2006 - UZ Leuven

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tekens op CT en/of MRI kunnen een belangrijke bijdrage leveren tothet stellen van de juiste diagnose. Bijkomende serologische tests zijnbeschikbaar die niet alleen zinvol zijn bij diagnose, maar ook een rolspelen in de follow-up.Onbehandeld is de afloop van alveolaire echinokokkose slecht.Resectie van het aangetaste weefsel lijkt de beste behandeling.Indien resectie onmogelijk blijkt, is het opstarten van een therapie metbenzimidazolen gedurende weken, maanden of zelfs jarenaangewezen. Bij belangrijke leverdestructie kan levertransplantatieworden overwogen.PENNINCKX F., DANSE E. on behalf of the PROCARE Workgroup. On therole of radiologists in the Belgian project on cancer of the rectum,Procare. JBR-BTR, 2006; 89(1): 19.-22.Radiologists are involved at all stages of the treatment of patients withrectum cancer: in the preoperative staging, in the diagnosis ofpostoperative complications, in the detection of recurrent or metastaticdisease during follow-up, in the monitoring of the therapeutic effect ofpalliative therapy. PROCARE is a Belgian national project to improveoutcome in all patients with rectum cancer. Guidelines were made bya multidisciplinary workgroup and are available on the web.Decentralised implementation of guidelines is organised by thescientific and professional organisations. It is planned that a centralreview committee of radiologists, delegated by the Royal BelgianSociety of Radiology, will survey the quality of preoperative staging.Overall quality of care will be assured by registration in a specificnational database starting in 2006. Participating teams will receiveannual feedback. Radiologists should provide data on cTNM stagingand cCRM. Differentiation between cT2 and cT3, cN0 and cN+, andmeasurement of the cCRM in mm are crucial as they have a relevantimpact on treatment strategy. While spiral abdominal CT is adequatefor cM staging, high-resolution MRI is highly recommended and, infact, a necessity for locoregional staging because its adequacy issuperior to that of CT-scan and EUS. However, EUS is mandatorywhen local excision is considered, i.e. for cT1N0 lesions.PENNINCKX F., VAN EYCKEN L., MICHIELS G., MERTENS R.,BERTRAND C., DE CONINCK D., HAUSTERMANS K., JOURET A.,KARTHEUSER A., TINTON N. on behalf of the PROCARE working group.Survival of rectal cancer patients in Belgium 1997-1998 and thepotential benefit of a national project. Acta Chir. Belg., 2006; 106: 149-157.8
Background: PROCARE, a Belgian multidisciplinary project on rectalcancer (RC), will be launched in 2006. Guidelines have beendeveloped, but remain to be implemented.Aim: A population-based study on RC treatment and outcome inBelgium and comparison with recent international benchmarks inorder to better define targets that should be reached.Patients and methods: Anonymous data of 3079 patients with rectalcancer registered in the National Cancer Registry in 1997 and 1998were analysed. Observed (OS) and relative survival (RS) werecompared with figures from nation-wide projects and multi-centrestudies.Results: The 5-yr OS and RS were 46.6% and 58.5%, respectively.For patients with stage I-III tumours 5-yr OS was 57.1% and 5-yr RS70.1%. Adjuvant or neo-adjuvant treatment was given in 54.8% stageII-III patients who were < 70 years old. There were markeddifferences between the provinces in the use of radiotherapy for stateII-III patients and in 5-yr RS for all stages. In stage IV, the median OSwas 13 months and the 2-yr OS was 28%. Comparison with recentmulti-centre trials indicates significant potential benefits from thePROCARE project: an absolute increase of the 5-yr OS by 10 to 20%after chemoradiotherapy and TME in stage II-III patients 75 years oldor less, a 7-month increase of the median OS and an absolute 15%increase of the 2-yr OS in unresectable stage IV patients withcombined chemotherapy.Conclusion: Significant improvement seems to be achievable.Implementation of the PROCARE guidelines with quality assurancethrough prospective registration in a specific database, however, is acrucial prerequisite for credible audit of performance and feedback toindividual teams.ROBIJN J., SEBRECHTS E., MISEREZ M.: Management of incidentallyfound Meckel’s diverticulum. A new approach: resection based on arisk score. Acta Chir. Belg., 2006; 106: 467-470.The management of incidentally found Meckel’s diverticulum (MD)remains unclear. The risk for future complications of a non-resectedMD must be weighed against the risk of complications for a resectedMD in order to justify a prophylactic resection. Morbidity-rates afterresection of incidentally found MD are much lower than those afterresection of symptomatic MD. Several risk factors which increase therisk for future complications of an asymptomatic MD have beendescribed in the literature. We suggest that an asymptomatic MDshould be removed in cases where there is a higher risk of itbecoming symptomatic in the future, on condition that the resectioncan be done with presumed low morbidity. Based on the literature9
Page 1: CYRURGIE2006
Page 4 and 5: Heelmeesters allerhande, verenig u!
