Lietuvos chirurgija
type: channel
description: Founded in 1993 and dedicated to publishing surgical articles.
publisher: Vilniaus universiteto leidykla / Vilnius University Press
language: en
publication name: Lietuvos chirurgija
issn: 1392-0995
copyright: Please read the Copyright Notice in Journal Policy.
items: Solid Pseudopapillary Carcinoma of the Pancreas in a Child: Surgical Treatment and Postoperative Complications ‒ A Case Report
items: Experience of Using NPWT Therapy in the Treatment of Combat Injuries of Soft Tissues
items: Cylindroma of the Breast: A Systematic Review of a Rare Disorder
items: Quality of Life after Treatment of Presacral Tumors
items: Editorial Board and Table of Contents
items: Intrathoracic Sewing Needle in an Infant: An Unusual Case of Foreign Body Migration
items: Information for authors
items: Aspiration and Sclerotherapy with Sodium Tetradecyl Sulfate Versus open Hydrocelectomy: An Experience with the Two Modalities of Hydrocele Management
items: Robotic Surgery for Rectal Cancer Treatment: Clinical Outcomes and Quality of Life. Comparison of Surgical Methods
items: Oral Microbiota: an Innovative Approach to Colorectal Cancer Diagnosis

Solid Pseudopapillary Carcinoma of the Pancreas in a Child: Surgical Treatment and Postoperative Complications ‒ A Case Report
type: item
description: <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;">Solid pseudopapillary neoplasm (SPN) of the pancreas is a rare pancreatic neoplasm with low malignant potential, most commonly occurring in young patients. Although this condition is more frequently diagnosed in adults, it accounts for approximately 8–12% of all pancreatic tumors in children. The diagnosis of SPN is challenging due to its often asymptomatic nature, with tumors typically remaining undetected until they reach a considerable size of 5–7<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-…
subject: Clinical Practice
  topic: section
subject: children
  topic: keywords
subject: solid pseudopapillary neoplasm
  topic: keywords
subject: surgical approach
  topic: keywords
subject: pancreatic tumor
  topic: keywords
subject: postoperative complications
  topic: keywords
creator: Kotryna Šimkūnaitė
creator: Aušra Lukošiūtė-Urbonienė
creator: Tomas Vanagas
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-12-01
publication date: 2025-12-01
starting page: 298
ending page: 304
doi: 10.15388/LietChirur.2025.24(4).6

Experience of Using NPWT Therapy in the Treatment of Combat Injuries of Soft Tissues
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;">Aim. <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;">NPWT therapy (Negative-Pressure Wound Therapy) or VAC therapy (Vacuum-Assisted Clousure) – a modern method of wound healing, which significantly improves the course of all stages of the wound process and is relevant today due to the large number of wounded during hostilities in eastern Ukraine. Often these injuries are combined and lead to the formation of large soft tissue defects. <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;">The aim of the study.<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: …
subject: Original research work
  topic: section
subject: gunshot wounds
  topic: keywords
subject: soft tissue defects
  topic: keywords
subject: VAC therapy
  topic: keywords
creator: Karen Muradian
creator: Mykhailo Kashtalian
creator: Ievgen Kvasnevskyi
creator: Oleksandr Kvasnevskyi
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-12-01
publication date: 2025-12-01
starting page: 284
ending page: 287
doi: 10.15388/LietChirur.2025.24(4).4

Cylindroma of the Breast: A Systematic Review of a Rare Disorder
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;">Introduction. <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;">Cylindroma of the breast is a rare disorder, and only a few cases have been reported in the literature. Due to its rarity, this article was drafted to study the cases published over the last decade and thereby try to explain the current patterns in clinical presentation, diagnosis, treatment, and outcomes. <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;">Methods. <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; wi…
subject: Reviews
  topic: section
subject: cylindroma
  topic: keywords
subject: breast neoplasm
  topic: keywords
subject: adenoid cystic carcinoma
  topic: keywords
subject: jigsaw pattern
  topic: keywords
subject: dermal analogue tumour
  topic: keywords
subject: breast adnexal tumour
  topic: keywords
subject: triple negative phenotype
  topic: keywords
subject: systematic review
  topic: keywords
creator: Sajad Ahmad Salati
creator: Saleh Alsuwaydani
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-12-01
publication date: 2025-12-01
starting page: 274
ending page: 283
doi: 10.15388/LietChirur.2025.24(4).3

Quality of Life after Treatment of Presacral Tumors
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;">Presacral tumors are rare and anatomically complex lesions located between the rectum and the sacrum. Due to their often asymptomatic nature, most cases are diagnosed incidentally. Although typically benign, these tumors are surgically removed due to the risk of complications or malignant transformation. Successful treatment depends on the choice of surgical approach and the preservation of sacral nerves, both of which directly impact patients’ quality of life. This article aims to review the classification, diagnosis, treatment of presacral tumors and the impact of surgical decisions on patients’ quality of life. <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…
subject: Reviews
  topic: section
subject: presacral tumors
  topic: keywords
subject: retrorectal tumors
  topic: keywords
subject: sacrectomy
  topic: keywords
subject: chordoma
  topic: keywords
subject: quality of life
  topic: keywords
creator: Gabrielė Didrikaitė
creator: Dovilė Čerkauskaitė
creator: Audrius Dulskas
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-12-01
publication date: 2025-12-01
starting page: 267
ending page: 273
doi: 10.15388/LietChirur.2025.24(4).2

