Browsing by Author "Karamarković, Aleksandar R. (6507164080)"

Pancreatic ductal adenocarcinoma (PDAC) represents an aggressive tumor with a low five-year survival rate of less than 10%. Only 20% of patients are estimated to be eligible for upfront curative resection at the time of presentation. The larger group of borderline resectable (BRPC) and locally advanced pancreatic cancers (LAPC) had much poorer outcomes in the past. Although there are improvements for the multimodal therapy of PDAC, surgery remains the single hope for a cure. Combined with adjuvant and/or neoadjuvant treatment, pancreatic surgery can enhance five-year survival by up to 20%. However, pancreatic resection is widely associated with a high risk of complications and is regarded as one of the most complex surgical procedures. TRIANGLE operation should be added to pancreatic surgery armamentarium as a key procedure, with the potential to increase the number of harvested lymph nodes, reduce the complications rate, and better radical treatment efficacy for BRPC and LAPC be converted to resectability after neoadjuvant treatment (NAT). More and more aggressive pancreatectomy has become justified in the context of NAT. Further technical standardization and optimal neoadjuvant strategy are mandatory for the global dissemination of aggressive pancreatectomies. This review summarizes the surgical treatment for BRPC and potentially resectable LAPC based on the current literature, focusing on the "TRIANGLE "concept of pancreatic surgery. Copyright © Celsius.

SUMMARY Introduction In the world with constantly increasing incidence of violence and trauma on one side, and more and more specialized surgeons on the other, the question about the role of abdominal surgeons in cardiac trauma emerges. The objective of this article is to show personal experience of an abdominal surgeon in managing heart trauma. Outlines of cases We present two penetrating injuries and one blunt trauma of the heart successfully managed by an abdominal surgeon. Conclusion Abdominal surgeons should feel comfortable with the decision to operate on greatly physiologically deranged patients with penetrating chest trauma, and not to delay the operation with conservative measures or with time-consuming transport to remote specialized facilities, since that could lead to greater death percentage of these patients. © 2021, Serbia Medical Society. All rights reserved.

Introduction Leiomyosarcoma of the inferior vena cava (IVC) is a rare mesenchymal tumor originating from the endothelial smooth muscle of the intima and account for about 1–2% of all the sarcomas of the soft tissue. The objective of this article is to show a case of IVC leiomyosarcoma, it’s resection and reconstruction using a ProxiCor patch. Case outlines We showed a case of a 65-year-old woman presented with abdominal pain and mass in subhepatic space, who underwent surgery and resection of a leiomyosarcoma of IVC. IVC was recon-structed with ProxiCor patch, and histopathologically confirmed that it was leiomyosarcoma. Conclusion Our experience has shown that the application of extracellular matrix is safe and has given a satisfactory treatment result. A comparison with a larger patient sample should give a true representa-tion of the advantages and disadvantages of this type of material in vascular reconstructive procedures. © 2023, Serbia Medical Society. All rights reserved.