scholarly journals Possibilities of applying minimally invasive technologies in the treatment of complications in patients after pancreatoduodenectomy

2021 ◽  
Vol 26 (3) ◽  
pp. 89-96
Author(s):  
M. Yu. Kabanov ◽  
D. M. Yakovleva ◽  
K. V. Sementsov ◽  
D. B. Degtеrev ◽  
M. Ya. Belikova ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Minimally Invasive ◽  
Bowel Obstruction ◽  
Bile Leakage ◽  
Extensive Experience ◽  
Modern Equipment ◽  
Medical Centers ◽  
Clinical Observations ◽  
Endovascular Methods

Several clinical observations of rare complications of pancreatoduodenectomy in the early and long-term postoperative periods are presented. The authors tell about the bile leakage (severity C), arrosive bleeding, thrombosis of the liver vessels, as well as bowel obstruction from carcinomatosis. The possibilities of modern minimally invasive technologies are demonstrated: ante- and retrograde and endovascular methods in the treatment of these complications. Pancreatoduodenectomy should be performed in multidisciplinary medical centers with extensive experience and modern equipment that allows timely correction of postoperative complications.

scholarly journals Successful treatment of false aneurysm of the subclavian artery

2019 ◽  
Vol 178 (2) ◽  
pp. 69-72
Author(s):  
A. N. Ryazanov ◽  
V. V. Soroka ◽  
S. P. Nokhrin ◽  
E. P. Mikhelson ◽  
I. D. Magamedov ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Minimally Invasive ◽  
Positive Result ◽  
Subclavian Artery ◽  
Successful Treatment ◽  
New Technologies ◽  
False Aneurysm ◽  
Life Threatening ◽  
Minimally Invasive Methods

The article describes the clinical experience of treatment of life-threatening pathology by minimally invasive methods. There is a long-term stable positive result after the operation. The introduction of new technologies in medicine minimizes the risk of postoperative complications, contributing to a favorable outcome of the disease.

scholarly journals Aspect of laparoscopic treatment of patients with adhesive small bowel obstruction (review of literature)

2020 ◽  
Vol 179 (2) ◽  
pp. 79-84
Author(s):  
M. I. Shkerdina ◽  
S. G. Antonyan ◽  
Yu. O. Zharikov
Keyword(s):  
Postoperative Complications ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Postoperative Recovery ◽  
Adhesive Small Bowel Obstruction ◽  
Laparoscopic Treatment ◽  
Clear Trend ◽  
Extensive Experience ◽  
Number Of Patients

Nowadays, adhesive small bowel obstruction (ASBO) is a disease characterized by the stable increase in the number of patients, a significant level of postoperative complications, and a high risk of disability and death. The objective of the article was the research and analysis of relevant data of video laparoscopic treatment of patients with ASBO and possible postoperative complications. A small percentage of complications in clinical centers with a large flow of patients of this profile and rapid postoperative recovery of patients promote the active introduction of laparoscopic adhesiolysis in practical medicine. The analysis of foreign and domestic literature showed that the faithful adherence of indications for application of the technique for resolving intestinal obstruction and restoring passage through the gastrointestinal tract allows to achieve better results and avoid iatrogenic and infectious complications. Thus, laparoscopic treatment can and should be the operation of choice only in a carefully selected group of patients (the first manifestation of ASBO, the absence of pronounced ischemic changes in the intestinal wall and (or) the predicted presence of a small number of peritoneal adhesions), in all other cases, the use of laparotomy is indicated. Currently, there is a clear trend towards an increasing recognition and use of laparoscopy in surgical practice. It is becoming the preferred choice in clinical centers with extensive experience in the treatment of patients with ASBO due to an insignificant percentage of complications and a rapid postoperative recovery.

scholarly journals Robotic Liver Resection Versus Percutaneous Ablation for Early HCC: Short- and Long-Term Results

Cancers ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3578
Author(s):  
Paolo Magistri ◽  
Barbara Catellani ◽  
Samuele Frassoni ◽  
Cristiano Guidetti ◽  
Tiziana Olivieri ◽  
...  
Keyword(s):  
Liver Resection ◽  
Minimally Invasive ◽  
High Volume ◽  
Long Term Results ◽  
Percutaneous Ablation ◽  
Newly Diagnosed ◽  
Extensive Experience ◽  
Robotic Liver Resection ◽  
Short And Long Term

