“Complex” hepatic echinococcosis

2021 ◽  
Vol 26 (4) ◽  
pp. 32-40
Author(s):  
A. B. Goncharov ◽  
Y. A. Kovalenko ◽  
Kh. A. Ayvazyan ◽  
R. Z. Ikramov ◽  
L. A. Marinova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lung Damage ◽  
Long Term Results ◽  
Tubular Structures ◽  
National Medical ◽  
Laparoscopic Intervention ◽  
Hepatic Echinococcosis ◽  
Isolated Liver ◽  
Observation Period

Aim. To study the long-term results of surgical treatment in patients with “complex” hepatic echinococcosis.Materials and methods. The results of surgical treatment of 118 patients with hepatic echinococcosis from 2015 to 2020 at the A.V. Vishnevsky National Medical Research Center of Surgery were analyzed. The term “complex” hepatic echinococcosis has been proposed. A comparative analysis of the number and type of complications and surgical interferences 2 groups of patients was carried out: 66 patients with hepatic echinococcosis, 52 patients with complex hepatic echinococcosis.Results. During the observation period, no any recurrence was recorded. 55 (44%) of 118 patients had complex hepatic echinococcosis. Isolated liver damage was found in 74% of cases, combined liver and lung damage in 20% cases and with other organs – in 6%. In most cases, pericystectomy was performed (82%), 8% of patients underwent atypical hepatectomy, 4% – segmental resection, 3% – laparoscopic intervention, 3% – hemihepatectomy. Postoperative complications were recorded in 22 (18,6%) of cases. Accumulations of bile and biliary fistulas formed in 45% of cases, pneumotothorax or hydrothorax – in 23%, wound abscess – in 18%, hematomas in the hepatectomy zone – in 14% of the cases.Conclusion. Surgical treatment of complex hepatic echinococcosis requires an individual approach to the choice of the operation option. Preference should be given to parenchyma-preserving radical operations. When the liver lobe is totally replaced with a hydatid cyst and in case of cystobiliary fistulas hemihepatectomy should be performed, and it is acceptable to leave the fibrous capsule on large tubular structures.

scholarly journals LIVER HYDATIDOSIS: OPTIMIZATION OF SURGICAL TREATMENT METHODS

2018 ◽  
Vol 3 (4) ◽  
pp. 20-26
Author(s):  
S A Ivanov ◽  
M V Kenarskaya ◽  
K A Panfilov
Keyword(s):  
Data Analysis ◽  
Surgical Treatment ◽  
Postoperative Mortality ◽  
Liver Cyst ◽  
Long Term Results ◽  
Modern Approach ◽  
Liver Hydatidosis ◽  
Hepatic Echinococcosis

Objectives - optimization of hepatic echinococcosis treatment schemes based on the data analysis of the immediate and long-term results. Material and methods. The study included 373 clinical cases of patients with liver echinococcosis who received treatment in 2005-2018 in Samara Regional Clinical Hospital n. a. V.D. Seredavin. 342 patients underwent a traditional operation, the surgical puncture was performed in 31 patient. Starting from 2003 all patients received the antirelapse chemotherapy with albendazole according to the WHO's recommendations in the postoperative period. Results. The treatment tactics in patients with liver hydatidosis was defined according to the parasite's developmental stage, its localization, and the size of liver cyst. The traditional surgery was successful after one operation in more than 93% of cases, postoperative mortality was 1.46%, the number of postoperative complications - 12.5%, the number of relapses in 5 year follow-up period was 6.8%. In 31 patients we used the puncture surgery treatment of hepatic echinococcosis PAIR and PEVAC-methods. Conclusion. Modern approach to hepatic echinococcosis treatment should provide differentiated

