Khirurgiya最新文献_第3页

[Choosing the optimal surgical method for duodenal ulcer complicated by bleeding].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025021111

S R Genrikh, V M Durleshter, A G Kalachev, K M Bedanokov

引用次数: 0

[Laparoscopic ALPPS procedure: a series of cases].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202502120

V K Lyadov, A N Moskalenko, M M Magomedov, V N Galkin

{"title":"[Laparoscopic ALPPS procedure: a series of cases].","authors":"V K Lyadov, A N Moskalenko, M M Magomedov, V N Galkin","doi":"10.17116/hirurgia202502120","DOIUrl":"10.17116/hirurgia202502120","url":null,"abstract":"The combination of liver resection and chemotherapy is the most effective way to treat primary and secondary malignant liver tumors. One of the methods for increasing resectability is the use of two-stage liver resection (associated liver partition and portal vein ligation for staged hepatectomy - ALPPS).Objective: To demonstrate the feasibility of laparoscopic ALPPS with good short-term and long-term results.Material and methods: From 2020 to 2021, in the oncology department No. 4 of the State Budgetary Healthcare Institution \"GKOB 1 DZM\" 6 laparoscopic ALPPS were performed for metastases of colorectal cancer in the liver in 4 patients and cholangiocellular cancer in two in the presence of an insufficient volume of remaining liver parenchyma (13-32.1%).Results: All patients underwent the first stage of ALPPS laparoscopically without conversions or intraoperative complications. The duration of the operation ranged from 300 to 470 minutes (average 347.5±74 minutes), blood loss - from 100 to 300 ml (average 175±88 ml). The duration of the second stage is from 165 to 470 minutes (average 281.5±132.9 minutes) with blood loss from 100 to 850 ml (average 484.5±392.3 ml). The increase in the volume of residual liver parenchyma was 36-68%. The period between the ALPPS stages ranged from 13 to 22 days. Final resection to the extent of R0 was performed in 4 of 6 patients. The second stage of ALPPS was complicated in two patients by the formation of an external biliary fistula and in another two by right-sided hydrothorax.The median follow-up was 25 months, during which time 3 patients died: two patients with incomplete second stage ALPPS due to cancer progression and one patient from coronavirus infection.Conclusion: ALPPS can be performed entirely laparoscopically with good short-term and long-term results, but should be performed in high-volume liver surgery centers by an experienced surgical team.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 2","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366131","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

[Hemorrhage after pancreaticoduodenectomy].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501114

V A Solodky, A G Kriger, D S Gorin, A A Goev, A B Varava, V I Panteleev

{"title":"[Hemorrhage after pancreaticoduodenectomy].","authors":"V A Solodky, A G Kriger, D S Gorin, A A Goev, A B Varava, V I Panteleev","doi":"10.17116/hirurgia202501114","DOIUrl":"https://doi.org/10.17116/hirurgia202501114","url":null,"abstract":"Objective: To analyze the incidence, clinical manifestations and treatment of post-pancreaticoduodenectomy hemorrhage in patients with pancreaticoduodenal tumors.Material and methods: There were 362 pancreaticoduodeneectomies for ductal adenocarcinoma of the pancreatic head and pancreatoduodenal tumors in 2016-2023. Post-pancreatectomy hemorrhage (PPH) occurred in 52 (14.4%) patients. Delayed post-pancreatectomy hemorrhage followed postoperative pancreatitis, pancreatic fistula or non-drained fluid collections. Bleeding was diagnosed considering clinical manifestations with verification through contrast-enhanced CT.Results: Emergency re-laparotomy was required in 15 (28.8%) patients with unstable hemodynamics; 9 (60%) people died. Thirty-seven patients with stable hemodynamics underwent emergency contrast-enhanced CT and subsequent endovascular hemostasis. Bleeding was stopped in 31 patients (89.2%). Endovascular hemostasis was ineffective in 1 patient who underwent re-laparotomy. We found no the cause of bleeding in 3 patients, and there was no hemorrhage recurrence. Six (18.7%) people died. The overall mortality among patients with PPH was 28.8% (15 out of 52 postoperative patients).Conclusion: PPH follows postoperative pancreatitis, pancreatic fistula or non-drained fluid collection. In case of stable hemodynamics, endovascular hemostasis is preferable for this complication.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123132","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