Background: The correct approach for early hepatocellular carcinoma (HCC) is debatable, since multiple options are currently available. Percutaneous ablation (PA) is associated in some series to reduced morbidity compared to liver resection (LR); therefore, minimally invasive surgery may play a significant role in this setting. Methods: All consecutive patients treated by robotic liver resection (RLR) or PA between January 2014 and October 2019 for a newly diagnosed single HCC, less than 3 cm in size (very early/early stages according to the Barcelona Clinic Liver Cancer (BCLC)) on chronic liver disease or liver cirrhosis, were enrolled in this retrospective study. The aim of this study was to compare short- and long-term outcomes to define the best approach in this specific cohort. Results: 60 patients fulfilled the inclusion criteria: 24 RLR and 36 PA. The two populations were homogeneous in terms of baseline characteristics. There were no statistically significant differences regarding the incidence of postoperative morbidity (RLR 38% vs. PA 19%, p = 0.15). The cumulative incidence of recurrence (CIR) was significantly higher in patients who underwent PA, with the one, two, and three years of CIR being 42%, 69%, and 73% in the PA group and 17%, 27%, and 27% in the RLR group, respectively. Conclusions: RLR provides a significantly higher potential of cure and tumor-related free survival in cases of newly diagnosed single HCCs smaller than 3 cm. Therefore, it can be considered as a first-line approach for the treatment of patients with those characteristics in high-volume centers with extensive experience in the field of hepatobiliary surgery and minimally invasive approaches.

The Effect of Postoperative Complications After Minimally Invasive Esophagectomy on Long-term Survival

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Laura F. C. Fransen ◽  
Gijs H. K. Berkelmans ◽  
Emanuele Asti ◽  
Mark I. van Berge Henegouwen ◽  
Felix Berlth ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Term Survival ◽  
Long Term Survival ◽  
Invasive Esophagectomy

scholarly journals Polymethylmethacrylate Pulmonary Embolism Following Kyphoplasty

2019 ◽  
Vol 3 (3) ◽  
pp. 226-228
Author(s):  
Oliver Morris ◽  
Josephin Mathai ◽  
Karl Weller
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Pulmonary Embolism ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Chest Radiograph ◽  
History Of

We report a case of polymethylmethacrylate cement pulmonary embolism (PE) that occurred two days following a minimally invasive kyphoplasty procedure. Our patient developed non-specific rib pain postoperatively followed by dyspnea, prompting presentation to the emergency department. The polymethylmetacrylate cement was visualized on initial chest radiograph and further characterized using computed tomography. The patient was admitted and anticoagulation started, later having an uncomplicated hospital course. The polymethylmethacrylate cement has a well-documented history of leakage and other postoperative complications. Cement PE, while rare, can present similarly to a thrombotic PE and requires adequate long-term anticoagulation with close follow-up.

scholarly journals Complications of endobiliary minimally invasive percutaneous procedures

2019 ◽  
Vol 24 (2) ◽  
pp. 88-99
Author(s):  
R. G. Avanesyan ◽  
M. P. Korolev ◽  
L. E. Fedotov ◽  
M. M. Turyanchik ◽  
S. N. Sabri
Keyword(s):  
Postoperative Complications ◽  
Mortality Rate ◽  
Minimally Invasive ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Bile Leakage ◽  
Late Complications ◽  
Vein Thrombosis ◽  
Percutaneous Procedures ◽  
Abdominal Abscesses

Objective. To improve the outcomes of percutaneous endobiliary interventions through prediction of postoperative complications and searching for minimally invasive methods of their treatment. Material and methods. Percutaneous en dobiliary interventions have been performed in 2458 patients for the period from 2006 to 2018 including bile duct stenting in 1895 patients. Results. Early postoperative complications included hemobilia (2.1%), abdominal bleeding (0.2%), duodenal bleeding (0.1%), pleuritis (0.9%), abdominal bile leakage (1.5%) and peritonitis (0.8%), liver hematoma (0.7%), right-sided pleuritis (0.9%), pancreatitis (13.8%). In our opinion, these complications are serious and require immediate intensive care and invasive repair. Mortality rate was 8.4% among all patients with early complications and 0.9% among those after endobiliary interventions. Delayed complications of percutaneous transhepatic interventions are migration of stent or drainage tube, drain incrustation, malignant invasion of stent, recurrent cholangitis, cholangiogenic liver abscesses, abdominal abscesses, sepsis, fragmentation of drain or stent, portal vein thrombosis. The most severe late complications (sepsis and portal vein thrombosis) resulted mortality rate 50–60%. Conclusion. Combined dual (ante- and retrograde) biliary approach and control throughout minimally invasive surgery eliminate disadvantages of individual accesses, reduce invasiveness, postoperative morbidity and mortality.

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