Articol din Revista Societatii Romane de Chirurgie


I. Vasile, D. Vîlcea, R. Nemes, T. Curcã, M. Pasalega, F. Calotã, T. Paraliov, C. Mesinã, D. Mogos (Chirurgia, 100 (1): 27-33) Introducere
Tumorile retroperitoneale primitive sunt tumorile dezvoltate în spatiul retroperitoneal pe seama tesutului gras, conjunctiv conectiv, a fasciilor, a tesutului vascular, nervos, muscular, a vaselor limfatice si limfoganglionilor sau din resturi embrionare, derivate în mod deosebit din aparatul urinar dar si din alte structuri (1, 2, 3, 4).
Desi s-au fãcut progrese importante în diagnosticul acestor tumori, decelarea lor continuã sã fie realizatã cu întarziere, în stadii avansate de evolutie localã sau sistemicã, astfel cã un numãr important de cazuri nu pot beneficia de extirparea chirurgicalã completã, singurul tratament eficace în momentul actual pentru aceastã localizare tumoralã (5).
Tratamentul oncologic adjuvant (chimioterapia si radioterapia) poate fi util în unele forme histologice (limfoamele maligne retroperitoneale), în rest rezultatele fiind încã descurajante (1, 3).

Articol din publicatia Timisoara Medical Journal nr. 3/2005
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Octavian Cretu[1], Florin E. Hut[1], Laurentiu V. Sima[1], Dan Iliescu[1], Ovidiu Burlacu[2], Razvan Tarziu[1], Alexandru Blidisel[1], Vladimir Fluture[1]

1. Hepatic Surgery Department, Surgery Clinic
2. Thoracic Surgery Clinic, Timisoara Clinical Emergency City Hospital, Victor Babes University of Medicine and Pharmacy, Timisoara

Objective: to present "H" partial porto-caval shunt, as an eficient treatment for superior digestive hemorrhages due to esophageal varices rupture, which recurred after endoscopic treatment.

Material and method: the paper presents the authors experience regarding partial porto-caval shunt performed on seven cirrhotic pacients, Child-Pugh B risk class, with HTP 2B stage, which presented a hemorrhagic recurrence after endoscopic treatment. 10 mm diametre gore-tex prosthetics were used in six cases and 6 mm diametre gore-tex prosthetic, in one patient.

Spontaneous Hemoperitoneum Secondary to Ruptured Metastasis of an Ileal Carcinoma Solved by Lateral Liver Resection

Articol din publicatia Timisoara Medical Journal nr. 2/2005
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Authors: Octavian Mazilu1, Dorin Grigoras2, Horia Prundeanu1, Flavius Sandra1, Dan Iliescu1, Laurentiu Sima1, Vladimir Fluture1

1 Emergency Surgery Clinic, Timisoara municipal Hospital
2 1st Clinic of Gynecology, Dumitru Popescu Hospital, Timisoara

Correspondence to:
Dr. Octavian Mazilu, Emergency Surgery Clinic, Timisoara Municipal Hospital, Gh. Dima No. 5, 300079, Timisoara
Tel: +40722852410
Email: mazilu_o@yahoo.com

ABSTRACT
Spontaneous ruptures of liver metastases are less reported than those of benign or malign hepatic tumors. In these cases liver resection is indicated in order to ensure hemostasis and not as a curative procedure.
The authors present a 61-year-old patient with ileum carcinoma and multiple liver metastases, admitted for epigastralgia, abdominal distension, asthenia, pallor and significant weight loss.

Articol din publicatia Timisoara Medical Journal nr. 4/2004
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Aurel Mironiuc1, Marius Fodor1, Adriana Albu2, A. Oprea1, A. Eni1, Daniela Branzan1, Dana Demco1

1Surgical Clinic II, 2Medical Clinic II, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj Napoca, Romania
Correspondence to: Aurel Mironiuc, Surgical Clinic II, Iuliu Hatieganu University of Medicine and Pharmacy, Clinicilor Str. 4-6, Cluj Napoca, Romania
Email: amironiuc@hotmail.com
Abstract

Aortoureteric fistula is a rare complication of vascular surgery. In the presented case, it developed after an aortofemoral bypass complicated by prosthesis infection. The acute onset through massive hematuria required an emergency diagnosis and surgical treatment. The elimination of aortoureteric fistula and the revascularization through extra-anatomical axillofemoral bypass were the stages of surgery. The associated diseases and the extension of surgery can explain the death of the patient. Aortoureteric fistula is a rare vascular emergency with great mortality (50-80%) that requires different approaches adapted for each case.
Key Words: infected aortofemoral bypass, aortoureteric fistula, extra- anatomical bypass