Surgical strategy in patients with T4-colorectal cancer

Colorectal cancer (CRC) is the most common malignant tumour of the gastrointestinal tract (GIT). According to TNM - classification (UICC, 1997), T4 is a tumoar infiltrating directly other organs and structures and/or perforating the visceral peritoneum. It is possible to engage both the bodies located adjacent to the colon and rectum, as well as infiltration of other colorectal segments perforating the serosa, e. g. cecum carcinoma infiltrating the sigma. We presented our clinical experience and surgical treatment for 13 years (from May 2001 to May 2013). Patients` data were processed by sex, mean age, tumour location, involvement of tissues and organs, postoperative period and complications. We concluded that the multivisceral resections in one or two stages were necessary for proper surgical treatment in these patients

Postoperative Complications After Echinococcectomy

Echinococcosis remains a widespread disease in our country. Analysis of its incidence over the past five years shows that the average age of the patients has decreased significantly despite the relative decrease in the overall morbidity. The aim of this study is to present and analyze the postoperative complications that we cаme upon after the echinococcectomy. During the period 1992-2016, 471 patients with abdominal localization of hydatid cysts were admitted to our clinic - 273 women and 198 men. All of them underwent surgical treatment. Following diagnostic and therapeutic algorithm, the probability of developing postoperative complications decreased dramatically. The most important steps in order to anticipate the postoperative complications were accurate preoperative diagnosis and experience of the surgical team