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POSSIBILITIES OF DYNAMICAL SONOELASTOGRAPHY IN DIAGNOSIS OF EMBOLOGENIC FORMS OF VENOUS THROMBOSIS. 动态超声弹性成像诊断栓塞性静脉血栓的可能性。
Klinichna khirurgiia Pub Date : 2016-10-01
Yu А Levchak, А V Levytskyi
{"title":"POSSIBILITIES OF DYNAMICAL SONOELASTOGRAPHY \u0000IN DIAGNOSIS OF EMBOLOGENIC FORMS \u0000OF VENOUS THROMBOSIS.","authors":"Yu А Levchak,&nbsp;А V Levytskyi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dynamical sonoelastography with technology of acoustic radiation force imaging (ARFI)\u0000and estimation of the shear wave elastography(SWE) were applied in 78 patients, suf'\u0000fering venous thrombosis (VTH), while presence of floating proximal part of thrombus.\u0000Empirical border index SWE is adduced, its value constitutes 2.5 m/s. Basing on the\u0000investigations results data, three categories of the VTH embologenic risk were estab'\u0000lished: high (SWE up to 2 m/s), middle (SWE 2 — 3 m/s), low (SWE over 3 m/s), what\u0000predicts the treatment tactics. Dynamical sonoelastography with ARFI technology and\u0000the SWE estimation permits to reveal embologenic forms of VTH objectively and to\u0000choose adequate tactics of the patients' treatment.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"51-4"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36719629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IMMEDIATE AND LATE RESULTS OF THE COMBINED GASTRECTOMY PERFORMANCE FOR LOCALLY—SPREADGASTRIC CANCER. 局部转移性胃癌联合胃切除术的近期和后期效果分析。
Klinichna khirurgiia Pub Date : 2016-10-01
Yu Yu Oliynyk
{"title":"IMMEDIATE AND LATE RESULTS OF THE COMBINED \u0000GASTRECTOMY PERFORMANCE FOR LOCALLY—SPREAD\u0000GASTRIC CANCER.","authors":"Yu Yu Oliynyk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Immediate and late results of the combined gastrectomy (CG) performance in 719\u0000patients, suffering locally—spread gastric cancer (LSGC), were analyzed. Additional\u0000resection of adjacent оrgans was performed in 165 observations. In early postoperative\u0000period complications in 116 (16.1%) patients have had occurred, including surgical\u0000complications — in 77.7%, and nonsurgical — in 22.3%. Lethality in 30 postoperative\u0000days have constituted 11.1%. Тhe patients' postoperative life time was at average (22.9\u0000± 1.67) mo, mediana— 9.3 mo; indices of 3—year and 5—year survival — (18.9 ± 1.72)\u0000and (12.9 ± 1.51)%,accordingly. Essential difference in favor of subtotal distal gastric\u0000resection was established, basing on comparison data between this procedure and CG.\u0000The data obtained witnessed the expediency of combined operative interventions, what\u0000have had widened possibilities of the patients' radical treatment for LSGC.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36719722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ТRANSANAL MINIINVASIVE SURGERY (TAMIS): FIRST EXPERIENCE OF APPLICATION. Тransanal微创手术(tamis):首次应用经验。
Klinichna khirurgiia Pub Date : 2016-10-01
O Yu Usenko, O S Тyvonchu, M I Bayura
{"title":"ТRANSANAL MINIINVASIVE SURGERY (TAMIS): \u0000FIRST EXPERIENCE OF APPLICATION.","authors":"O Yu Usenko,&nbsp;O S Тyvonchu,&nbsp;M I Bayura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Incidence of cancer recti (CR)in Ukraine constitutes 38 in 100 thousands of population.\u0000There are two main trends in surgical treatment of precancerous states and early stage\u0000CR: radical rectal resection and local transanal excision of the affection zone. After a\u0000single—port procedure introduction into laparoscopic surgery the alternative method of\u0000rectal tumors resection have had evolved — a transanal minimally invasive surgery with\u0000single—port (TAMIS). In the clinic the TAMIS procedure was applied in 3 patients for\u0000adenomatous rectal polyps. Оperative intervention was done using transanal videoen'\u0000doscopic excision of villous rectal tumor. First experience of application of TAMIS wit'\u0000nessed the method efficacy, its relatively low cost and low risk of complications occur'\u0000rence. Application of this adopted procedure contributes for improvement of the treat'\u0000ment results in rectal tumors.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36719720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ADHESION ILEUS IN CHILDREN IN THE CONNECTIVE TISSUES DYSPLASIA. 粘连性肠梗阻见于结缔组织发育不良的儿童。
Klinichna khirurgiia Pub Date : 2016-10-01
V J Kresyun, M G Меhlnychenko, P B Antonenko, K O Аntonenko, A A Кvashnina
