrectomy with extended lymphadenectomy and omega type oesophagojejunostomy for gastric adenocarcinoma without distant metastases
Gintare Jakstaite, Narimantas Samalavicius, Giedre Smailyte, Raimundas Lunevicius
BMC Surgery , 2012, DOI: 10.1186/1471-2482-12-11
Abstract: 69 patients were included. Lithuanian version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Cancer 30 was sent to all of them from six months to two years after gastric surgery for self-completion. 34 questionnaires were filled and were used as material for further analysis. Influence of age (≥ 65 vs？<？65), sex, clinical stage (I–II vs III), surgical complication, and adjuvant chemotherapy was assessed on QOL in this retrospective cross-sectional case series study.The global health status was better in the group of patients aged over 65 (63.0 points vs 46.4, P？=？0.0509). The functional scales were higher in the same group of patients. Significant difference was only observed on the social scale in favour of elders (P？=？0.0039). Sex, clinical stage, surgical complications, and postoperative chemotherapy had no significant influence on any aspect of QOL.The global QOL and the social functioning was better in patients aged 65？years and over, compared to patients under the age of 65 in the period of 6 to 18？months after a total gastrectomy with D2 lymphadenectomy and Omega esophagojejunostomy.Improving cancer therapy leads to increasing survival rates. In addition to this, there is more attention being placed on the quality of life (QOL) which is mostly dependent on cancer diagnosis and complex treatment [1]. Thorough assessment on the QOL of patients is especially important when surgery is applied as a main option of treatment, as the operated patients often suffer from various functional and psychological symptoms for a considerably longer time than the average amount of months following the surgery. These symptoms and other aspects of health which necessitate for changes of lifestyle, have to be analysed by investigating the QOL.QOL is a multidimensional construct which represents comfort and well-being of the patients, secondary to the disease and treatment [2]. Research has shown that patients want information not o
Pre-operative high sensitive C-reactive protein predicts cardiovascular events after coronary artery bypass grafting surgery: A prospective observational study
Balciunas Mindaugas,Bagdonaite Loreta,Samalavicius Robertas,Griskevicius Laimonas
Annals of Cardiac Anaesthesia , 2009,
Abstract: C-reactive protein is a powerful independent predictor of cardiovascular events in patients with coronary artery disease. The relation between C-reactive protein (CRP) concentration and in-hospital outcome, after coronary artery bypass grafting (CABG), has not yet been established. The study aims to evaluate the predictive value of pre-operative CRP for in-hospital cardiovascular events after CABG surgery. High-sensitivity CRP (hs-CRP) levels were measured pre-operatively on the day of surgery in 66 patients scheduled for elective on pump CABG surgery. Post-operative cardiovascular events such as death from cardiovascular causes, ischemic stroke, myocardial damage, myocardial infarction and low output heart failure were recorded. During the first 30 days after surgery, 54 patients were free from observed events and 14 developed the following cardiovascular events: 10 (15%) had myocardial damage, four (6%) had low output heart failure and two (3%) suffered stroke. No patients died during the follow-up period. Serum concentration of hs-CRP ≥ 3.3 mg/l (cut-off point obtained by ROC analysis) was related to higher risk of post-operative cardiovascular events (36% vs 6%, P = 0.01), myocardial damage (24% vs 6%, P = 0.04) and low output heart failure (12% vs 0%, P = 0.04). Multivariate logistic regression analysis showed that hs-CRP ≥ 3.3 mg/l ( P = 0.002, O.R.: 19.3 (95% confidence interval (CI) 2.9-128.0)), intra-operative transfusion of red blood cells ( P = 0.04, O.R.: 9.9 (95% C.I. 1.1-85.5)) and absence of diuretics in daily antihypertensive treatment ( P = 0.02, O.R.: 15.1 (95% C.I. 1.4-160.6) were independent predictors of combined cardiovascular event. Patients having hs-CRP value greater or equal to 3.3 mg/l pre-operatively have an increased risk of post-operative cardiovascular events after on pump coronary artery bypass grafting surgery.
