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[Laparoscopic repair of hiatal hernia after minimally invasive esophagectomy]. [微创食管切除术后食管裂孔疝的腹腔镜修补术]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202409186
A B Ryabov, V M Khomyakov, N M Abdulkhakimov, A V Chaika
{"title":"[Laparoscopic repair of hiatal hernia after minimally invasive esophagectomy].","authors":"A B Ryabov, V M Khomyakov, N M Abdulkhakimov, A V Chaika","doi":"10.17116/hirurgia202409186","DOIUrl":"10.17116/hirurgia202409186","url":null,"abstract":"<p><p>Postoperative hiatal hernia is a rare and specific complication after esophagectomy. This complication leads to emergency and affects mortality. Incidence of this complication has increased due to the great number of minimally invasive procedures over the past decades. In addition, chronic cough, preoperative hiatal hernia and transhiatal approach also increase the risk of recurrent hernias. Most post-esophagectomy hiatal hernias do not require emergency surgery. About 70% of patients have symptoms reducing the quality of life. About 25% of cases are asymptomatic and discovered incidentally during follow-up examinations. The role of surgery for asymptomatic post-esophagectomy hernias is a matter of debate because the risk of symptoms or complications is poorly predictable. Surgical treatment is the only radical method for symptomatic or complicated hernias. However, there is still no consensus regarding surgical approach and technique. Most surgeons prefer open surgery fearing severe adhesive process and other technical difficulties. Laparoscopic approach is widely accepted as the \"gold standard\" for primary hiatal hernia. However, minimally invasive access for post-esophagectomy hiatal hernias is not sufficiently studied and described in several case reports. Currently, it is very important to study the risk factors of hiatal hernias after esophagectomy. We present successful laparoscopic repair of hiatal hernia after hybrid McKeown esophagectomy.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297309","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
[Treatment of rectal prolapse after proctoplasty in a child with rectal atresia]. [直肠闭锁儿童直肠成形术后直肠脱垂的治疗]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024091106
V G Svarich, V A Svarich
{"title":"[Treatment of rectal prolapse after proctoplasty in a child with rectal atresia].","authors":"V G Svarich, V A Svarich","doi":"10.17116/hirurgia2024091106","DOIUrl":"10.17116/hirurgia2024091106","url":null,"abstract":"<p><p>Rectal prolapse is a common disease in childhood and observed mainly at the age of 1-4 years old (95% of cases). If conservative treatment is ineffective, surgical correction of rectal prolapse in children without previous anorectal surgery is performed at the age of over a year. There is a single report on examination of patients aged 4-16 years after surgical correction of anorectal malformations with postoperative rectal prolapse. We present diagnosis and successful surgical treatment of rectal prolapse in an infant who underwent previous perineal proctoplasty for fistulous form of anorectal malformation.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297325","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
[Surgery for complicated accessory lobe of the azygos vein]. [复杂颧静脉附属叶手术]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202406170
V D Parshin, M V Sinitsyn, E G Sokolovich, A V Mariyko, I S Trubitsin, A V Parshin
{"title":"[Surgery for complicated accessory lobe of the azygos vein].","authors":"V D Parshin, M V Sinitsyn, E G Sokolovich, A V Mariyko, I S Trubitsin, A V Parshin","doi":"10.17116/hirurgia202406170","DOIUrl":"10.17116/hirurgia202406170","url":null,"abstract":"<p><p>Congenital anomalies of respiratory system are quite diverse and not all of them are subject to surgical treatment. One example is accessory lobe of the azygos vein. This anomaly usually has no clinical manifestations and requires only follow-up, as well as attention in surgery on the right half of the chest for some other disease. This situation changes when complications occur, for example, purulent-inflammatory process. Therapy is not always effective, and lung tissue destruction requires surgical treatment. Progressive destruction complicates diagnosis and choosing surgical tactics. We present a rare case of severe purulent-inflammatory complication with abscess in accessory lobe of <i>v. azygos</i>. Anatomical abnormalities following this congenital pulmonary anomaly can cause difficulties in surgeries for other intra-thoracic diseases. The situation is especially relevant for thoracoscopic access. This report will be useful for radiologists, pulmonologists and thoracic surgeons.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421262","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
[Laparoscopic surgery for advanced peritonitis]. [腹腔镜手术治疗晚期腹膜炎]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202410121
N V Lebedev, A E Klimov, V S Popov, I O Abuladze, A A Barkhudarov
