Penetrating thoraco-abdominal gunshot wounds procedure.

Gunshot injuries of the trunk in the peace time are rare, but always represent great therapeutic and organisational problems. It concern especially thoraco-abdominal injury. Aim of this report is to present our treatment experiences with 19 wounded patients. Different procedure was applied. In 16 cases wounded laparotomy was done, in 4 cases following pleura cavity drainage. After that in 4 wounded thoracotomy was performed. In the 3 rest wounded thoraco-phrenolaparotomy was done. All of them had lung injury and a few of them have had great vessel and heart lesions. In the abdomen we found 1-4 organs injury. 7 (37%) wounded died, among these 6 after abdominal complications. Injuries mentioned above are severe, complicated and required individual and differentiated procedure. Above all severity of abdominal organs injury determined prognosis. Not enough experienced thoracic surgeon can cooperate with abdominal specialist surgeon during treatment procedure such a patients.

Nonepithelial neoplasmas of the esophagus.

Nonepithelial neoplasms of the esophagus are rare and represent only 1-3% of the treated tumor of the esophagus. Aim of this report is to present our experiences with treatment patients suffering from that kind of neoplasm. During the last 12 years we treated 12 patients: 6 males and 6 females in the age of 23-65 years (average 41 years). The basic symptom was long-duration dysphagia. Esophagoscopia, radiopaque contrast, CT examinations in the all of our patients were done. Correct recognition before operation (only 1 patient--leiomyoma) was done. The tumors were removed in 6 patients by right-side thoracotomy, in 5 patients by left-side thoracotomy and 1 has had right-side thoracoscopy. The lumen of the esophagus was opened in 3 patients. Definitive recognition was as follow: 6--leiomyoma, 3--fibroma, 1--fibroleiomyoma, 1--lipoma, 1--cystis lymphomatosa. Operative treatment was done by enucleation of the tumor and in the postoperative period we did not observe complications. Early and late results were very good as well.