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Query: "author" (Ga%C5%A1per Pilko) .

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1.
Lower tumour burden and better overall survival in melanoma patients with regional lymph node metastases and negative preoperative ultrasound
Gašper Pilko, Janez Žgajnar, Maja Marolt-Mušič, Marko Hočevar, 2012, original scientific article

Abstract: Background. The purpose of the study was to evaluate the ability of ultrasound(US) and fine needle aspiration biopsy (FNAB) in reducing the numberof melanoma patients requiring a sentinel node biopsy (SNB); to compare the amount of metastatic disease in regional lymph nodes in SNB candidates with clinically uninvolved lymph nodes and of those with US uninvolved lymph nodes; and to compare the overall survival (OS) of both groups. Methods. Between 2000 and 2007, a SNB was successfully performed in 707 patients with melanoma. The preoperative US of the regional lymph node basins was performed in 405 SNB candidates. In 14 of these patients, the US-guided FNAB was positive and they proceeded directly to lymph node dissection. In 391 patients, the preoperative US was either negative (343 patients) or suspicious(48 patients) (US group). In the remaining 316 patients the preoperative US was not performed (non-US group). Results. The proportion of macrometastatic sentinel lymph nodes (SN), number of metastatic lymph nodes per patient and proportion of nonsentinel lymph node metastases were found to be lower in the US group compared to the non-US group. The smaller tumour burden of the US group was reflected in a significantly better OS of patients with SN metastases. Conclusions. The preoperative US of regional lymph nodes spares some patients with melanoma from undergoing a SNB. Patients with regional metastases and a negative preoperative US have a significantly lower tumour burden in comparison to those with clinically negative lymph nodes, which is also reflected in a better OS.
Published in DiRROS: 22.03.2024; Views: 45; Downloads: 17
.pdf Full text (466,54 KB)

2.
Influence of magnesium sulphate infusion before total thyroidectomy on transient hypocalcemia - a randomised study
Nikola Bešić, Špela Žagar, Gašper Pilko, Barbara Perić, Marko Hočevar, 2008, original scientific article

Abstract: Background. Transient hypocalcemia is the most common complication after thyroidectomy. Normomagnesemia is needed for normal secretion of PTH and end-organ responsiveness. Our aim was to determine the influence of infusion of magnesium sulphate before thyroidectomy on the incidence of laboratory and clinical transient hypocalcemia. Methods. In our prospective study, 48 patients (5 men, 43 women; age 22-73 years, median 45 years), who underwent total or near-total thyroidectomy, were randomised preoperatively. Half of them received intravenously 4 ml of 1M magnesium sulphate at the beginning of the surgical procedure, the other half were the control group. Serum concentrations of calcium, ionised calcium, magnesium, phosphate, albumin and PTH were measured prior to surgery and on the first day after surgery. Results. Laboratory postoperative hypocalcemia was present in 27% of patients and 23% of patients had clinical signs and/or symptoms of postoperative hypocalcemia. The concentration of total calcium (p=0.024) and of albumin (p=0.01) was lower in the group that received magnesium sulphate. Conclusions.The patients who received infusion of magnesium sulphate before total thyroidectomy had lower concentration of total serum calcium and albuminin comparison to the control group. There was no statistical differencein the incidence of clinical transient hypocalcemia.
Published in DiRROS: 08.03.2024; Views: 55; Downloads: 20
.pdf Full text (72,12 KB)

3.
Rak jajčnikov : ponovno nekaj novega
2023, proceedings of peer-reviewed scientific conference contributions (domestic conferences)

Abstract: Rak jajčnikov je najpogostejši vzrok smrti pri ženskah, ki zbolijo za ginekološkimi raki, saj je bolezen za večino bolnic v napredovalih fazah pogosto usodna. To je posledica težavne prepoznavnosti bolezni v zgodnjih fazah, ko je zdravljenje učinkovito. /// Na žalost preventivni program za zgodnje odkrivanje raka jajčnikov še ne obstaja, zato je pri več kot 75 % bolnic bolezen odkrita v napredovalih stadijih, kar posledično prinaša slabo prognozo. Tako pri zdravnikih kot pri ženskah je pomanjkljivo poznavanje zgodnjih znakov bolezni, kar lahko vodi v napačno diagnostiko in triažiranje bolnic v neprimerno zdravstveno ustanovo. /// Diagnoza se postavi s pomočjo ustreznih diagnostičnih preiskav, potrdi pa se s patohistološko preiskavo. 90 % rakov jajčnikov izvira iz epitelija, medtem ko so drugi tipi redki. Osnovno zdravljenje vključuje kirurški poseg, katerega cilj je popolnoma odstraniti bolezen in doseči stanje brez vidnega ostanka bolezni. Sledi sistemska terapija, medtem ko obsevanje pri zdravljenju raka jajčnikov nima ključnega pomena. /// Ugotovljeno je, da je zdravljenje raka jajčnikov najuspešnejše v specializiranih ustanovah, kjer delujejo strokovnjaki z usmerjenostjo v ginekološko-onkološko področje. V Sloveniji si nenehno prizadevamo za standardizirano in kakovostno obravnavo žensk z rakom jajčnikov.
Keywords: ginekološki raki, elektronske knjige
Published in DiRROS: 22.11.2023; Views: 261; Downloads: 128
.pdf Full text (1,10 MB)
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4.
Predstavitev projekta OREH - organizirana celostna rehabilitacija bolnikov z rakom debelega črevesa in danke
Gašper Pilko, 2022, published scientific conference contribution

