Spirovski, Zoran
Preferred name
Spirovski, Zoran
Official Name
Spirovski, Zoran
Main Affiliation
Email
zoran.spirovski@medf.ukim.edu.mk
26 results
Now showing 1 - 10 of 26
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Item type:Publication, Early Complications after Lung Resections at Patients Treated For Lung Cancer with and Without Neoadjuvant Hemiotheraphy(ID Design 2012, 2012-07); ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Хирургија кај рано откриен белодробен карцином - потреба од прегледи за рано откривање на истиот(Македонско лекарско друштво = Macedonian Medical Association, 2010); ; ; Борче Антевски - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Insulin Resistance, Glycemia and Cortisol Levels in Surgical Patients who Had Preoperative Caloric Load with Amino Acids(Macedonian Academy of Sciences and Arts/ Walter de Gruyter GmbH, 2015); ; ; ; Surgical stress response, results in elevated levels of anti-insulin hormones and reduced insulin secretion. This hormonal state may be detrimental for surgical patients due to the presence of insulin resistance and hyperglycemia. Additionally, pre-operative fasting favors this conditions. The aim of this study is to analyze the impact of pre-operative caloric load, with 440kJ from amino acid infusions on the levels of glucose, cortisol and insulin resistance in surgical patients. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Radical skin-sparing mastectomy with primary prosthetic reconstruction as treatment of early breast cancer: a case report(Medical Faculty, Ss. Cyril and Methodius University in Skopje, 2015); ; ; ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, POSTOPERATIVE COMPLICATIONS IN PATIENTS UNDERGOING THYROID SURGERY(Department of Anaesthesia and Reanimation, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, Macedonia, 2018); ; ; ; Background and objectives: Postoperative complications from thyroid surgery are numerous and may be shown on different levels. Some of these complications may be detrimental for patients, so minimization of the risks should be always considered. We evaluated the postoperative complications in patients after surgery of the thyroid gland at the Clinic for Thoracic Surgery, Skopje. Material and method: In retrospective manner, all patients undergoing thyroid surgery during the one-year period (1. January- 31. December 2017) were evaluated. Patients were divided into two groups, whereas group ST included patients who underwent goiter removal and subtotal thyroidectomy while group TT included patients in who total thyroidectomy was done. In both groups we analyzed the demographic data and the occurrence of postoperative (in the first 48 hours) complications (stridor, hoarseness, hemorrhage, nerve dysfunction, tracheomalacia, hypocalcemia and the need for reintubation and tracheostomy). Results: Total data from 197 patients was evaluated. 120 patients had subtotal thyroidectomy while total thyroidectomy had 77 patients. Postoperative complications occurred in significantly larger number of patients in the TT group (64.9 vs. 40%). Hoarseness (8.4% vs. 18.5%), stridor (18.3% vs. 9.2%) tracheomalacia (5% vs. 1.2%) and hematoma (2.5% vs. 3.8%) occurred in respect to the groups. Hypocalcaemia occurred in significantly larger number of patients in TT group. Permanent nerve injury was found in one patient in the same group and tracheotomy was done only in one patient. Conclusion: Overall results from our study show that the complications after thyroid surgery occur in all patients who undergo thyroid surgery. However, more severe complications and outnumbered are complications in patients who undergo total thyroidectomy. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Хирургија кај неситноклеточен белодробен карцином (N2 статус)(Македонско лекарско друштво = Macedonian Medical Association, 2011); ; ; Борче Антевски - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Application of “sentinel lymph node detection” in axilla in patients surgically treated for early breast cancer(Medical Faculty, Ss. Cyril and Methodius University in Skopje, 2016); ; ; ; Stojanovski S - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Thymectomy for myasthenia gravis and anesthetic implications - a retrospective study(League Against Epilepsy of the Republic of Macedonia = Лига против епилепсија на Република Македонија, 2017); ; ; ; Mojsova Maja - Some of the metrics are blocked by yourconsent settings
Item type:Publication, PNEUMOTHORAX TREATMENT IN PATIENTS WITH EMPHYSEMATOUS LUNGi DISEASE WITH TWO DIFFERENT TECHNIQUES.("Ss Cyril and Methodius"University, Faculty of Medicine, Skopje, R. N. Macedonia, Department of Anesthesia and Reanimation, 2017); ; Maric NObjective: to compare the outcomes of thoracotomy and video-assisted thoracoscopic sur- gery (VATS) in the treatment of pneumothorax in patients with emphysematous lung disease. Заклучок: Според освртот врз литературата јасно е дека ларингоскопијата и интубацијата може да предизвикаат хемодинамиска нестабилност со појава на неспецифични варијации во ST-T сегментот. Тоа е несакан сучај на кој секогаш треба да се мисли, особено кај хипертензивните пациенти кои се третирани со RAS антагонистите, кои предизвикуваат значаен пад на артерискиот крвен притисок, кој е пак одговорен за коронарната вазоконстрикција и промените во големината на ST сегментот. Главните промени се случуваат 5 минути по интубацијата. Method and Material: in prospective study we analyzed the level of postoperative compli- cations, duration of drain presence, total drain collection, site infections, length of hospital stay (LOHS) and recurrence of pneumothorax in two groups of patients. Group OT (n=12) included patients undergoing open thoracotomy and group VATS (n=12) underwent VATS for primary pneumothorax treatment. | 26 | Number 3. December 2017 | 27 | ABsTrACT results: Demographic data between the groups was homogenous. Duration of drain presence was 4.08 vs. 3.8 days in respect to the groups. Statistically significant large amount of drain collection was found in the OT group (604.1 ml vs. 391 ml). Length of hospital stay was statis- tically longer in group OT (p=0.02). Two patients had recurrent pneumothorax in VATS group. Conclusion: According to our study patients, who undergo VATS, postoperatively have lower amount of drain collections, have drain presence for less days, have less days spent in the hospital, but have increased recurrence rate. Even though our study has small number of patients included, it opens a door to larger study to confirm the results. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Analysis of lung function test at patients with pleural empyema treated with thoracotomy and decortications(European Respiratory Society, 2011); ; ; ;
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