Klin Khir

[Postoperative complications in patients with a perforated gastroduodenal ulcer]

Year 1998
Zaitsev VT. Kononenko NG. Sytnik AL.
No information.
The results of treatment of 538 patients, operated on for perforative ulcer (PU), are studied up. Perforative aperture was sutured in 75 patients, in 153 the ulcer was excised, in 291 the excision was supplemented by vagotomy, resectional methods were applied in 19. In 94 (17.5%) of patients 114 complications have occurred after the operation. Postoperative complications were divided into those from the wound, in the abdominal cavity organs and retroperitoneal space, from the abdominal cavity, respiratory and cardiovascular system. After the operation 37 (6.9%) of patients have died. Complications and mortality were observed more frequently in the patients to whom the perforative aperture suturing and the ulcer excision with truncal or selective vagotomy were conducted in the presence of the increased operative risk (the elderly and senile age, concurrent diseases, widespread peritonitis). The least frequency of postoperative complications and mortality were noted after the PU and the ulcer substratum excision supplemented by selective proximal vagotomy.

[The importance of the prognosis of a recurrence in choosing the treatment procedure in gastroduodenal hemorrhage of peptic origin]

Year 1998
Fil'ts OV. Rachkevych SL. Tumak IM. Palfii IIu. Bilyk IuD.
No information.
The results of treatment of 840 patients with ulcer bleeding are adduced. The bleeding recurrence is noted in 88 (10.5%) patients. The monofactorial analysis conduction have established 14 trustful prognostical criteria, on the basis of which the prognostic index is proposed with 76.1% sensitivity and 73.2% specificity. As a result the indications for the surgical treatment of patients with high operational risk and with low risk of the bleeding recurrence were restricted. In 1996 yr. the bleeding recurrence frequency was 6%, operational activity--19.1%, total mortality--2.3%, postoperative mortality--5.1%.

[The function of the thiol-disulfide and ascorbate systems in patients operated on for acute pancreatitis after the use of low-intensity infrared laser radiation and pentoxifylline]

Year 1998
Zaporozhchenko BS.
No information.
In patients with an acute destructive pancreatitis the lowering of sulphhydride (SH) groups in proteinic and nonproteinic fraction of the blood plasma, the reduction of the ascorbic acid level and increase of its oxidized forms concentration was noted. After the operation the disordered indexes have restored, moreover, and after the programmed relaparotomy conduction--as after a single operative intervention. Acceleration of the disordered indexes restoration was promoted by application of pentoxifylline and low-intensity laser irradiation as well.

[The use of preoperative percutaneous transhepatic cholecystostomy in obstructive jaundice]

Year 1998
Pokhmurs'kyi VV.
No information.
In 133 patients with obturating jaundice the conventional treatment was applied (group I), in 36 patients as a first phase of surgical treatment the transcutaneous transhepatic cholecystectomy was conducted (group II). The postoperative complications frequency have constituted 37.3 and 30.5%, mortality--27.8 and 13.9% accordingly.

[Combined intensive therapy and anesthesiological support for a surgical intervention in patients with necrotic pancreatitis]

Year 1998
Shevchuk IM. Pulyk IIu. Kakhno SA. Lehun OM. Neznakomtsev MM. Tkachuk OL. Melaniuk IuM.
No information.
The results of surgical treatment of 93 patients with necrotic pancreatitis are adduced. Of 71 patients, operated on using laparotomy, 18 (25.3%) have died, of 22 patients, in whom the laparoscopy (LS) was used, 1 (4.5%) have died. In 17 patients the laparotomy was omitted due to combination of LS with complex conservative treatment. Of 44 patients operated on 3 (6.8%) have died during the period of the improved tactics introduction.