{"title":"[Laparoscopic surgery for advanced peritonitis].","authors":"N V Lebedev, A E Klimov, V S Popov, I O Abuladze, A A Barkhudarov","doi":"10.17116/hirurgia202410121","DOIUrl":"https://doi.org/10.17116/hirurgia202410121","url":null,"abstract":"<p><strong>Objective: </strong>To determine the criteria for choosing surgical access in patients with advanced peritonitis considering its local and general manifestations.</p><p><strong>Material and methods: </strong>We analyzed treatment outcomes in 588 patients with advanced peritonitis. The most common causes of peritonitis were destructive forms of acute appendicitis (273 cases), perforated gastroduodenal ulcers (165 cases), acute cholecystitis (59 cases). To determine the criteria for choosing surgical access in advanced peritonitis, we analyzed treatment outcomes considering MPI, SPP and WSES SSS score.</p><p><strong>Results: </strong>The choice of surgical access in advanced peritonitis can only symbolically be standardized according to modern scoring systems (MPI, SPP, WSES SSS). Laparotomy is necessary for MPI score ≥30 and SPP score > 10 (WSES SSS score > 8). Regardless of MPI, SPP, WSES SSS scores, the absolute contraindications for laparoscopic surgery are dense non-removable fibrin deposits, interintestinal abscesses, purulent recesses, intra-abdominal pressure > 20 mm Hg or small intestine dilation> 3 cm, sepsis or septic shock (qSOFA score 2-3), previous open abdominal surgery, unstable hemodynamics, technical difficulties. Conversion should be used at any doubt.</p><p><strong>Conclusion: </strong>Careful patient selection, surgical experience and training in laparoscopic technique are decisive factors for wider use of laparoscopic approach in patients undergoing emergency abdominal surgery.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476637","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
[Indocyanine green angiography in assessment of parathyroid remnant perfusion after subtotal parathyroidectomy: a case report]. [吲哚青绿血管造影术在甲状旁腺次全切除术后甲状旁腺残余灌注评估中的应用：一份病例报告]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202402261
V V Polkin, P A Isaev, N V Severskaya, S A Ivanov, A D Kaprin
{"title":"[Indocyanine green angiography in assessment of parathyroid remnant perfusion after subtotal parathyroidectomy: a case report].","authors":"V V Polkin, P A Isaev, N V Severskaya, S A Ivanov, A D Kaprin","doi":"10.17116/hirurgia202402261","DOIUrl":"10.17116/hirurgia202402261","url":null,"abstract":"<p><p>A 72-year-old female patient with chronic kidney disease stage presented with multiple parathyroid adenomas and tertiary hyperparathyroidism. SPECT/CT with <sup>99m</sup>Tc-MIBI revealed accumulation of radiopharmaceuticals in 2 out of 4 parathyroid glands. Ultrasound established localization of all parathyroid glands. Subtotal parathyroidectomy with excision of 3 glands and resection of half of the fourth gland was performed. Intraoperative indocyanine green angiography was performed to identify all parathyroid glands and remnant perfusion. There was normal parathyroid function after 6 months.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913600","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 hybrid interventions for iliac-femoral arterial lesions]. [髂股动脉病变的混合干预选择]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202403121
G B Fataliev, V S Arakelyan, A A Shubin
{"title":"[Choice of hybrid interventions for iliac-femoral arterial lesions].","authors":"G B Fataliev, V S Arakelyan, A A Shubin","doi":"10.17116/hirurgia202403121","DOIUrl":"10.17116/hirurgia202403121","url":null,"abstract":"<p><strong>Objective: </strong>To compare the short-term and long-term outcomes of hybrid interventions after various infrainguinal reconstructions (restoration of blood flow through superficial femoral artery and pulsatile blood flow through deep femoral artery) in patients with iliac-femoral arterial disease.</p><p><strong>Material and methods: </strong>A retrospective analysis included patients after hybrid iliac-femoral interventions between 2014 and 2018. These interventions included stenting of iliac arteries and various open infrainguinal reconstructions. The first group (<i>n</i>=41) consisted of patients who underwent reconstruction of superficial femoral artery, the second group (<i>n</i>=88) - restoration of pulsatile blood flow in deep femoral artery. We analyzed the Rutherford score, perioperative complications, primary patency rates and limb salvage rates after 12 months in both groups.</p><p><strong>Results: </strong>Significant improvement (Rutherford score +3) was achieved in 28 (70%) and 14 (15.9%) patients, respectively (<i>p</i><0.05). There were no significant between-group differences in the number of postoperative complications. Surgery time was longer in the first group (median 160 and 130 min, respectively, <i>p</i><0.05). However, intraoperative blood loss was similar. Primary patency rates after 12 months were 82.4% and 95.1%, respectively (<i>p</i>=0.054). Limb salvage rates after 12 months were 94.7% and 100%, respectively (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>This study highlights the potential advantages of restoring pulsatile blood flow through the deep femoral artery in hybrid interventions. Higher primary patency and limb salvage rates in the second group indicate better long-term outcomes after restoration of blood flow through the deep femoral artery. Further prospective studies are needed to confirm these results and determine the underlying mechanisms of differences.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111735","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
