We report a case of metastatic malignant melanoma in the oesophagus. 13 years after the wide excision of primary skin melanoma, we found a polypoid tumor in the upper third of the oesophagus. Biopsy result was melanoma malignum. After negative staging we performed transhiatal oesophagectomy with gastric conduit and cervical anastomosis. Metastatic nature of the oesophageal tumor was proven by histology. After uneventful postoperative course, the patient received adjuvant dacarbazine treatment. The patient was is in good condition, and disease free on the 18 month follow-up.

Introduction: Laparoscopic resection of liver malignancies is gaining acceptance. Besides the advantages of minimally-invasive techniques, publications so far show no oncologic compromise of laparoscopy. Aim: Our aim was to compare the results of our first fifty laparoscopic minor liver resections with traditional open procedures. Method: We investigated laparoscopic and open minor liver resections performed in our institute between 01. 01. 2013 and 31. 03. 2017. Data were analysed retrospectively. Resection of maximum two segments was considered a minor resection. We compared the number of resected segments, intraoperative blood loss, operative time, 30 day morbidity and mortality, hospital stay, R1 resection ratio and resection margin width. Results: During the given period, 123 open and 55 laparoscopic minor liver resections of malignant liver tumours were performed. Open and laparoscopic groups were similar considering age, sex and health status. The ratio of bi-segmentectomies was significantly higher in the open group (p<0.001). Operation time (p = 0.91) and peri-operative transfusion ratio did not differ in the two groups (p = 0.102). 30 day morbidity and mortality were consistent (p = 0.50; p = 0.34), but patients in the laparoscopic group spent shorter time in hospital (p = 0.0001). The average width of resection margins and the ratio of R1 resections showed no difference between open and laparoscopic groups (p = 0.447; p = 0.263). Conclusion: Our investigation indicates that in malignant liver tumours, laparoscopic resection significantly shortens hospital stay without oncologic compromise, even though 30 day morbidity and mortality does not show difference. We conclude that laparoscopic minor resection of malignant liver tumours is safe and feasible. Orv Hetil. 2019; 160(3): 104–111.

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Laparoscopic subtotal gastric resection with Roux-Y reconstruction is feasable without oncologic compromise and with excellent functional results in early gastric cancer.

A hasnyálmirigy betegségéhez társult diabetes egy heterogén betegségcsoport, hiszen a hasnyálmirigy elváltozását több egymástól eltérő kórfolyamat okozhatja. Ezzel magyarázható, hogy sem a betegség diagnosztikai kritériumai, sem a kezelése nem egységes az irodalomban. Ráadásul a pankreatogén diabetes gyakran társul egyéb diabetes-kórformákhoz, nemritkán több párhuzamos patológiai folyamat áll a diabetes hátterében, azaz sok betegnél nem állapítható meg egyértelműen, hogy a hasnyálmirigy betegsége milyen mértékben vesz részt a hiperglikémia kialakításában. Dolgozatunkban összefoglaljuk a pankreatogén diabetes diagnózisával, kezelésével kapcsolatos jelenlegi ismereteket, illetve bemutatjuk az általunk gondozott, hasnyálmirigy-eltávolításon átesett betegekkel nyert tapasztalatainkat.