Lietuvos chirurgija
type: channel
description: Įkurtas 1993 m. Publikuoja chirurgijos srities straipsnius.
publisher: Vilniaus universiteto leidykla / Vilnius University Press
language: lt
publication name: Lietuvos chirurgija
issn: 1392-0995
copyright: Susipažinkite su autorių teisėmis žurnalo politikoje skiltyje Autorių teisės.
items: Informacija autoriams
items: Diagnostiniai iššūkiai diferencijuojant daugybinius pirminius plaučių navikus ir plaučių metastazes: klinikinis atvejis
items: Blauzdinio nervo švanoma: klinikinis atvejis ir literatūros apžvalga
items: Hemorrhoidectomy with LigaSure – an Experience
items: Optimizing the Management of Adhesions Following Abdominal Surgery: A Prospective Study
items: Mikropulsinė transsklerinė ciklofotokoaguliacija gydant glaukomą: literatūros apžvalga
items: Clinical Profile and Therapeutic Approaches for Gastric Lipoma: A Comprehensive Scoping Review
items: Prophylaxis and Management of Deep Vein Thrombosis in Surgical Patients ‒ a Narrative Review
items: International Colorectal Research Forum Vilnius 2026 with Korean Society of Coloproctology and International Society of University Colon and Rectal Surgeons Sessions
items: Redakcinė kolegija ir turinys

Informacija autoriams
type: item
description: -
subject: Pabaigos puslapiai
  topic: section
subject: -
  topic: keywords
creator: Narimantas Evaldas Samalavičius
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 187
ending page: 195

Diagnostiniai iššūkiai diferencijuojant daugybinius pirminius plaučių navikus ir plaučių metastazes: klinikinis atvejis
type: item
description: <strong class="boldas" lang="lt-LT" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> <em class="italic" lang="lt-LT" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Įvadas.<em class="italic" lang="lt-LT" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> <span lang="lt-LT" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Klinikinėje praktikoje vis dažniau susiduriama su daugybiniais pirminiais plaučių navikais, nes gerėja vaizdinių tyrimų galimybės,…
subject: Klinikinė praktika
  topic: section
subject: daugybiniai pirminiai plaučių navikai
  topic: keywords
subject: intrapulmoninė metastazė
  topic: keywords
subject: diferencinė diagnostika
  topic: keywords
subject: plaučių vėžio gydymas
  topic: keywords
creator: Rimantė Šalkauskaitė
creator: Agnė Šimbelytė
creator: Vytautas Jovaišas
creator: Vytenis Bertašius
creator: Žymantas Jagelavičius
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 176
ending page: 181
doi: 10.15388/LietChirur.2026.25(2).8

Blauzdinio nervo švanoma: klinikinis atvejis ir literatūros apžvalga
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Įvadas.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> Švanomos yra dažniausi gerybiniai periferinių nervų dangalų navikai. Jie auga<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> lėtai<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">, dažnai n…
subject: Klinikinė praktika
  topic: section
subject: švanoma
  topic: keywords
subject: periferinių nervų navikai
  topic: keywords
subject: biopsija
  topic: keywords
subject: ekscizija
  topic: keywords
creator: Gustas Jonaitis
creator: Mykolas Udrys
rights: Autorių teisės (c) 2026 Gustas Jonaitis | Mykolas Udrys https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 170
ending page: 175
doi: 10.15388/LietChirur.2026.25(2).7

