[New options for pancreatic cancer diagnostics]. / Nové moznosti diagnostiky karcinómu pankreasu.

INTRODUCTION: The overall 5-year survival rate for patients with pancreatic cancer remains poor, ranging between 5% and 15%, with a median survival of 13 to 17 months. Looking for the new possibilities can identify early-stage pancreatic cancer patients. MATERIAL AND METHODS: The comparative study was performed at the I. Department of Surgery University Hospital in Kosice, between group of pancreatic cancer patients, whose were operated during 1. 1. 1996-31. 12. 2000 group A and during 1. 1. 2005-31. 12. 2009 group B. The survival rate was compared in all groups of patients and in group of patients in stages of pancreatic cancer. From 2007, there were started a trial, in which lymph nodes were observed using histopathological and immunohistochemical examination. RESULTS: In group A (1. 1. 1996-31. 12. 2000) were presented 29 patients, 5 years survival was investigated in two patients (6.8%), median survival rate was 14 months. In group B (1. 1.2005-31. 12. 2009) were presented 51 patients, no patient survival 5 years, median survival rate was 14 months. Between January 2007 and December 2009 one hundred and eight pancreatic cancer patients were treated at the I. Department of Surgery University Hospital in Kosice. The radical pancreatic resection and standard lymphadenectomy were performed in 36 patients. During standard lymphadenectomy there were found 19 patients with 119 negative lymph nodes by histopathological examination. These lymph nodes were examined by immunohistological examination, and there were found 37 lymph nodes as positive, in 6 patients. CONCLUSION: Patients in earlier stage of pancreatic cancer had better survival rates than in later stage of disease. Immunohistochemical examination of histopathologically negative lymph nodes can detect positive lymph nodes and early-stage pancreatic cancer patients can be identified.

[Pseudodiverticulitis coeci--the atypical etiology of right iliac fossa pain--a case report]. / Pseudodiverticulitis coeci--atypická etiológia bolesti v pravom hypogastriu.

The aim of our paper is to show on the diagnosis of coecal diverticul as infrequent reason of right iliac fossa pain. We present the case report of 43-years old woman, which underwent appendectomy some years sooner, and was accepted into the hospital because of 48-hours taking right iliac fossa pain. Local peritoneal irritation was present. During laparotomy resection of right colon with the toilette of abdominal cavity was performed. Histology diagnosed the right colon pseudodiverticulitis. In case of diagnosis of right colon pseudodiverticulitis before surgery and without peritoneal irritation, the most of authors recommend the conservative management with antibiotics. If the surgery is required, the local resection of diverticul with appendectomy is recommended. If the local resection is not possible, the ileocoecal resection has lower mortality as the right hemicolectomy.

[Patient quality of life following resection procedures for chronic pancreatitis]. / Kvalita zivota pacientov po resekcných výkonoch pre chronickú pankreatitídu.

INTRODUCTION: Surgical therapy for chronic pancreatitis is reserved for patients with intractable abdominal pain, complications of the disease, or suspected underlying carcinoma. For patients suffered from severe chronic pancreatitis, pancreatic resection can be performed safety with good postoperative results. MATERIAL AND METHODS: Between January 1996 and December 2005, the findings for 65 patients, suffer from chronic pancreatitis were analyzed in this retrospective trial at the I. Department of Surgery University Hospital FN LP in Kosice. There were investigated quality of life after pancreatic resection, using of analgetic medication, the presence of endocrine insufficiency, degree of pain relief, working ability, increase weight and BMI. RESULTS: There were investigated 44 patients, 5 patients died and 16 patients were lost to follow-up. There were pain relief in 93%, increase of BMI in 80%, working ability in 77%. Patients with no analgetic medication were in 61%, patients without readmission to hospital were in 91%. CONCLUSION: After pancreatic resection, in majority of patients were presented improvement of quality of life, decrease incidence of readmission and reoperation, increase ability to return work, decrease using of analgetics, increase weight and BMI.

[Reconstructive operations in our clinical data]. / Rekonstrukcné operácie v nasom klinickom materiáli.

The authors present the results of reconstructive vascular operations performed during the period from 1990 to 1994. According to the criteria of the European Vascular Surgery Council the lowest patency was recorded in the distal type of femoropopliteal bypasses in the lower extremities. They emphasize the necessity to apply the "Graft Surveillance Programme" in vascular consultation centre. (Tab. 2, Ref. 7.).

[Laparostomy in the treatment of severe hemorrhagic-necrotic pancreatitis]. / Význam laparostómie pri liecbe tazkej hemoragicko-nekrotickej pankreatitídy.

The authors present their experience with the therapy of severe necrotic pancreatitis which was applied in the period from 1986 to 1993. Alcoholic etiology was stated in 52.56% patients. The authors analyse in detail the cases treated with "open packing" laparostomy. They emphasise its advantages and advocate to its more frequent application. Laparostomy in the frame of complex therapy of acute pancreatitis can contribute to mortality reduction. The mortality in the group of patients yielded 17.75%. Complications and multiorgan failure with a high mortality rate and severe forms of necrotic pancreatitis still represent a sad component of abdominal surgery. (Tab. 6, Ref. 13).

[Laparoscopic peroperative cholangiography--indications and significance]. / Laparoskopická peroperacná cholangiografia--indikácia a význam.

The authors have performed 35 peroperative laparoscopic cholangiographies by means of transcystic cannylation of the choledochus in 410 patients subdued to laparoscopic cholecystectomy. Choledocholelithiasis was found in 8 patients (22.85%). The authors advocate for the application of peroperative cholangiography in indicated cases since the method is simple, safe and sufficiently successful. (Tab. 5, Ref. 9.)

[Present views on spontaneous pneumothorax and hemopneumothorax]. / Súcasný postoj k spontánnemu pneumotoraxu a hemopneumotoraxu.

Based on a retrospective investigation, the authors present an account of the diagnosis and treatment of 119 patients with spontaneous pneumothorax. In the diagnosis they use in addition to clinical and auxiliary examinations also endoscopy and CT. The basis of treatment in their group was active drainage of every spontaneous pneumothorax. The group comprised also a rare case of haemo-pneumothorax where the source of haemorrhage into the pleural cavity was a ruptured adhesion in the cupula. In the investigated group they achieved re-expansion of the lungs in 103 patients by active drainage. Sixteen patients had more radical treatment--surgery. During the last three years they indicated surgery much more frequently than before. After treatment by active drainage they recorded in 19.4% of the patients relapses of SPNO, after radical treatment during the last 10 years they did not record any relapses. Based on their own experience and data in the literature the authors have a more active attitude to surgical treatment of SPNO.

[Experience with permanent cardiac pacemakers in the East Slovakian Region 1978-1987]. / Skúsenosti s trvalou kardiostimuláciou vo Východoslovenskom kraji v rokoch 1978 az 1987.

The authors present a group of patients where in the course of the 10-year period of 1978-1987 a permanent pacemaker was implanted. 587 primary implantations were made and 327 exchanges of cardiac pacemakers. The mean age in the group of primary implantations was 70.4 +/- 10.3 years, in the group of exchanges 70.4 +/- 10.6 years. n 98.8% pacemakers VVI and VOO made in Czechoslovakia were implanted. Indications for primary implantation were in 64% atrioventricular block (AV) grade III, in 11% AV block grade II, in 22% disease of the sinoatrial node and in 4% other dysrhytmias. The age category above 60 years accounts for 85.5% in the group of primary implantations. A positive feature is the low incidence of complications of surgical and technical nature. An unfavourable feature is that almost all implanted devices were the simplest single electrode systems where the frequency cannot be adapted and where other parameters cannot be changed.