Gracilis muscle interposition with primary rectal without urethral repair for moderate sized rectourethral fistula caused by brachytherapy for prostate cancer: a case report
Samalavicius Narimantas,Lunevicius Raimundas,Gupta Rakesh,Poskus Tomas
Journal of Medical Case Reports , 2012, DOI: 10.1186/1752-1947-6-323
Abstract: Introduction There is a 0.16% chance of a rectourethral fistula after prostate brachytherapy monotherapy using Palladium-103 or Iodine-125 implants. We present an unusual case report of a rectourethral fistula following brachyradiotherapy monotherapy for prostate adenocarcinoma. It was also associated with unusual management of the fistula. Case presentation A 58-year-old Caucasian man underwent brachyradiotherapy monotherapy as definitive treatment for verified intracapsular prostate adenocarcinoma receiving 56 Iodine-125 implants using a transrectal ultrasound-guided technique. The patient started to complain of severe perineal pain and mild rectal bleeding 15 months after brachyradiotherapy. A biopsy of mucosa of his anterior rectal wall was performed. A moderate sized rectourethral fistula was confirmed 23 months after implantation of Iodine-125 seeds. Laparoscopic sigmoidostomy and suprapubic cystostomy were then performed. Long-term cortisone applications in combination with 30 sessions of hyperbaric oxygen therapy, and antibacterial therapies were initiated due to necrotic infection. A gracilis muscle interposition to create a partition between the patient's rectum and urethra in conjunction with primary rectal repair but without urethral repair were performed 6 months later. The 3cm rectal defect was repaired via a 3cm-long horizontal perineal incision. The 1.5cm urethral defect just below the prostate was not repaired. The patient underwent an optic internal urethrotomy 3 months later for a 1.5cm-long urethral stricture. Several planned preventive urethral buginages were performed to avoid urethral stricture recurrence. At 12 months postoperatively, there were no signs of a fistula and cancer recurrence. He now has a normal voiding and anal continence. Conclusion Severe rectal pain, bleeding, and local anterior necrotic proctitis are predictors of a rectourethral fistula. Urinary and fecal diversion is the first-step operation. Gracilis muscle interposition in conjunction with primary rectal repair but without urethral reconstruction is one of the reconstructive surgery options for moderate 2cm to 3cm rectourethral fistulas. Internal urethrotomy is a procedure for postoperative urethral strictures of 1.5cm in length.
Subtotal gastrectomy with conventional D2 lymphadenectomy for carcinoma of the distal gastric portion: A retrospective cohort study on clinical outcomes
Justas Kuliavas,Narimantas Evaldas Samalavicius,Raimundas Lunevicius,Rytis Maziukas
- , 2016, DOI: 10.1016/j.amsu.2016.01.023
Abstract: The study was aimed to delineate the postoperative morbidity, mortality and long-term follow-up results after R0 subtotal gastrectomy with D2 lymphadenectomy for invasive non-disseminated adenocarcinoma of the distal gastric portion
Transanal Endoscopic Microsurgery for Patients With Rectal Tumors: A Single Institution's Experience
Alfredas Kilius,Audrius Dulskas,Kestutis Petrulis,Narimantas E. Samalavicius
- , 2017, DOI: 10.3393/ac.2017.33.1.23
Abstract: The purpose of this study was to look at our complication rates and recurrence rates, as well as the need for further radical surgery, in treating patients with benign and early malignant rectal tumors by using transanal endoscopic microsurgery (TEM)
Asymptomatic primary tumour in incurable metastatic colorectal cancer: is there a role for surgical resection prior to systematic therapy or not?
Almantas Samalavicius,Audrius Dulskas,Edita Baltruskeviciene,Eduardas Aleknavicius,Giedre Smailyte,Marija Skuciene,Narimantas E. Samalavicius,Raimundas Lunevicius,Rasa Mikelenaite,Rasa Venslovaite
- , 2016, DOI: 10.5114/wiitm.2016.64981
Abstract:
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