Khirurgiya最新文献_第2页

[Thoracoscopic thymectomy for myasthenia gravis and non-invasive thymoma after COVID-19 pneumonia]. [胸腔镜胸腺切除术治疗重症肌无力和 COVID-19 肺炎后的非侵袭性胸腺瘤]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202408126

E B Topolnitskiy, V V Gusakov

引用次数: 0

[Vacuum-assisted laparostomy for advanced peritonitisis]. [真空辅助腹腔切开术治疗晚期腹膜炎]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia20240517

A V Shabunin, V V Bedin, D D Dolidze, M Z Eminov, D S Bocharnikov

{"title":"[Vacuum-assisted laparostomy for advanced peritonitisis].","authors":"A V Shabunin, V V Bedin, D D Dolidze, M Z Eminov, D S Bocharnikov","doi":"10.17116/hirurgia20240517","DOIUrl":"10.17116/hirurgia20240517","url":null,"abstract":"Objective: To evaluate the efficacy of negative pressure therapy in patients with peritonitis.Material and methods: The study included 127 patients with advanced secondary peritonitis between 2019 and 2022. All patients were divided into 2 groups. All ones underwent staged sanitation of the abdominal cavity. In the first group (n=76), re-laparotomies were accompanied by skin suture only and passive abdominal drainage. The second group included patients (n=51) with open abdominal cavity strategy and negative pressure therapy (vacuum-assisted laparostomy). We analyzed the number of surgeries, postoperative complications, duration of hospital-stay and mortality.Results: In the second group, there were significantly lower morbidity, mean number of surgeries and hospital-stay. In addition, incidence of fascial closure of abdominal cavity was higher and mortality rate was lower in the same group.Conclusion: Vacuum-assisted laparostomy in patients with advanced peritonitis can reduce the number of secondary purulent complications and mortality, as well as increase the incidence of fascial closure of abdominal cavity. This approach reduces the number of surgical interventions and duration of in-hospital treatment.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087838","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

[Preventive myocardial revascularization prior to abdominal aortic repair in patients without cardiac symptoms: long-term results]. [无心脏症状患者腹主动脉修补术前的预防性心肌血管重建：长期结果]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202405158

A V Chupin, A V Abrosimov, A F Kharazov, N R Masalimov

{"title":"[Preventive myocardial revascularization prior to abdominal aortic repair in patients without cardiac symptoms: long-term results].","authors":"A V Chupin, A V Abrosimov, A F Kharazov, N R Masalimov","doi":"10.17116/hirurgia202405158","DOIUrl":"10.17116/hirurgia202405158","url":null,"abstract":"Objective: To evaluate the long-term influence of preoperative invasive coronary screening and preventive myocardial revascularization on mortality and cardiac complications after open surgery for abdominal aortic aneurysms (AAA).Material and methods: We present long-term outcomes after open surgery for AAA between 2011 and 2022. Patients without clinical or objective signs of coronary artery disease were included. In the 1st group, routine coronary angiography was performed before surgery. Prophylactic myocardial revascularization was performed in 12 cases. Long-term data on 45 patients were obtained. In the 2nd group, 53 patients underwent repair without invasive coronary screening, and data on 48 patients were obtained in this group.Results: The median follow-up was 32 and 79 months, respectively. Kaplan-Meyer overall 48-month survival was 87.3% and 82.1%, respectively (p=0.278). In the first group, 2 patients developed angina pectoris in the same period. In the second group, we observed 2 cases of myocardial infarction and 3 cases of angina pectoris without infarction. Analysis of survival curves found no significant differences (p=0.165).Conclusion: In our study, invasive coronary screening and preventive myocardial revascularization in patients without clinical and objective signs of coronary artery did not improve 4-year long-term period after abdominal aortic repair. Perhaps, differences will appear after 4 years, and this requires further follow-up after coronary angiography. However, there is a tendency towards more common onsets of coronary artery disease that dictates the need for cardiac monitoring of such patients.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"58-64"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089372","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

[Improving surgical technique for tracheal resection with anastomosis]. [改进气管切除吻合手术技术]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia20240116

V D Parshin, V A Porkhanov, I S Polyakov, A L Kovalenko, V A Zhikharev, A V Parshin, M A Rusakov, V V Parshin