Hemorrhoidectomy with LigaSure – an Experience
type: item
description: <p class="ISSN-abst-virsus" lang="en-US" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Background. Hemorrhoidectomy using the LigaSure system (LS) is a recent addition to the surgical armamentarium. Aim. To prospectively evaluate the outcomes of LigaSure hemorrhoidectomy in terms of blood loss, postoperative pain, duration of hospitalization, post-operative complications, and patients’ satisfaction. Methods. The records of all the cases who underwent LigaSure hemorrhoidectomy for internal hemorrhoids from June 2019 to May 2025 were analyzed. Demographics, comorbidities, type of anesthesia, procedure time, the volume of blood lost, postoperative pain, duration of hospitalization, post-operative complications, and the feedback expressed by the patients. Results. Out of 140 patients, there were 108 males and 32 females, with a mean age of 39.3 years. 88 (62.9%) cases were managed for Goligher’s grade III, and 52 (37.1%) had grade IV internal hemorrhoids. The mean procedure time was 14.3±3.9 min, respectively. The mean volume of blood lost in the procedure was 13.7 ml. The pain VAS score ranged from 3 to 7 (mean 4.83±0.93) and gradually decreased over 7 postoperative days. The mean duration to return to normal routines of life was 13.8±2.7 days, and 76% of patients were either highly satisfied or satisfied. Conclusion. Haemorrhoidectomy using LigaSure is a safe and effective method for the management of grade III and IV hemorrhoids.
subject: Originalūs mokslo tiriamieji darbai
  topic: section
subject: hemorrhoids
  topic: keywords
subject: LigaSure haemorrhoidectomy
  topic: keywords
subject: LigaSure system
  topic: keywords
subject: visual analog scale
  topic: keywords
creator: Mohammad Alfehaid
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 161
ending page: 169
doi: 10.15388/LietChirur.2026.25(2).6

Optimizing the Management of Adhesions Following Abdominal Surgery: A Prospective Study
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Background.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> Adhesive-related abdominal surgery remains a chronic issue in the surgical field and a significant source of long-term patient morbidity. These fibrotic bands can result in complications such as: intestinal obstruction, chronic abdominal or pelvic pain, infertility, and repeat surgical procedure. Multiple preventive strategies have been suggested; however, their application in day-to-day clinical practice is variable and inadequately standardized. We looked at whether a structured and multidisciplinary protocol that they co-created with the Departments of General Surgery and Gynecology can reduce the incidence of adhesion-induced complications. <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-…
subject: Originalūs mokslo tiriamieji darbai
  topic: section
subject: postoperative adhesions
  topic: keywords
subject: abdominal surgery
  topic: keywords
subject: gynecologic surgery
  topic: keywords
subject: adhesion prevention
  topic: keywords
subject: multidisciplinary protocol
  topic: keywords
subject: quality of life
  topic: keywords
subject: surgical outcomes
  topic: keywords
creator: Muhammad Munir Memon
creator: Zaheera Saadia
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 153
ending page: 160
doi: 10.15388/LietChirur.2026.25(2).5

Mikropulsinė transsklerinė ciklofotokoaguliacija gydant glaukomą: literatūros apžvalga
type: item
description: <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Įvadas.<span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> Glaukoma yra lėtinė progresuojanti optinė neuropatija, kuri negydoma lemia negrįžtamą aklumą. Medikamentinis arba chirurginis akispūdžio mažinimas šiuo metu yra vienintelis įrodytas glaukomos progresavimą stabdantis gydymo būdas. Ieškant efektyvių, tačiau saugesnių lazerinės ciklodestrukcijos metodų, XXI a. glaukoma sergantiems pacientams pradėta taikyti mikropulsinė transsklerinė ciklofotokoaguliacija (MP-TSCPC), skirta akispūdžiui mažinti, slopinant akies skysčio gamybą krumplyne. <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Metodai.<strong class="boldas" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font…
subject: Literatūros apžvalga
  topic: section
subject: mikropulsinė transsklerinė ciklofotokoaguliacija
  topic: keywords
subject: mikropulsinė ciklofotokoaguliacija
  topic: keywords
subject: MP-TSCPC
  topic: keywords
subject: ciklodestrukcinės procedūros
  topic: keywords
subject: glaukoma
  topic: keywords
creator: Jurgita Kolesnikovė
creator: Aistė Kadziauskienė
creator: Rimvydas Ašoklis
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 141
ending page: 152
doi: 10.15388/LietChirur.2026.25(2).4

