Wrocław, Poland
Wrocław, Poland

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PubMed | 4 Clinical Military Hospital and Wroclaw Medical University
Type: Journal Article | Journal: Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery | Year: 2015

Extracutaneous locations of primary malignant melanoma are rare. In the respiratory system most melanomas present as metastatic tumors. For the diagnosis of primary lung melanoma, strict histopathological and clinical criteria should be met. In this paper we present three cases of malignant melanoma which showed in the respiratory system. The first 2 case studies present primary lung melanomas, while the last one shows late lung metastasis of tumor originated from vaginal mucosa. The treatment of choice for localized disease as well as single metastasis is surgical excision.


PubMed | 4 Clinical Military Hospital and Wroclaw Medical University
Type: Journal Article | Journal: Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques | Year: 2014

The aim of the study was to describe simultaneous laparoscopic adrenalectomy and laparoscopic nephron-sparing surgery, to discuss the details of a convenient laparoscopic approach and the way of port placement, as well as to present a review of the literature concerning combined laparoscopic procedures. A 72-year-old woman was admitted to our department because of a tumor of the right adrenal gland and a small tumor of the right kidney. The patient underwent simultaneous laparoscopic adrenalectomy and laparoscopic nephron-sparing surgery. The postoperative period was uncomplicated. The patient was discharged from the hospital on the 4(th) postoperative day. We believe that the proposed way of trocar placement would help to avoid a rollover problem between the laparoscope and a Satinsky clamp or a crossing swords problem between a Satinsky clamp and manipulators.


PubMed | 4 Clinical Military Hospital and Wroclaw Medical University
Type: Journal Article | Journal: Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques | Year: 2014

Fibroepithelial polyps (FEPs) are rare benign ureteral neoplasms of mesodermal origin. As an intrinsic cause of ureteropelvic junction obstruction (UPJO) they are very uncommon. Excretory urography and diuretic renography used by many urologists to diagnose a UPJO may not detect the ureteral polyp. We present a case of ureteropelvic junction obstruction caused by a fibroepithelial polyp, which was not diagnosed preoperatively. The patient underwent successful laparoscopic excision of the polyp with Anderson-Hynes pyeloplasty. We believe that laparoscopy is a useful, minimally invasive operative technique in the treatment of FEPs and may be considered a procedure of choice in large polyps, in which cases the endoscopic procedure is difficult or impossible to perform.


PubMed | Wrocław University, 4 Clinical Military Hospital and Wroclaw Medical University
Type: Journal Article | Journal: Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques | Year: 2015

Although most urologists agree that failures after laparoscopic pyeloplasty occur usually within a year after the operation, late failures are also reported.To assess late results of laparoscopic pyeloplasty.Seventy-eight of ninety-five patients who had been operated on between November 2001 and September 2009 were notified about the possibility of diuretic renography (DR). Excluded from the study were 3 patients who failed within 1 year after surgery, 2 others with late recurrences at 1.5 and 2.5 years postoperatively, 8 patients who were lost to follow-up immediately after the operation, 2 patients with equivocal DR after pyeloplasty and 2 cases with open conversion. Twenty-six (33.3%) patients responded to the notification. Mean follow-up was 89 months. In all patients DR, ultrasound, serum creatinine concentration, estimatated glomerular filtration rate and the assessment of symptoms were carried out. Success was defined as T1/2 12 min and improved or stable differential renal function on DR.Diuretic renography revealed no obstruction in 25/26 (96%) patients. One woman was not appropriately hydrated, which rendered the result of the investigation unreliable. Mean half time to tracer clearance was 6.74 min. Mean split renal function on the operated side was 44.62%. Mean pain strength according to the VAS scale was 1.54.Our study seems to indicate that recurrence after laparoscopic pyeloplasty in the follow-up period longer than 5 years is very unlikely. However, until more data are available, patients should undergo long-term follow-up to receive the benefit of the operation.

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