[The role of a hypertonic sodium chloride solution in eliminating hypovolemia and its effect on water-electrolyte balance]

Year 1998
Beliaev AV.
No information.
Inclusion of hypertonic (5%) solution of sodium chloride in polyglucin or rheopolyglucin in the infusion-transfusion therapy composition during the operation performance for gastrointestinal bleeding have permitted to eliminate circulatory nonstability rapidly, to rise the blood osmolarity of the expense of the sodium and chlorine concentration rising, to heighten the urination rate at the expense of the glomerular filtration increase, and as a result the excretion of sodium, chlorine and potassium out of the organism have increased.

[Reflux esophagitis and cicatricial stenosis of the muff-like esophageal-small intestine anastomosis after performing a gastrectomy for stomach cancer]

Year 1998
Bondar' VG. Popovich AIu. Polivanov AK. Nikulin IV.
No information.
In the late follow-up period after gastrectomy conduction for gastric cancer using antireflux muff-like esophago-jejunal anastomosis 587 patients were examined. Mild reflux esophagitis was revealed in 29 (4.9%), moderate--in 9 (1.5%) of patients. Cicatricial stenosis of anastomosis have occurred in 127 (8.5%) of patients, including an early one--in 70.1% and the late--in 29.9%. The dilation using tubular bougies, passed along the guide, proved effective in the treatment of early stenosis. The stenosed part was cut through the endoscope with subsequent bougienage for the late stenosis.

[The use of neoadjuvant selective intra-arterial polychemotherapy and its modifier verapamil in the combined treatment of colorectal cancer]

Year 1998
Kikot' VA. Sorokin BV. Iugrinov OG. Galakhin KA. Braun EM. Lishchishina EM. Priimak VV.
No information.
After combined treatment of 74 patients for colorectal cancer using preoperative neoadjuvant intraarterial selective polychemotherapy (IAPCT) three-year survival index have constituted (77.0 +/- 5.2)%, the cancer recurrence have occurred in (10.8 +/- 2.8)%, distant metastases were revealed in (17.5 +/- 4.2)%. Using verapamil as a IAPCT modifier in 54 patient three-year survival have increased by 11.8%, the frequency of distant metastases occurrence have reduced by 10.1%.

[Classification and formulation of clinical diagnosis in peptic ulcer]

Year 1998
Lysenko BF. Sheiko VD. Kuznetsov AA. Petrushova LD. Shumeiko VM. Ksenz IV. Chelishvili AL.
No information.
An ulcer disease classification, basing on the disease clinical course criteria and the local changes characteristics, is proposed. An adequate estimation of the patient state and optimal tactics of treatment are guaranteed by the diagnosis formulation using the classification.

[Surgical treatment of perforated gastroduodenal ulcer]

Year 1998
Lysenko BF. Sheiko VD. Kuznetsov AA. Petrushova LD. Shumeiko VM. Ksenz IV. Chelishvili AL.
No information.
The surgical treatment tactics of patients with perforative gastroduodenal ulcer was substantiated, basing on the complex analysis done. Radical intervention, mainly organ preserving one, constitutes the operation.

[Changes in lipid metabolism and indicators of immunological reactivity in programmed relaparotomy in acute pancreatitis]

Year 1998
Zaporozhchenko BS.
No information.
The increase of low-density lipoproteids contents, high-density lipoproteids level lowering, reduction of the lymphocytes blast transformation reaction indexes, IgG level lowering, the rosette formation reduction were noted in patients with an acute pancreatitis. While the programmed relaparotomy application of the lipid-aliphatic metabolism restoration was noted, and the immunological reactivity as well with the dynamics higher than after single operative intervention conduction.

[Immediate and early results of combined treatment of colonic cancer using neoadjuvant selective intra-arterial polychemotherapy]

Year 1998
Kikot' VA. Iugrinov OG. Galakhin KA. Sorokin BV. Priimak VV. Tarasova TA.
No information.
The combined treatment of 53 patients with colonic cancer, using neoadjuvant intraarterial polychemotherapy (IAPCT), was conducted. The trustworthy lowering of the catheterized artery thrombosis occurrence rate, the tumor recurrence-by 7%, distant metastases-by 13.9%, two-year survival increase-by 15.5% was promoted by verapamil application as a IAPCT modifier.