Clinical Profile and Therapeutic Approaches for Gastric Lipoma: A Comprehensive Scoping Review
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;"> <em class="italic" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Background.<strong class="boldas" style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">Due to improvements in diagnostic imaging and the popularity of bariatric surgery, gastri…
subject: Literatūros apžvalga
  topic: section
subject: gastric lipoma
  topic: keywords
subject: scoping review
  topic: keywords
subject: minimally invasive surgery
  topic: keywords
subject: endoscopic submucosal dissection
  topic: keywords
subject: gastrointestinal bleed
  topic: keywords
subject: gastric outlet obstruction
  topic: keywords
creator: Sajad Ahmad Salati
creator: Mohammad AlFehaid
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 124
ending page: 140
doi: 10.15388/LietChirur.2026.25(2).2

Prophylaxis and Management of Deep Vein Thrombosis in Surgical Patients ‒ a Narrative Review
type: item
description: <span style="color: #000000; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; display: inline !important; float: none;">Venous thromboembolism (VTE), encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE), persists as a leading cause of preventable perioperative morbidity and mortality. Surgical patients are at variable and often substantial risk due to the synergistic effects of immobility, tissue injury, inflammation, and underlying comorbidities. Contemporary best practice is founded upon individualized risk assessment, the judicious application of pharmacological prophylaxis, primarily low-molecular-weight heparin (LMWH), and mechanical measures, coupled with a clear strategy for managing patients on chronic anticoagulation. For established VTE, direct oral anticoagulants (DOACs) have streamlined long-term management, though LMWH remains paramount in specific populations such as patients with cancer. This narrative review synthesizes current evidence and guidelines for the prevention and treatment of perioperative VTE, incorporating recent literature to inform clinical practice. Individualized prophylaxis guided by validated risk models and adherence to evidence-based protocols remains pivotal in reducing perioperative VTE morbidity and mortality.
subject: Literatūros apžvalga
  topic: section
subject: deep vein thrombosis (DVT)
  topic: keywords
subject: venous thromboembolism (VTE)
  topic: keywords
subject: surgical prophylaxis
  topic: keywords
subject: anticoagulant therapy
  topic: keywords
subject: low-molecular-weight heparin (LMWH)
  topic: keywords
subject: direct oral anticoagulants (DOACs)
  topic: keywords
subject: mechanical thromboprophylaxi
  topic: keywords
subject: perioperative management
  topic: keywords
subject: postoperative complications
  topic: keywords
subject: risk assessment models
  topic: keywords
subject: thromboprophylaxis guidelines
  topic: keywords
subject: pulmonary embolism prevention
  topic: keywords
creator: Muhammad Munir Memon
creator: Zaheera Saadia
creator: Manar Mohammed Al Qapa
creator: Hessah Abdulrahman Alkhudair
creator: Modhi Saleh Alfraidi
creator: Nouf Dalli Alenezi
creator: Nouf Nawaf Alharbi
creator: Maryam Mousa Alharbi
creator: Lama Abdullah Alharbi
creator: Wateen Mohammad Alharbi
creator: Wafaa Abdulaziz Alhudithi
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 107
ending page: 123
doi: 10.15388/LietChirur.2026.25(2).1

International Colorectal Research Forum Vilnius 2026 with Korean Society of Coloproctology and International Society of University Colon and Rectal Surgeons Sessions
type: item
description: -
subject: Kita
  topic: section
subject: -
  topic: keywords
creator: Narimantas Evaldas Samalavičius
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 104
ending page: 106

Redakcinė kolegija ir turinys
type: item
description: -
subject: Pradžios puslapiai
  topic: section
subject: -
  topic: keywords
creator: Narimantas Evaldas Samalavičius
rights: Autorių teisės (c) 2026 Authors https://creativecommons.org/licenses/by/4.0
date: 2026-07-09
publication date: 2026-07-09
starting page: 93
ending page: 102