Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
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The aim of the study was to determine the impact of anastomotic leakage on long-term outcomes after curative surgery for rectal cancer. ⋯ Anastomotic leakage represents an independent risk factor for a higher local recurrence rate after curative resection for rectal cancer.
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Advanced age is reported to be an important negative prognostic factor for the final functional outcome in patients after craniocerebral injury. Worse prognosis can also be expected in the presence of significant brain contusion, requiring surgical treatment because of expansive behaviour. Definite adverse influence of alcohol intoxication at the time of injury has not been proven by current literature data. The aim of the study is to analyse the importance of the above mentioned factors for the treatment outcome in patients operated on for craniocerebral injury. ⋯ The impact of age on the final treatment outcome in patients with craniocerebral injury was proven. The study did not show significant deleterious effect of alcohol intoxication at the time of injury on the final outcome.
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[Central venous cannulation under ultrasonographic and fluoroscopic navigation - 2 year experience].
The aim of our study was to evaluate the influence of ultrasonographic and fluoroscopic navigation on the rate of procedural and early complications during central venous cannulation. ⋯ We conclude that the ultrasonographic central venous cannulation is a very safe method with a low risk of procedural and early complications. There were significantly fewer complications in case of jugular cannulation compared to subclavian approach in our group of patients. Ultrasonographically navigated central venous cannulation should be used more fequently in emergency medicine as well as in case of non-acute central venous cannulation performed a tan intensive care unit or by anesthesiologists.