Editorial Board and Table of Contents
type: item
description: -
subject: Front Matter
  topic: section
subject: -
  topic: keywords
creator: Narimantas Evaldas Samalavičius
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-12-01
publication date: 2025-12-01
starting page: 1
ending page: 11

Intrathoracic Sewing Needle in an Infant: An Unusual Case of Foreign Body Migration
type: item
description: F<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;">oreign body incidents are common in children, primarily involving ingestion or inhalation. However, transcutaneous migration of sharp objects like sewing needles into the thoracic cavity is exceptionally rare and potentially dangerous. We report a unique case of an intrathoracic sewing needle in a six-month-old infant, highlighting the diagnostic challenges, imaging findings, surgical approach, and the clinical outcome.
subject: Clinical Practice
  topic: section
subject: sewing needle
  topic: keywords
subject: chest
  topic: keywords
subject: migration
  topic: keywords
creator: Neel Aggerwal
creator: Chandra Vibhash
creator: Pragya Mishra
creator: Umesh B. Singh
rights: Copyright (c) 2025 Neel Aggerwal | Chandra Vibhash | Pragya Mishra | Umesh B. Singh https://creativecommons.org/licenses/by/4.0
date: 2025-12-01
publication date: 2025-12-01
starting page: 316
ending page: 319
doi: 10.15388/LietChirur.2025.24(4).8

Information for authors
type: item
description: -
subject: Back Matter
  topic: section
subject: -
  topic: keywords
creator: Narimantas Evaldas Samalavičius
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-07-24
publication date: 2025-07-24
starting page: 239
ending page: 248

Aspiration and Sclerotherapy with Sodium Tetradecyl Sulfate Versus open Hydrocelectomy: An Experience with the Two Modalities of Hydrocele Management
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;" data-mce-fragment="1">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;" data-mce-fragment="1">Hydrocele is the most prevalent cause of painless scrotal swelling. Hydrocelectomy is the gold standard of management for symptomatic hydrocele, but in recent years, aspiration and sclerotherapy have been tried as minimally invasive treatment modalities. <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;" data-mce-fragment="1">Aim of the study. <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…
subject: Original research work
  topic: section
subject: hydrocele
  topic: keywords
subject: hydrocelectomy
  topic: keywords
subject: aspiration
  topic: keywords
subject: sclerotherapy
  topic: keywords
subject: hematoma
  topic: keywords
subject: sodium tetradecyl sulfate
  topic: keywords
creator: Muhammad Munir Memon
creator: Sajad Ahmad Salati
creator: Mashhood Memon
creator: Faiza Riaz Malik
creator: Zaheera Saadia
creator: Khalid Shehzad
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-07-24
publication date: 2025-07-24
starting page: 205
ending page: 211
doi: 10.15388/LietChirur.2025.24(3).4

Robotic Surgery for Rectal Cancer Treatment: Clinical Outcomes and Quality of Life. Comparison of Surgical Methods
type: item
description: <p class="ISSN-abst-vidus" 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. Rectal cancer is one of the most common oncological diseases in the world. In recent years, robotic surgery has been increasingly used to improve the outcome of this disease. Aim. To review the latest scientific literature on the application of robotic surgery in the treatment of rectal cancer and to evaluate clinical outcomes in patients. Material and methods. The research method is a literature review. Publications were researched in the PubMed and Google Scholar databases using the following keywords and their combinations in English: rectal cancer, robotic surgery, laparoscopic surgery, open surgery. Based on the inclusion and exclusion criteria, 68 scientific publications were included in the review. <p class="ISSN-abst-vidus" 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;">Results. The average duration of robotic surgery was longer (164.5±47.5–275±60.5 minutes) and was more expensive than other surgical methods. However, patients recovered faster, lost less blood and the hospitalization was shorter (on average 7 days), complications (7.7–22.1%) and local recurr…
subject: Reviews
  topic: section
subject: ectal cancer
  topic: keywords
subject: robotic surgery
  topic: keywords
subject: laparoscopic surgery
  topic: keywords
subject: open surgery
  topic: keywords
subject: transanal surgery
  topic: keywords
subject: short-term outcomes
  topic: keywords
subject: long-term outcomes
  topic: keywords
subject: quality of life
  topic: keywords
creator: Raminta Akelaitytė
creator: Justas Žilinskas
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-07-24
publication date: 2025-07-24
starting page: 184
ending page: 194
doi: 10.15388/LietChirur.2025.24(3).2

Oral Microbiota: an Innovative Approach to Colorectal Cancer Diagnosis
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;" data-mce-fragment="1">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;" data-mce-fragment="1"> Colorectal cancer is one of the most common and deadly oncological diseases worldwide. Current early diagnostic methods, such as the fecal occult blood test, often lack sufficient sensitivity and specificity, making them potentially unreliable for detecting the disease at an early stage. Recently, an increasing number of studies have highlighted the influence of the microbiota, particularly oral bacteria, on colorectal oncogenesis and their potential use in early diagnostics. The aim of this review is to discuss alterations in the oral microbiota as potential diagnostic biomarkers for colorectal cancer and to assess their reliability and clinical applicability. <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; w…
subject: Reviews
  topic: section
subject: oral microbiota
  topic: keywords
subject: colorectal cancer
  topic: keywords
subject: oncology
  topic: keywords
subject: biomarker
  topic: keywords
creator: Gabrielė Didrikaitė
creator: Audrius Dulskas
rights: Copyright (c) 2025 Authors https://creativecommons.org/licenses/by/4.0
date: 2025-07-24
publication date: 2025-07-24
starting page: 176
ending page: 183
doi: 10.15388/LietChirur.2025.24(3).1