[Endovascular treatment and selection criteria for acute mesenteric ischemia].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202502113

A B Mironkov, A D Pryamikov, S A Rautbart, A I Khripun

{"title":"[Endovascular treatment and selection criteria for acute mesenteric ischemia].","authors":"A B Mironkov, A D Pryamikov, S A Rautbart, A I Khripun","doi":"10.17116/hirurgia202502113","DOIUrl":"10.17116/hirurgia202502113","url":null,"abstract":"Objective: To demonstrate the results of endovascular intervention in patients with acute arterial mesenteric ischemia, while observing the indications developed in the clinic.Material and methods: In total, endovascular approach in the treatment of acute mesenteric ischemia were used in 49 patients in the clinic. In compliance with the developed indications and criteria, endovascular intestinal revascularization was performed in 27 patients. Various endovascular intervention techniques were used (aspiration, balloon dilation, artery stenting and their combinations). Extracorporeal filtration techniques were used as a treatment for reperfusion syndrome after intestinal revascularization in 10 patients.Results: Angiographic success in the form of complete restoration of the main blood flow in the basin of the superior mesenteric artery and its large branches was obtained in 85% of cases. Intestinal viability was preserved in 15 (56%) patients. After successful endovascular surgery, intestinal necrosis was diagnosed on laparoscopy in the remaining 12 (44%) patients, which required extensive (n=2) or non-extensive (n=10) resection. Postoperative mortality was 48% (13 patients).Conclusion: Endovascular surgery in acute mesenteric ischemia is an effective method of intestinal revascularization. To optimize the indications for these interventions, it is necessary to gain experience and conduct large-scale studies.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 2","pages":"13-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366128","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 patellar instability following valgus deformity of the lower extremity and high-riding patella (a series of clinical cases)].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202502160

A P Prizov, M M Awad, N V Zagorodniy, E A Belyak, G A Airapetov

引用次数: 0

[Treatment of a patient with patellar instability and lateral osteoarthritis of the knee joint under valgus limb deformity and low patellar position].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501174

A P Prizov, M M Awad, F L Lazko, N V Zagorodniy, E A Belyak, M F Lazko, A J Al-Mamoori

引用次数: 0

[Successful groin flap for dorsal hand defect in elderly patient with comorbidity].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501186

A Hakami

引用次数: 0

[Academician Mikhail Israelievich Perelman (20.12.1924-29.03.2013). 100 years since his birth].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025021128

V D Parshin, V A Porkhanov

引用次数: 0

[Prediction and prevention of fascial dehiscence after laparotomy].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501147

V A Samartsev, V A Gavrilov, M P Kuznetsova, B S Pushkarev, A A Domrachev

{"title":"[Prediction and prevention of fascial dehiscence after laparotomy].","authors":"V A Samartsev, V A Gavrilov, M P Kuznetsova, B S Pushkarev, A A Domrachev","doi":"10.17116/hirurgia202501147","DOIUrl":"https://doi.org/10.17116/hirurgia202501147","url":null,"abstract":"Objective: To evaluate the efficacy of fascial dehiscence prevention suture in patients with perioperative risk factors regarding the incidence of this complication after laparotomies in abdominal surgery.Material and methods: A retrospective-prospective controlled randomized study included 112 patients with abdominal surgical diseases who underwent surgery between 2013 and 2023. Patients were divided into three groups. In the first group (n=57), fascial dehiscence occurred in early postoperative period. The second group (n=41) retrospectively included random patients without fascial dehiscence in postoperative period. In the third group (n=22), original preventive suturing of laparotomy was applied. The validity of differences in continuous variables was assessed using the Kruskal-Wallis test. Categorical variables were analyzed using chi-square test, as well as Dunn's and Fisher's post-hoc tests. Differences were significant at p<0.05. The third group did not statistically differ from the first one.Results: A comprehensive perioperative assessment of risk factors and original aponeurosis suturing technique prevented fascial dehiscence.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 1","pages":"47-53"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123641","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

[Aortic valve reimplantation combined with total arch replacement in type A aortic dissection].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501180

S Yu Boldyrev, O S Bezdenezhnykh, S B Abidzakh, V A Sapunov, K O Barbukhatti

引用次数: 0