Reconstructive surgery of the operated stomach

2019 ◽  
Author(s):  
Дмитрий Ручкин ◽  
Dmitriy Ruchkin ◽  
Валентин Козлов ◽  
Valentin Kozlov
Keyword(s):  
Gastric Cancer ◽  
Surgical Treatment ◽  
Gastrointestinal Tract ◽  
Medical Research ◽  
Reconstructive Surgery ◽  
Gastric Surgery ◽  
Long Term Results ◽  
National Medical ◽  
Operated Stomach

The monograph formulated the concept of physiological reconstruction of the digestive tract during repeated operations on the stomach. The experience of surgical treatment of patients with diseases of the operated stomach and recurrent gastric cancer of the Department of reconstructive surgery of the esophagus and stomach Of the national medical research center of surgery named after A. V. Vishnevsky is presented. The immediate and long-term results of the original operations selected individually are highlighted. Special attention is paid to the study of motor and evacuation function of the gastrointestinal tract, to identify the frequency and severity of postgastrectomy and postgastresection syndromes after reconstructive interventions. For students and teachers, as well as anyone interested in the problems of gastric surgery.

Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

2020 ◽  
pp. 49-65
Author(s):  
N Bobrova ◽  
N Trofimova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hypotensive Effect ◽  
Congenital Glaucoma ◽  
Long Term Results ◽  
General Will ◽  
Visual Functions ◽  
Advanced Stages ◽  
Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular fluid outflow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

SIMULTANEOUS ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION AS A METHOD OF SURGICAL TREATMENT OF GASTROESOPHAGEAL CANCER WITH HIGH INVOLVEMENT OF THE ESOPHAGUS

2017 ◽  
Vol 63 (1) ◽  
pp. 146-152
Author(s):  
Mikhail Ter-ovanesov ◽  
Aleksandr Levitskiy ◽  
E. Lesnidze ◽  
Aram Gaboyan ◽  
Mariya Kukosh ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Esophageal Reconstruction ◽  
Gastroesophageal Cancer ◽  
Colonic Interposition ◽  
Simultaneous Application ◽  
High Involvement ◽  
Surgical Access ◽  
Critical Overview

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.

scholarly journals Long-term Results of Surgical Treatment for Acromioclavicular Dislocation Using Wolter Clavicular Plate.

2003 ◽  
Vol 52 (2) ◽  
pp. 389-393
Author(s):  
Shinsaku Ogimoto ◽  
Toshio Kitamura ◽  
Takuya Ikuta ◽  
Shuichi Maruta ◽  
Masanobu Hirai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Acromioclavicular Dislocation

Patient and partner satisfaction and long-term results after surgical treatment for Peyronie’s disease

Urology ◽  
2003 ◽  
Vol 62 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Mustafa F Usta ◽  
Trinity J Bivalacqua ◽  
Jose Sanabria ◽  
I.Turker Koksal ◽  
Krishnarao Moparty ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Peyronie’S Disease ◽  
Long Term Results ◽  
Partner Satisfaction ◽  
Peyronie's Disease

Long-term results of surgical treatment of patients with internal endometriosis of the uterus

1985 ◽  
Vol 66 (6) ◽  
pp. 430-433
Author(s):  
M. I. Sabsay ◽  
V. A. Klein ◽  
T. A. Kravchuk ◽  
G. P. Lazaricheva
Keyword(s):  
Surgical Treatment ◽  
Long Term Results

Advances in gynecological endocrinology have significantly narrowed the range of indications for surgical treatment for genital endometriosis.

Long-term results of surgical treatment of patients with internal endometriosis of the uterus

1985 ◽  
Vol 66 (6) ◽  
pp. 471-471
Author(s):  
M. I. Sabsay ◽  
V. A. Klein ◽  
T. A. Kravchuk ◽  
G. P. Lazaricheva
Keyword(s):  
Surgical Treatment ◽  
Comparative Assessment ◽  
Long Term Results

A comparative assessment of the long-term (after 7-10 years) results of surgical treatment of 60 patients with internal uterine endometriosis was carried out.

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