TECHNIQUE AND SURGICAL OUTCOMES OF ANATOMICAL LIVER RESECTIONS FOR COLORECTAL CANCER LIVER METASTASES

Technique and surgical outcomes of anatomical liver resections using ERBEJET2® water-jet dissector were described. Overall 98 patients with colorectal cancer liver metastases were included in this study. In 43 patients resections were performed using water-jet dissection technique. Water-jet dissection seems to be safe and effective technique for anatomical liver resections

АНАТОМИЧЕСКИЕ РЕЗЕКЦИИ ПЕЧЕНИ ПО ПОВОДУ МЕТАСТАЗОВ КОЛОРЕКТАЛЬНОГО РАКА С ИСПОЛЬЗОВАНИЕМ ВОДОСТРУЙНОЙ ДИССЕКЦИИ ПАРЕНХИМЫ: МЕТОДОЛОГИЧЕСКИЕ АСПЕКТЫ И НЕПОСРЕДСТВЕННЫЕ РЕЗУЛЬТАТЫ

Technique and surgical outcomes of anatomical liver resections using ERBEJET2® water-jet dissector were described. Overall 98 patients with colorectal cancer liver metastases were included in this study. In 43 patients resections were performed using water-jet dissection technique. Water-jet dissection seems to be safe and effective technique for anatomical liver resections.В работе описана техника и проанализированы непосредственные результаты выполнения анатомических резекций печени с применением водоструйного диссектора ERBEJET2®. Проанализирован опыт 98 резекций печени по поводу метастазов колоректального рака, 43 из них были выполнены с применением методики водоструйной диссекции. Опыт применения водоструйного диссектора в ходе выполнения анатомических резекций печени позволяет говорить о безопасности и эффективности данной методики

Редкий случай цистаденомы семенного пузырька у больного раком поперечной ободочной кишки

Primary tumors of the seminal vesicles (SVs) are uncommon in the routine practice of urologists. Their diagnosis is complicated by an absence of early signs of the disease. Therefore, usually SVs tumors are detected accidentally during instrumental examinations. Primary tumors of the SVs can be benign. In the Medline, PubMed, and Google Scholar databases we have found 25 descriptions of clinical cases of cystadenomas of the SVs, while in Russian medical literature no publications on the topic can be found. The main diagnostic methods are contrast-enhanced computed tomography, magnetic resonance imaging, and fine needle biopsy. Surgery scale varies from SV resection and vesiculec¬tomy to vesicle resection with prostatectomy and orthotopic neobladder reconstruction and lower anterior resection of the rectum. Considering that primary SV tumors are a rare pathology, there’s no consensus on the scale of surgical intervention.In view of the rarity of the disease and lack of its descriptions in Russian medical literature, we find it interesting to demonstrate a clinical observation of a patient with cystadenoma of the left SV.Первичные опухоли семенных пузырьков (СП) в рутинной практике врача-уролога встречаются редко. Их выявление крайне затруднительно в связи с отсутствием ранних признаков заболевания. Поэтому, как правило, образования СП являются случайной находкой при инструментальных методах исследования. Первичные поражения СП могут носить доброкачественный характер. В поисковых системах Medline, PubMed и Google Scholar нами были найдены описания 25 клинических случаев цистаденом СП, в то время как в отечественной литературе подобных публикаций не обнаружено. Основными диагностическими методами являются компьютерная томография с контрастированием, магнитно-резонансная томография и тонкоигольная биопсия. Объем операции варьирует от резекции СП и везикулэктомии до цистпростатвезикулэктомии с ортотопической деривацией мочи и низкой передней резекцией прямой кишки. В связи с тем, что первичное поражение СП является довольно редкой патологией, до сих пор нет единого мнения в отношении объема оперативного вмешательства.Ввиду редкости заболевания и отсутствия описания в отечественной литературе нам представляется интересным продемонстрировать клиническое наблюдение больного с цистаденомой левого СП

Organ-preserving treatment of early rectal cancer

Aim of review. To generalize scientific data and to develop modern concept on the issue of diagnosis, staging and treatment of early rectal cancer. Summary. The world-wide issues of early rectal cancer are discussed in the review. Diagnostic methods and staging of the early cancer and premalignant states are discussed. Prospects of improvement of early rectal cancer treatment approach are outlined, advantages of the rectum-preserving techniques are justified. Conclusion. Early rectal cancer is rarely observed neoplasm that may be the main cause for diagnostic and staging difficulties. So far the choice of surgical method for early rectal cancer is a subject for discussion, at the same time the choice of method is determined not only by the tumor invasion depth, but also by the presence of risk factors for regional lymph node involvement

A rare case of cystadenoma of the seminal vesicle in a patient with cancer of the transverse colon

Primary tumors of the seminal vesicles (SVs) are uncommon in the routine practice of urologists. Their diagnosis is complicated by an absence of early signs of the disease. Therefore, usually SVs tumors are detected accidentally during instrumental examinations. Primary tumors of the SVs can be benign. In the Medline, PubMed, and Google Scholar databases we have found 25 descriptions of clinical cases of cystadenomas of the SVs, while in Russian medical literature no publications on the topic can be found. The main diagnostic methods are contrast-enhanced computed tomography, magnetic resonance imaging, and fine needle biopsy. Surgery scale varies from SV resection and vesiculec¬tomy to vesicle resection with prostatectomy and orthotopic neobladder reconstruction and lower anterior resection of the rectum. Considering that primary SV tumors are a rare pathology, there’s no consensus on the scale of surgical intervention.In view of the rarity of the disease and lack of its descriptions in Russian medical literature, we find it interesting to demonstrate a clinical observation of a patient with cystadenoma of the left SV