Preserving Left Aberrant Hepatic Artery During Gastrectomy for Cancer – Literature Review and Case Report

Introduction: Identifying left aberrant hepatic artery during gastrectomy for cancer is occasional. In case of replaced left hepatic artery, its ligation can lead to hepatic injury or ischemia, while preserving it can cause difficulties during lymphadenectomy. In literature there is no consensus regarding preserving replaced left hepatic artery during gastrectomy for cancer. A recent study, analysing adverse effects of ligating an aberrant left hepatic artery, shows in patients with over 5 times elevated transaminase levels, increase in hospital length and postoperative complications. On the other hand, there are studies that consider ligation of aberrant left hepatic artery safe, the only inconvenient being postoperative transient elevation of transminase levels, when ligated artery diameter is over 1.5 mm. Material and methods: We report the case of a 65 years old male, known with myocardial infarction, admitted for epigastric pain, nausea, vomiting, dysphagia for solids and important weight loss. Upper gastrointestinal endoscopy with biopsy and computed tomography showed esogastric tumoral mass, signet ring cell carcinoma, no metastases. Intraopertive, we found replaced left hepatic artery arising from left gastric artery, close to the celiac trunk, its diameter being approximately 1 cm. Total radical D2 gastrectomy with mechanical eso-jejunal Roux-en-Y anastomosis was performed. Postoperative evolution was favorable surgically, but the patient had SarsCov2 infection during hospitalization. The final pathology report showed 18 lymph nodes examined, 5 being with adenocarcinoma metastases. Conclusions: Preserving replaced left hepatic artery during gastrectomy for cancer is preferable, lymphadenectomy not being affected. Potential postoperative complications resulted from ligation of replaced left hepatic artery could have chanced the prognosis

The efficiency of some insecticides used for controlling Grapholitha funebrana Tr. and Eurytoma schreineri Schr. pests, in the plum tree plantations

During 2002 – 2003, according to the observations on the biology and ecology of Grapholitha funebrana Tr. and Eurytoma schreineri Schr. species, we have studied the efficiency of insecticides for controlling these species. We have tested the insecticides from synthetic piretroids, organophosphoric, carbamic group, metamorphose inhibitors, and biological products. All the products had a great efficiency, the best results being obtained by Cypermetrin 10CE – 0.05%, Victenon 50WP 0.1% and Karate 2.5CE – 0.03%, where the attack degree in fruits was between 0 - 1%. The biological products Dipel and Bactospeine had a lower efficiency, and the degree of attacked fruits was comprised between 19- 21%

Control of San José scale (Quadraspidiotus perniciosus Comst.) from apple tree plantations at the Fruit Growing Research and Development Station of Iaşi

Many pests are found in apple tree plantations, causing important damages if chemical treatments are not applied. One of these pests is San José scale (Quadraspidiotus perniciosus Comst), which is a key pest of apple tree plantations, found on the list of quarantine pests. Its appearance in apple tree plantations is tightly related to the climatic conditions, especially to temperature. This has a determining role in the pest evolution, which may lead to major damages or even to tree death. During 2005-2007, at the Fruit Growing Research and Development Station of Iaşi, we carried out investigations on the efficiency of some insecticides for the chemical control of San José scale (Quadraspidiotus perniciosus Comst). The trial was conducted at the Sîrca Farm, in an apple tree plantation (Idared Variety). We have tested the following products of plant protection, some of them being of the latest generation: Fyfanon 50 EC at a rate of 0.225%, Novadim 40 EC – 0.2% Reldan 40 EC-0.15%, Calypso 480 SC – 0.02%, Ecalux S – 0.1% and Pyrinex 48 EC – 0.02%. The tested insecticides belonged to the group of organophosphoric products and of inhibitors of insect metamorphosis

Surgical Implications in the Pathology of Diabetes Mellitus – Review of the Literature

Diabetes mellitus brings together several syndromes, all burdened by a high complexity and with the potential to generate vital impairment. The large number of complications result from the association of high blood glucose level with vascular damage, neuropathy, poor healing and overall increased atherosclerosis process. The clinical manifestation of these complications involves a wide range of manifestations from simple lesions to complex pathology, many of them requiring surgical treatment. Surgical implications of diabetes mellitus include diabetic foot syndrome, soft tissue infections, renal impairment and abdominal pathology