Page 7: INHOUDSOPGAVEAbdominale Heelkunde 1
Page 10 and 11: De resultaten van een grote Noord-A
Page 12 and 13: VEGF (P = 0.008) correlate with a p
Page 14 and 15: severe ulcerative ileitis and jejun
Page 18 and 19: data we propose a scoring system in
Page 20 and 21: ABDOMINALETRANSPLANTATIECHIRURGIECA
Page 22 and 23: DYCKMANS K., LERUT E., GILLARD P.,
Page 24 and 25: LERUT J., ORLANDO G., ADAM R., SABB
Page 26 and 27: histopathologic diagnostic process.
Page 28 and 29: additional stimulants that the inna
Page 30 and 31: ARTIKELS UIT HETLEUVENSE NETCREVITS
Page 32 and 33: PRUYT M., DEVRIENDT D., VANNESTE A.
Page 34 and 35: BOSHOFF D., BUDTS W., MERTENS L., E
Page 36 and 37: FLAMENG W., MEURIS B., HERIJGERS P.
Page 38 and 39: prosthetic valve endocarditis who w
Page 40 and 41: in these patients We present a case
Page 42 and 43: SERCA2a. In SKO mice, gene-targeted
Page 44 and 45: MULTIDISCIPLINAIRBORSTCENTRUMMORALE
Page 46 and 47: east implant. Only two other cases
Page 48 and 49: Object: Based on data from primate
Page 50 and 51: SISCOM hyperperfusion cluster and M
Page 52 and 53: ONCOLOGISCHEHEELKUNDEBROUNS F., SCH
Page 54 and 55: infiltrative multilobular spindle c
Page 56 and 57: multivariable Cox model adjusted fo
Page 58 and 59: We retrospectively evaluated a surg
Page 60 and 61: We performed resection arthroplasty
Page 62 and 63: earing posterior-stabilised. To do
Page 64 and 65: age and key pinch strength. The dif
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FABRY K., LAMMENS J., DELHEY P., ST
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cases. The mean Knee Society’s kn
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short-term solution for his fractur
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the foot and result in major septic
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SAEGEMAN V., LISMONT D., VERDUYCKT
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Objective: The objective of this st
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VICTOR J., BELLEMANS J.: Physiologi
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skin construct displays authentic f
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Bewertung des Spenderdefektes ergab
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HIERNER R., BERGER A.: Options and
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vascularized ulnar nerve graft and
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cranial bone and dura which cannot
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defects.Adequate debridement, early
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Patients and Methods: Between 1995
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MASSAGE P., VANDENHOF B., VRANCKX J
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Background: High pressure injuries
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VERMEULEN P., DICKENS S., VRANCKX J
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inhibitors that neutralize the impa
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internship. These components repres
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Objective: To evaluate the expressi
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patients were diagnosed with acute
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Conclusions: This study demonstrate
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progressive accumulation of FVIII a
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his name to this condition through
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gevallen, beschouwen wij de minimaa
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Table 1Reperfusion time(min)PVR(dyn
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transplantation; dehiscence (n = 25
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upon reperfusion results from a red
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VAN DE WAUWER C., VAN RAEMDONCK D.E
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Bronchiolitis obliterans syndrome (
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noodzakelijk een beter inzicht te v
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patients of 70 years and older trea
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of debate. A good pain relief can b
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VAN GESTEL L., NIJS S., BROOS P.: T
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UROLOGIEALBERSEN M., JONIAU S., VAN
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children achieve bladder and bowel
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Results: Ninety-five percent of the
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esistant to degradation, but at 365
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Results: Although the surgery was m
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DE RIDDER D.: Conservatieve aanpak
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pressures were measured. The effect
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GOEMAN L., JONIAU S., OYEN R., VAN
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pelvic lymph node status were not w
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literature on nephron-sparing surge
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on overall survival was studied. Su
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materials, although it was architec
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Material und Methoden: Von 13 Zentr
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a remarkable higher number of forei
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VAN CALSTEREN K., VAN MENSEL K., JO
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VANDE WALLE J.G.J., BOGAERT G.A., M
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Introduction & Objectives: Control
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VAATHEELKUNDEBLADT O., MALEUX G., H
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FOURNEAU I., SABBE T., DAENENS K.,
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computed tomography (CT) and magnet
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We report an unusual case of a uret
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during GPIb stimulation, its activa
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2006 - UZ Leuven

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