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3 Polish Journal of Surgery

3 2008

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Esophageal Squamous Cell Carcinoma of the Esophagocolonic Anastomosis after Subtotal Resection due to Caustic Burns

100%

Włodarczyk J. , Olechnowicz H. , Kocoń P.

Polish Journal of Surgery

2008

tom 80

nr 1

42-45

The study presented a thirty-three year old female patient following subtotal esophageal resection in 1989 due to caustic burn of the esophagus. The patient complained of hoarseness and dysphagia, which developed in February 2005. Following testing, the patient was diagnosed with esophageal squamous cell carcinoma with infiltration of the larynx and trachea. After oncological consultation, the patient was qualified for radiotherapy. Six months after treatment, the patient complained of dysphagia, hoarseness and shortness of breath. Endoscopy showed neoplastic infiltration of the esophagus with the presence of an esophago-tracheal fistula. The patient was qualified for surgery with esophageal and bronchial prosthesis implantation. Three months after the surgical procedure the patient died. Survival since the time of carcinoma diagnosis was nine months. The neoplastic disease developed 16 years after esophageal resection, and 25 years after its caustic burn.

Benign Esophageal Tumors

100%

Włodarczyk J. , Olechnowicz H. , Kocoń P.

Polish Journal of Surgery

2008

tom 80

nr 1

14-20

The aim of the study was to consider the qualifications necessary for the procedure, the surgical treatment, and the long-term results.Material and methods. During the period between 1990 and 2005, twenty-five patients with benign esophageal tumors underwent treatment. Clinical symptoms, the size and localization of the tumor, and histological type were considered in cases of patients qualified for surgical intervention. Not all patients with esophageal leiomyomas were subjected to preoperative verification. Intraoperative endoscopic examinations identified the pathology, especially in cases of small lesions.Results. Patients diagnosed with esophageal leiomyomas were subjected to tumor enucleation. In cases of Abrikosow's tumor (three patients), the tumor was removed with the esophageal wall. Four patients underwent endoscopic resection. Esophageal fistulas during the perioperative period were not observed. Mortality was not observed during patient hospitalization. None of the cases presented recurrence or malignant transformation.Conclusions. Surgical treatment is the method of choice for treating benign esophageal tumors. During the postoperative period, neither disease recurrence nor malignant transformation was observed.

Simultaneous Resection of the Pulmonary Lobe and Descending Thoracic Aorta Aneurysm

100%

Włodarczyk J. , Pfitzner R. , Olechnowicz H.

Polish Journal of Surgery

2008

tom 80

nr 2

89-92

Simultaneous resection of the pulmonary lobe and descending thoracic aorta aneurysm is a rarely performed surgical procedure. As such, it is associated with increased risk of death and perioperative complications. In this study, the patient was subjected to excision of the left lower lobe and suturing of a dacron patch into the descending aorta without the use of cardiopulmonary bypass. The perioperative period proved uneventful. The patient was discharged from the hospital 10 days after the operation.