{"title":"ADHESION ILEUS IN CHILDREN IN THE CONNECTIVE \u0000TISSUES DYSPLASIA.","authors":"V J Kresyun,&nbsp;M G Меhlnychenko,&nbsp;P B Antonenko,&nbsp;K O Аntonenko,&nbsp;A A Кvashnina","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The investigation objective was to estimate the peritoneal adhesions formation risk in\u0000children with phenotypic signs of the connective tissues dysplasia (CTD—syndrome).\u0000On the first stage the formalized phenotypic clinical signs were estimated in accor'\u0000dance to χ2 Pearson criteria (p<0.05). On the second stage a prognostic value of genet'\u0000ic polymorphism of N—аrylacetyltransferase—2 (NAT2) gene for determination of risk\u0000for the occurrence of postoperative adhesive process in abdominal cavity, using the\u0000method of allele—specific amplification of NAT2 аllele with the help of polymerase chain\u0000reaction (PCR), was determined. In accordance to results of investigation, obtained in\u0000children with CTD—syndrome a genetic polymorphism NAT2 was revealed rather more\u0000frequently, responsible for \"rapid аcetylation\", they constitute the risk group for the\u0000adhesion ileus occurrence, in them complex prophylactic measure must be undertak'\u0000en, beginning from intraoperative stage.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"21-5"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36719724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CHOICE OF VARIANTS OF MESOCAVAL SHUNTING, DEPENDING ON PECULIARITIES OF THE SPLENOMESENTERIAL CONFLUENCE STRUCTURE IN CHILDREN, SUFFERING PORTAL HYPERTENSION. 根据门静脉高压患儿脾-肠系膜汇合处结构的特殊性,选择肠系膜分流的变体。
Klinichna khirurgiia Pub Date : 2016-10-01
О G Dubrovin, О S Godik, V P Soruchan
{"title":"CHOICE OF VARIANTS OF MESOCAVAL SHUNTING, \u0000DEPENDING ON PECULIARITIES \u0000OF THE SPLENOMESENTERIAL CONFLUENCE STRUCTURE \u0000IN CHILDREN, SUFFERING PORTAL HYPERTENSION.","authors":"О G Dubrovin,&nbsp;О S Godik,&nbsp;V P Soruchan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Retrospective analysis of the multispiral computer tomography results was conducted\u0000in 52 children, suffering portal hypertension (PH). Three types (А, В, С) of the\u0000splenomesenterial confluence (SMC) structure were delineated. Basing on anatomical\u0000peculiarities of SMC, possibility of the mesocaval shunting (МCSH) performance in\u0000accordance to procedures of side—to—side or of a Н—like MCSH (Н—MCSH) in a\u0000SMC types А and С is nearly similar; in a SMC types В the possibility of Н— МCSH per'\u0000formance is exceeding that of MCSH in a side—to—side fashion. Decompression prop'\u0000erties and changes in portohepatic perfusion (PHP) after application of MCSH in vari'\u0000ous SMC types were analyzed. The greatest decompression and preservation of PHP in\u0000SMC types В and С were achieved after performance of MCSH in a side—to—side fash'\u0000ion. In a SMC type А the essential difference of these indices in various kinds of MCSH\u0000was not observed.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"55-7"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36768044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ENDOSCOPIC SURGERY: HISTORY OF DEVELOPMENT AND PERSPECTIVES OF EDUCATION 内窥镜手术:发展历史与教育展望
Klinichna khirurgiia Pub Date : 2016-10-01
N A Chizh, D V Bуzov, A I Grebenyu, E A Аntonenko, A V Моtko, A D Dolgopyatenko, O G Аvrunin, B P Sandomirskiy
{"title":"ENDOSCOPIC SURGERY: \u0000HISTORY OF DEVELOPMENT AND PERSPECTIVES \u0000OF EDUCATION","authors":"N A Chizh,&nbsp;D V Bуzov,&nbsp;A I Grebenyu,&nbsp;E A Аntonenko,&nbsp;A V Моtko,&nbsp;A D Dolgopyatenko,&nbsp;O G Аvrunin,&nbsp;B P Sandomirskiy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"75-8"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36769789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PROGNOSIS IN CHRONIC PANCREATITIS AND CANCER WITH A PRIMARY LESION OF THE PANCREATIC HEAD. 原发性胰腺头部病变的慢性胰腺炎和癌症的预后。
Klinichna khirurgiia Pub Date : 2016-10-01
I A Kryvoruchko, M M Teslenko, S A Andreyeshchev, C M Teslenko, A V Arsenyev
{"title":"PROGNOSIS IN CHRONIC PANCREATITIS AND CANCER \u0000WITH A PRIMARY LESION OF THE PANCREATIC HEAD.","authors":"I A Kryvoruchko,&nbsp;M M Teslenko,&nbsp;S A Andreyeshchev,&nbsp;C M Teslenko,&nbsp;A V Arsenyev","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Analyzed the results of surgical treatment of 132 patients, including 68 — for cancer of\u0000the pancreatic head (in 46 — with jaundice) and 64 — chronic pancreatitis (CP) with a\u0000primary lesion of the pancreatic head (16 — with jaundice). The distribution of patients\u0000into groups was carried out with a maximum value of classification functions calculated\u0000by special formulas. Next studied indicators of endothelial dysfunction for differential\u0000diagnosis. A certain threshold of VEGF = 346 pg / ml, in which the patients were divid'\u0000ed into groups: СP and cancer on the pancreatic head. It was even more accurate indi'\u0000cator threshold VEGF = 248 pg / ml. To predict the severity of the pathological process,\u0000along with the use of diagnostic data, using the method of classification trees.