Is local excision due to rectal carcinoma a safe operation?

Though the treatment of patients with polypoid lesions of rectum is most frequently based on endoscopic approach, there are many cases that cannot be solved endoscopically and therefore must be treated by surgeons. In the past there were several possibilities of how to operate. In reachable localisations even local operation could be performed, however with varying measures of local recurrences and survival. The aim of this article is to draw attention to the complex topic of local excisions for rectal neoplasms and at the same time to analyse the review of indication criteria and evaluate the drawbacks of this operative method in our conditions (Tab. 3, Fig. 1, Ref 14).

[Completion of total thyroidectomy for a differentiated thyroid carcinoma]. / Dokoncenie totálnej tyreoidektómie pre diferencovaný karcinóm stítnej zl'azy.

Total thyroidectomy with dissection of the central compartment (CK) lymphatic nodes is a standard surgical procedure in differentiated thyroid carcinomas. A minority of the patients are diagnosed postoperatively. Our study reports on surgical tactics in these patients. During 2003-2006, 47 patients were operated, to have total thyoidectomy performed. The patients' data were assessed retrospectively.

[Radiation navigated reoperations of the thyroid gland in differentiated carcinoma]. / Radiacne navigované reoperácie stítnej zlazy pre diferencovaný karcinóm.

Radiation-navigated reoperations of the thyroid gland for the differenciated carcinoma are reserved for such cases of the thyroid gland reoperations aiming to complete a total thyroidectomy and, also, to extirpate metastatically affected lymphonodes. The authors discuss this part of the above surgical procedure, its therapeutic prospects, as well as its cons. They recommend already the primary surgical procedure on the thyroid gland to be conducted carefully--i.e. to conduct at least a lobectomy of the thyroid gland followed by visualization and examination of the recurrent laryngeal nerve and the parathyroid glands. They recommend the reoperations to be concentrated in specialized centres.

[Completing total thyroidectomy with lymph node dissection using a scintillation probe--case report]. / Dokoncenie totálnej tyroidektómie s disekciou lymfatických uzlín za pomoci scintilacného detektora--kazuistika.

Surgery remains the basic therapeutical method of the thyroid gland papillary carcinoma treatment. It is complemented by the adjacent thyro-eliminating therapy. A remarkable number of the thyroid gland carcinoma cases is still being diagnosed accidentally during the surgery for the thyroid gland benign disorders. The above mentioned patients, then, must undergo a reoperation, in order for the total thyroidectomy (TTE) and the lymphonodes dissection (LU) to be finished. The reoperations should be conducted in specialized clinics by sufficiently proficient teams. Our study reviews a case of a patient who underwent three surgeries on his thyroid gland.