[Bilateral stenting for malignant tracheal and bronchial stenosis]. [恶性气管和支气管狭窄的双侧支架植入术]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202402184
Yu S Teterin, M A Gasanov, S S Petrikov, P A Yartsev, E S Eletskaya, I U Ibavov, A N Musaev
{"title":"[Bilateral stenting for malignant tracheal and bronchial stenosis].","authors":"Yu S Teterin, M A Gasanov, S S Petrikov, P A Yartsev, E S Eletskaya, I U Ibavov, A N Musaev","doi":"10.17116/hirurgia202402184","DOIUrl":"10.17116/hirurgia202402184","url":null,"abstract":"<p><p>Malignant lesions of tracheal bifurcation usually lead to respiratory failure and risk of mortality. Airway stenting is the only minimally invasive method for these patients. The authors present a patient with T4N3M0 left-sided lung cancer (inoperable stage IIIc) complicated by respiratory failure due to tracheal bifurcation obstruction. Bilateral stenting by self-expanding stents with perforated coatings was effective for airway recanalization and provided subsequent chemotherapy.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724307","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
[In searching for perfect blood substitute. Creation and application of perftorane]. [寻找完美的血液替代品。perftorane的创造与应用]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024021111
N N Krylov, A Yu Kazhlaev, I V Karpenko, S D Batoev
{"title":"[In searching for perfect blood substitute. Creation and application of perftorane].","authors":"N N Krylov, A Yu Kazhlaev, I V Karpenko, S D Batoev","doi":"10.17116/hirurgia2024021111","DOIUrl":"10.17116/hirurgia2024021111","url":null,"abstract":"<p><p>The article is devoted to historiography of perfluorocarbons, as well as discoverers of perftorane and their discoveries. There would be no national priority in transfusiology without these discoveries. Perftorane is the only one of the world series of perfluorocarbon emulsion drugs that has passed all phases of clinical trials. Perftorane has been used in clinical medicine for 30 years.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724311","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
[Combined surgeries for secondary chest wall lesions]. [继发性胸壁病变的联合手术]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024051103
M S Rudenko, S Yu Pushkin, R O Kamenev, A P Eliseeva
{"title":"[Combined surgeries for secondary chest wall lesions].","authors":"M S Rudenko, S Yu Pushkin, R O Kamenev, A P Eliseeva","doi":"10.17116/hirurgia2024051103","DOIUrl":"10.17116/hirurgia2024051103","url":null,"abstract":"<p><p>The authors present treatment of rhabdomyosarcoma of the gluteal region with secondary lesion of the lung and chest wall. Features of chest wall defect closure are analyzed.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089323","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
[Synchronous primary multiple cancer: distal cholangiocarcinoma of the intrapancreatic common bile duct and intraductal papillary mucinous tumor associated with ductal adenocarcinoma of the pancreatic tail]. [同步原发性多发性癌症：胰总胆管内远端胆管癌和导管内乳头状粘液瘤伴胰尾导管腺癌]。
Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202408157
G R Setdikova, E A Stepanova, A N Verbovsky, A V Semenkov
{"title":"[Synchronous primary multiple cancer: distal cholangiocarcinoma of the intrapancreatic common bile duct and intraductal papillary mucinous tumor associated with ductal adenocarcinoma of the pancreatic tail].","authors":"G R Setdikova, E A Stepanova, A N Verbovsky, A V Semenkov","doi":"10.17116/hirurgia202408157","DOIUrl":"https://doi.org/10.17116/hirurgia202408157","url":null,"abstract":"<p><p>We present a combination of distal cholangiocarcinoma of the intrapancreatic common bile duct and intraductal papillary mucinous tumor associated with ductal adenocarcinoma of the pancreatic tail. This clinical case is unique. When analyzing the literature, we found no any case of similar primary multiple malignant tumor. Importantly, final diagnosis of simultaneous malignant pancreatobiliary neoplasia is possible only via intraoperative biopsy after adequate morphological dissection and research of resected organ complex including molecular genetic analysis due to identical histological and immunohistochemical picture of ductal neoplasia.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976776","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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