The Evolving Landscape of Immunotherapy in Uterine Cancer: A Comprehensive Review

Endometrial cancer affects the uterus and is becoming increasingly common and deadly. Although surgery and adjuvant pelvic radiotherapy can often cure the disease when it is contained in the uterus, patients with metastatic or recurrent disease have limited response rates to chemotherapy, targeted agents, and hormonal therapy. To address this unmet clinical need, innovative treatment strategies are needed, and a growing focus on the immunomodulation of the tumor microenvironment has arisen. Current data suggest that active and/or passive immunotherapy may be promising for the treatment of endometrial cancer

Spreading of pests and diseases in Moldavia, in the crop year 2006 – 2007

The paper presents the evolution of the pathogenic agents and pests from crops under the direct influence of the climate conditions registered between 2006 and 2007 in the central area of Moldavia. We presented the frequency of the attack for the main pathogenic agents and pests, as well as the measures applied by the Plant Protection Centres in order to diminish the casualties. The paper is useful to the engineers and practicians for elaborating long-term estimates on the appearance of the pathogenic agents and pests and for establishing the best period of sending the treatment alert

Spreading of crop pests and diseases in Moldavia, during 2001-2005

The work presents the evolution of pathogenic agents and pests from crops, under the direct influence of climatic conditions, registered during 2001-2005, in the region of Moldavia. We showed the frequency of the attack of main pests and pathogenic agents, as well as the measures taken by Phytosanitary Units for limiting the damages. This paper is useful to engineers and practitioners, for elaborating a long-term prognosis on the appearance of pests and pathogenic agents and for establishing the optimum moment of warning for treatments

The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies : The Experience of Our Center

Background: Laparoscopy for benign ovarian pathology is the appropriate surgical approach and it has many well-known advantages. Minimal invasive gynecological surgery increases the quality of life of the patient. The learning process of laparoscopy is difficult and requires many interventions to acquire manual skills. The objectives of the study were to assess the learning process of laparoscopy for adnexal pathology surgery performed by beginner laparoscopists. Materials and Methods: This study included three gynecological surgeons who were beginners in laparoscopy and who were named A, B, and C. We collected information about patients, diagnosis, surgical technique, and complications. Results: We have analyzed the data from 159 patients. The most frequent primary diagnosis was functional ovarian cyst, and the laparoscopic cystectomy was performed in 49.1% of interventions. The need to convert a laparoscopy into laparotomy was necessary in 1.3% of patients. There were no cases of reintervention, blood transfusion, or ureteral lesions. The duration of the surgical intervention varied statistically significantly according to patient’s BMI and to the surgeon. After 20 laparoscopic interventions, a significant improvement was found in the time needed to perform ovarian cystectomy (operators A and B) and salpingectomy (operator C). Conclusions: The process of learning laparoscopy is laborious and difficult. We found a significant decrease in operating time after a twenty laparoscopic interventions

The Therapy of Vulvar Carcinoma : Evaluation of Surgical Options in a Retrospective Monocentric Study

(1) Background: Surgical-oncological treatment methods are continuously put to the test in times of evidence-based medicine—notably, a constant reevaluation remains key, especially for tumor entities with increasing incidence such as vulvar carcinoma. (2) Methods: In order to determine the postoperative clinical course of different methods of vulvar excision (vulvectomy, hemivulvectomy) as well as inguinal lymph node removal (lymphadenectomy, sentinel lymph node biopsy) with regard to postoperative wound-healingprocess, perioperative hemorrhage, and reresection rates, we retrospectively analyzed surgical, morphological and laboratory data of 76 patients with a pathological diagnosed vulvar cancer. (3) Results: Analysis of our data from a single center revealed a comparable perioperative clinical course regardless of the chosen method of vulvar excision and inguinal lymph node removal. (4) Conclusions: Thus, our results emphasize the current multimodality in surgical therapy of vulvar carcinoma, in which consideration of known prognostic factors together with the individual patient’s clinical situation allow guideline-based therapy aimed at maximizing surgical safety