{"title":"[Improving surgical technique for tracheal resection with anastomosis].","authors":"V D Parshin, V A Porkhanov, I S Polyakov, A L Kovalenko, V A Zhikharev, A V Parshin, M A Rusakov, V V Parshin","doi":"10.17116/hirurgia20240116","DOIUrl":"10.17116/hirurgia20240116","url":null,"abstract":"Objective: To present modern aspects of improving surgical techniques in tracheal resection developed in recent years.Material and methods: The authors have the most extensive experience in tracheal surgery (>2.000 patients over the past 50 years). Diagnostic capabilities, perioperative management and surgical techniques have changed over such a long period. This concerns the proposed classification of cicatricial tracheal stenosis, features of endoscopic and X-ray diagnostics, indications for various surgeries, choice of surgical approach, technique of tracheal tube mobilization and anastomosis after tracheal excision. Preventive measures for severe postoperative complications are described.Conclusion: Such an extensive experience allowed the authors to develop an algorithm for the treatment of patients with tracheal stenosis. This significantly reduced the incidence of postoperative complications and mortality. Replication of such equipment is associated with technical support of hospitals and professional level of specialists consisting of endoscopist, anesthesiologist, intensive care specialist and thoracic surgeon.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 1","pages":"6-20"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521927","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

[Domestic system for fluorescent diagnostics in breast cancer: pros and cons]. [用于乳腺癌荧光诊断的国内系统：利弊]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202402255

K A Anichkina, A V Pasternak, Kh S Arslanov, G E Kvetenadze, E V Shivilov, A V Klimashevich

引用次数: 0

[Fenestrated stent-graft as an option for the treatment of type I endoleak in a patient with giant abdominal aortic aneurysm].

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024122159

R S Polyakov, K A Kur-Ipa, M V Puretskiy, G V Mardanyan, V M Safonova, S A Abugov

引用次数: 0

[Treatment of postoperative complications in cardiothoracic surgery: single-center 10-year experience].

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202412266

D V Bazarov, A Yu Grigorchuk, O B Povolotskaya, G A Kazaryan, E R Charchyan, M A Vyzhigina, V V Nikoda, E V Boranov, A A Kavochkin, D G Kabakov, A S Zelyanin

{"title":"[Treatment of postoperative complications in cardiothoracic surgery: single-center 10-year experience].","authors":"D V Bazarov, A Yu Grigorchuk, O B Povolotskaya, G A Kazaryan, E R Charchyan, M A Vyzhigina, V V Nikoda, E V Boranov, A A Kavochkin, D G Kabakov, A S Zelyanin","doi":"10.17116/hirurgia202412266","DOIUrl":"https://doi.org/10.17116/hirurgia202412266","url":null,"abstract":"Objective: To evaluate the results of treatment of postoperative complications in one surgical center over 10 years.Material and methods: There were 100 patients with intrapleural complications and indications for surgical correction after various cardiothoracic interventions between 2013 and 2023.Results: Mortality after thoracoscopic surgeries for cardiothoracic complications was 5%. There were 3 patients after on-pump cardiac and aortic surgeries, 1 patient after right-sided pneumonectomy with resection of the tracheobronchial angle. In all cases, the indication for video-assisted thoracoscopy was pulmonary-pleural complications with sepsis. One patient died after repeated VATS. This was a 66-year-old patient with severe mitral and tricuspid regurgitation. Postoperative period was accompanied by severe respiratory failure and hemopneumothorax that required emergency VATS surgery for hemostasis and one-stage tracheostomy. Despite the intensive care, the patient died under progressive multiple organ failure. Other patients were discharged.Conclusion: Thoracoscopic technologies allow for complete debridement of the pleural cavities and mediastinum, as well as elimination of causes of complications. Interdisciplinary interaction and trust are necessary for successful treatment of postoperative complications in cardiothoracic surgery.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12. Vyp. 2","pages":"66-71"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814466","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

[Diagnostic value of fluorescence lymphography for sentinel lymph node biopsy in breast cancer. Summary experience of several specialized centers]. [荧光淋巴造影在乳腺癌前哨淋巴结活检中的诊断价值。几个专业中心的经验总结]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202410149

A A Bozhok, A D Zikiryakhodzhaev, G E Kvetenadze, M V Moshurova, V O Timoshkin, M V Shomova, A E Manelov