\u0000Pancreatoduodenal resection for Whipple was performed in 23 patients, for Traverso—\u0000Longmire — in 8, subtotal right sided pancreatectomy for Fortner — in 3, hepaticoje'\u0000junostomy by Roux — in 8, duodenopreserving resection for Beger — in 6, her Bernese\u0000option — in 7, operation Frey — in 51. In 26 (19.7%) patients, minimally invasive inter'\u0000vention for removal of bile were spread through the final primary pathological process\u0000and severe general state. Postoperative complications occurred in 18 (13.6%) patients,\u0000died 3 (2.3%).</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"34-9"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36719624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ТRANSPLANTATION OF AUTOLOGOUS CELLS IN COMPLEXOF TREATMENT OF COMPLICATED ARTERIAL FORM IN THE THORACIC OUTLET SYNDROME. Тransplantation自体细胞在胸廓口综合征复杂动脉形态综合治疗中的作用。
Klinichna khirurgiia Pub Date : 2016-10-01
О Yu Usenko, I E Barna, M F Dryuk, V I Кіrimov, I P Dmytrenko
{"title":"ТRANSPLANTATION OF AUTOLOGOUS CELLS IN COMPLEX\u0000OF TREATMENT OF COMPLICATED ARTERIAL FORM \u0000IN THE THORACIC OUTLET SYNDROME.","authors":"О Yu Usenko,&nbsp;I E Barna,&nbsp;M F Dryuk,&nbsp;V I Кіrimov,&nbsp;I P Dmytrenko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Impact of the autologous cells transplantation in complex of treatment of complicated\u0000arterial form of thoracic outlet syndrome was estimated. In accordance to the proce'\u0000dure proposed 18 patients were operated on, in 16 patients a standard decompressive\u0000and reconstructive operative interventions were performed. The proposed procedure\u0000application have promoted improvement of the patients' treatment results due to opti'\u0000mization of microcirculation and angiogenesis.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"44-7"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36719625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE AORTAL VALVE PROSTHESIS, USING MINIMALLY INVASIVE ACCESS. 主动脉瓣假体,采用微创通路。
Klinichna khirurgiia Pub Date : 2016-10-01
A V Іvanyuk, M D Glagola, O A Loskutov, G I Darvish, B M Тоdurov
{"title":"THE AORTAL VALVE PROSTHESIS, USING MINIMALLY \u0000INVASIVE ACCESS.","authors":"A V Іvanyuk,&nbsp;M D Glagola,&nbsp;O A Loskutov,&nbsp;G I Darvish,&nbsp;B M Тоdurov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The investigation objective was to improve the immediate results of surgical treatment\u0000of the aortal valve failure, applying minimization of operative trauma and, accordingly,\u0000rapid functional rehabilitation of patients. The aortal valve prosthesis, using minimally\u0000invasive access, was conducted in 44 patients. There was proved, that conduction of\u0000ministernotomy for strict indications is effective and have significant advantages, com'\u0000paring with classic median sternotomy, because it provides minimal surgical trauma,\u0000preservation of the thoracic cage frame, and better cosmetic effect.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"40-3"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36768042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SURGICAL TREATMENT OF DUODENAL ULCER, COMPLICATED BY HEMORRHAGE. 十二指肠溃疡并发出血的外科治疗。
Klinichna khirurgiia Pub Date : 2016-10-01
М V Тrofimov, V P Kryshehn
{"title":"SURGICAL TREATMENT OF DUODENAL ULCER, \u0000COMPLICATED BY HEMORRHAGE.","authors":"М V Тrofimov,&nbsp;V P Kryshehn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Detailed statistic alanalysis of the treatment results in patients, who have had suffered\u0000gastroduodenal ulcer hemorrhage, in The Gastro—Intestinal Hemorrhage Centre, was\u0000performed. Application of exteriorization procedure, using original method of double\u0000sticking and out sticking of the needle bilaterally from ulcerative defect, for duodenal\u0000ulcer, complicated by hemorrhage, have had guaranteed mechanical squeezing of the\u0000periulcer zone vessels and effective removal of the ulcer out side the gut lumen. This\u0000have had promoted improvement of the patients' treatment results.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 10","pages":"12-4"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36719721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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