Abstract: Celostna rehabilitacija vključuje aktivne postopke, s katerimi onkološkim bolnikom omogočimo najboljše telesno, duševno in socialno delovanje od diagnoze dalje. Številne klinične raziskave kažejo, da onkološko zdravljenje povzroča številne posledice, kar bolnikom prinaša mnogotere težave, zaradi katerih se njihovo življenje korenito spremeni. Celostna rehabilitacija za onkološke bolnike se danes v Sloveniji ne izvaja na ravni države. Bolniki so deležni rehabilitacije po onkološkem zdravljenju sporadično in v neenakomernem obsegu v posameznih ustanovah, kjer se zdravijo bolniki z rakom in v zdravstvenih domovih. V okviru projekta Organizirane celostne rehabilitacije bolnikov z rakom debelega črevesa in danke bomo poiskušali ugotoviti, ali je kakovost življenja bolnikov z rakom debelega črevesa in danke, ki so vključenih v interventno skupino boljša. S primerjavo interventne in kontrolne skupine bomo ugotovili tudi, kako je intervencija vplivala na trajanje njihove bolniške odsotnosti in na invalidsko upokojevanje. Na osnovi analize rezultatov bomo pripravili načrtovano oceno potreb po celostni rehabilitaciji za rak debelega črevesa in danke, ki bo podlaga za načrtovanje resursov na državni ravni.
Keywords: rak debelega črevesa in danke, onkološko zdravljenje, celostna rehabilitacija
Published in DiRROS: 16.01.2023; Views: 421; Downloads: 106
.pdf Full text (96,74 KB)

5.
Onkološki bolniki in cepljenje proti covid-19
Urška Ivanuš, Kaja Batista, Tina Firanović, Amela Duratović Konjević, 2021, other monographs and other completed works

Keywords: covid-19, onkologija, cepljenje
Published in DiRROS: 14.07.2022; Views: 630; Downloads: 204
.pdf Full text (371,82 KB)

6.
Priporočila za obravnavo bolnikov z rakom debelega črevesa in danke
2020, dictionary, encyclopaedia, lexicon, manual, atlas, map

Keywords: rak debelega črevesa, rak danke, bolniki, zdravljenje
Published in DiRROS: 18.03.2022; Views: 781; Downloads: 421
.pdf Full text (1,30 MB)
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Priporočila Onkološkega inštituta za zdravljenje bolnikov z adenokarcinomom želodca
2021, other monographs and other completed works

Abstract: V Sloveniji vsako leto zboli zaradi raka želodca okrog 450 bolnikov, od tega ima tri četrtine bolnikov ob postavitvi diagnoze razširjeno ali razsejano bolezen. Zato je pomembno, da imamo razvito sodobno multidisciplinarno zdravljenje. Onkološki inštitut je na poti pridobitve evropske onkološke akreditacije, ki jo podeljuje priznana Evropska organizacija onkoloških inštitutov (OECI), katere član je tudi Onkološki inštitut Ljubljana. Namen tega projekta je razvoj kliničnih poti, ki bodo omogočile celostno obravnavo bolnikov z rakom. Slovenskih priporočil za zdravljenje adenokarcinoma želodca trenutno nimamo, zato smo bili primorani sprejeti te, ki jim bomo sledili na Onkološkem inštitutu. V teh priporočilih, zaradi drugačne narave bolezni, ni zajeto zdravljenje raka ezofagogastričnega stika.
Keywords: rak želodca, adenokarcinom, onkološko zdravljenje, priporočila
Published in DiRROS: 14.09.2021; Views: 1359; Downloads: 362
.pdf Full text (983,68 KB)

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