{"title":"[Diagnostic value of fluorescence lymphography for sentinel lymph node biopsy in breast cancer. Summary experience of several specialized centers].","authors":"A A Bozhok, A D Zikiryakhodzhaev, G E Kvetenadze, M V Moshurova, V O Timoshkin, M V Shomova, A E Manelov","doi":"10.17116/hirurgia202410149","DOIUrl":"https://doi.org/10.17116/hirurgia202410149","url":null,"abstract":"Objective: To study the diagnostic value of fluorescent lymphography for sentinel lymph node biopsy in breast cancer.Material and methods: The cohort study, conducted at 4 specilized centers between June 2019 and March 2024, included 333 patients with cT1-4 N0-1M0 breast cancer. 50 patients received neoadjuvant systemic therapy, 14 of them had single metastases, confirmed by cytological or histological methods, which clinically completely regressed after systemic treatment. Immediately before the operation, 1 ml (5mg) of indocyanine green was injected subareolarly or subcutaneously into the tumor projection. Fluorescence imaging was performed using various devices for ICG navigation in the open surgical field - MARS, IC-Flow, Stryker SPY-PHI, IC-GOR. In 78 patients after sentinel lymph node biopsy standard axillary lymphadenectomy was performed.Results: Detection level was 99.1%. The average number of sentinel lymph nodes was 3.4. Metastatic lesions of sentinel lymph nodes were detected in 54 of 330 patients (16.4%). The average number of metastatic lymph nodes was 1.6; in 90.7% of cases metastases to 1-2 lymph nodes were registered. Intraoperative morphological examination revealed metastases only in 59% of cases. No systemic adverse events were recorded. The false-negative error rate in the group of patients who underwent axillary lymphadenectomy was 6.6%. The overall accuracy of fluorescent lymphography for sentinel lymph node biopsy in breast cancer was 94%.Conclusion: The SLNB technique using fluorescence lymphography is safe and highly accurate as a stand-alone method.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 10","pages":"49-61"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476633","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

[Factors associated with normal leukocyte count and C-reactive protein in adults with acute appendicitis: a retrospective cohort study]. [急性阑尾炎成人患者白细胞计数和 C 反应蛋白正常的相关因素：一项回顾性队列研究]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202408115

C S Yamir, J Caballero-Alvarado, K Lozano-Peralta, C Zavaleta-Corvera

{"title":"[Factors associated with normal leukocyte count and C-reactive protein in adults with acute appendicitis: a retrospective cohort study].","authors":"C S Yamir, J Caballero-Alvarado, K Lozano-Peralta, C Zavaleta-Corvera","doi":"10.17116/hirurgia202408115","DOIUrl":"10.17116/hirurgia202408115","url":null,"abstract":"Objective: To identify the factors associated with normal leukocyte count and C-reactive protein (CRP) in adults with acute appendicitis.Material and methods: A retrospective cohort study included patients aged 18-60 years after surgeries for acute appendicitis. Convenience sampling was used to select medical records, and variables such as age, sex, weight, height, origin, self-medication, diabetes (DM2), high blood pressure (HBP), type of appendicitis, duration of illness, preoperative time, type of appendectomy, operative time, and hospital stay were analyzed. Patients were categorized into those with normal and abnormal inflammatory parameters. The SPSS version 28 software was used for analysis.Results: We included 333 patients; 11.11% ones had normal inflammatory parameters. Both groups had mean age of approximately 33 years. Men comprised 56.76% and 57.43%in both groups, respectively. The abnormal group had shorter mean preoperative time, and catarrhal appendicitis was more common in the normal group. Multivariate analysis revealed that rural origin and self-medication were significantly associated with normal inflammatory parameters.Conclusion: The prevalence of normal inflammatory parameters in acute appendicitis patients was 11.11%. Rural origin, self-medication, shorter preoperative time, and catarrhal appendicitis were significantly associated with normal inflammatory parameters in this context.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 8","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976768","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

[Analysis of learning curves for mini-gastric bypass in 341 patients with obesity]. [341名肥胖症患者的迷你胃旁路术学习曲线分析]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202409122

I A Matveev, I B Popov, A M Mashkin, A V Dmitriev, E Z Yakhyaev, N A Borodin, D T Khasiya, A O Matreninskikh

{"title":"[Analysis of learning curves for mini-gastric bypass in 341 patients with obesity].","authors":"I A Matveev, I B Popov, A M Mashkin, A V Dmitriev, E Z Yakhyaev, N A Borodin, D T Khasiya, A O Matreninskikh","doi":"10.17116/hirurgia202409122","DOIUrl":"https://doi.org/10.17116/hirurgia202409122","url":null,"abstract":"Objective: To analyze learning curves and appropriate experience on the features of mini-bypass surgery in 341 obese patients.Material and methods: A total of 341 laparoscopic mini-gastric bypass surgeries performed by one surgeon were studied. The median age of patients was 40.5 [34; 48.3] years. There were 284 (83.2%) women and 57 (16.8%) men. The median BMI was 45 [40;52] kg/m2.Results: The period of MGB development consisted of 138 interventions. Surgery time was 120 [100; 130] min and 90 [82.5; 100] mins after development of this technique (p=0.001). Complications occurred in 5 (1.5%) patients (1 patient with Clavien Dindo grade IIIA and 4 ones with grade IIIB). Of these, there were 3 patients with stapler suture defects. There were no complications only in the 4th quartile of surgeries. Surgical experience significantly affects postoperative outcomes. Surgery time was more influenced by surgical skill rather technique of anastomosis imposing.Conclusion: Polynomial regression objectively characterizes development of surgical skills lasting 138 interventions. MGB is safe for morbid obesity with a complication rate of 1.5% and no mortality.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 9","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297304","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