Khirurgiya最新文献_第6页

[Influence of diagnostic period on the outcomes in patients with Crohn's disease]. [诊断期对克罗恩病患者预后的影响]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202407136

E E Grishina, L R Aitova, T S Samokhodova, B T Muhametyanov

引用次数: 0

[Intraductal radiofrequency ablation under endosonography and cholangioscopy for residual adenoma of the major duodenal papilla with intraductal component]. [在内窥镜和胆道镜下进行导管内射频消融术治疗十二指肠大乳头伴导管内残留腺瘤]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024051138

Yu G Starkov, A I Vagapov, R D Zamolodchikov, S V Dzhantukhanova, D D Avdeeva

{"title":"[Intraductal radiofrequency ablation under endosonography and cholangioscopy for residual adenoma of the major duodenal papilla with intraductal component].","authors":"Yu G Starkov, A I Vagapov, R D Zamolodchikov, S V Dzhantukhanova, D D Avdeeva","doi":"10.17116/hirurgia2024051138","DOIUrl":"10.17116/hirurgia2024051138","url":null,"abstract":"All adenomas of the major duodenal papilla (MDP) require resection regardless of morphological structure due to high risk of malignancy. Currently, intraluminal endoscopic interventions are preferable for these adenomas. MDP neoplasms with intraductal spread (type III and IV) are of particular difficulty for endoscopic techniques. Intraductal radiofrequency ablation provides new opportunities for minimally invasive treatment of patients with MDP adenomas and intraductal component. A 72-year-old patient after previous endoscopic papillectomy for MDP adenoma admitted to the Vishnevsky National Research Medical Center of Surgery due to residual adenomatous growths within the papillectomy zone extending to the common bile duct throughout 13 mm. The patient underwent intraductal RFA under endosonography and cholangioscopy. Despite difficult localization of residual growths extending to the common bile duct, endosonography-guided intraductal RFA provided total destruction of residual tumor that was confirmed by cholangioscopy. Length of treatment was 4 months, relapse-free period - 10 months. Minimally invasive endoscopic technology for residual MDP adenoma provided good clinical results.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"138-145"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089358","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

[Implementation of fluorescent imaging technology in endovideosurgical treatment of colorectal endometriosis]. [荧光成像技术在大肠子宫内膜异位症腔内视频手术治疗中的应用]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024051129

A K Politova, M I Rokhlina, Yu E Puchkova, I V Vashkevich, K Yu Belichuk

引用次数: 0

[Clinical and economic justification of icg-cholangiography in «difficult» laparoscopic cholecystectomy]. [在 "困难 "腹腔镜胆囊切除术中使用冰胆管造影术的临床和经济理由]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024041105

P N Romashchenko, A K Aliev, A S Pryadko, Sh Yu Abasov, N A Maistrenko

{"title":"[Clinical and economic justification of icg-cholangiography in «difficult» laparoscopic cholecystectomy].","authors":"P N Romashchenko, A K Aliev, A S Pryadko, Sh Yu Abasov, N A Maistrenko","doi":"10.17116/hirurgia2024041105","DOIUrl":"https://doi.org/10.17116/hirurgia2024041105","url":null,"abstract":"Objective: To prove from a clinical and economic point of view the expediency of using ICG cholangiography in patients with «difficult» laparoscopic cholecystectomy for the prevention of damage to the bile ducts.Material and methods: The results of treatment of 173 patients with cholelithiasis at various levels of health care providing were analyzed with regard to assessment of indicators of surgery complexity, developed complications and economic costs.Results: The effectiveness of the original scale of «difficult» laparoscopic cholecystectomy has been proved. The financial and economic costs of treatment of patients with damage of biliary ducts and patients with cholelithiasis without development of complications have been analyzed and evaluated. A comparative description of financial costs for patients with «difficult» laparoscopic cholecystectomy with the use of ICG-cholangiography has been given. A program on care delivery for patients suffering from cholelithiasis in the conditions of region with regard to safety and economic effectiveness has been developed.Conclusion: The implementation of this program provides the minimization of postoperative complications and fatality at all levels of surgical care delivery. It has been established that a rational approach to reducing the number of biliary ducts damages is their prevention by prediction of «difficult» laparoscopic cholecystectomy and performance of such interventions in medical organizations of III level with the possibility of modern technologies use.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 4","pages":"105-111"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872451","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

[Methodological recommendations for surgical care in patients with hemophilia A receiving prophylactic therapy with emicizumab]. [关于接受埃米珠单抗预防性治疗的 A 型血友病患者外科护理的方法学建议]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia20240323

T A Andreeva, P A Zharkov, N I Zozulya, V Y Zorenko, V N Konstantinova, I N Lavrentieva, I L Davydkin, V Y Petrov, T Yu Polyanskaya, V E Soldatenkov, S A Shutov

引用次数: 0

[Treatment of primary malignant melanoma of the esophagus]. [食道原发性恶性黑色素瘤的治疗]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024041118

D V Erygin, I A Sklyar, Yu S Esakov, D V Ruchkin, I Yu Nedoluzhko, V N Galkin

引用次数: 0

[Oxidative toxemia, hypoxia and intra-abdominal hypertension in acute pancreatitis]. [急性胰腺炎中的氧化毒血症、缺氧和腹内高压]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202411138

M K Gulov, K R Ruziboyzoda, E Sh Nosirov, S G Ali-Zade, B I Safarov

{"title":"[Oxidative toxemia, hypoxia and intra-abdominal hypertension in acute pancreatitis].","authors":"M K Gulov, K R Ruziboyzoda, E Sh Nosirov, S G Ali-Zade, B I Safarov","doi":"10.17116/hirurgia202411138","DOIUrl":"https://doi.org/10.17116/hirurgia202411138","url":null,"abstract":"Objective: To study the changes in indicators of oxidative toxemia, hypoxia and intra-abdominal hypertension in various forms of acute pancreatitis.Material and methods: The results of complex diagnostics in 62 patients with various forms of acute pancreatitis were analyzed. We estimated the indicators of oxidative status, hypoxia and intra-abdominal hypertension. Edematous pancreatitis was diagnosed in 35 (56.5%) patients, destructive acute pancreatitis - in 27 (43.5%) patients (sterile pancreatic necrosis in 14 (22.6%) patients, and infected pancreatic necrosis in 13 (20.9%) patients).Results: Progression of disease is followed by active lipid peroxidation with accumulation of conjugated dienes and malondialdehyde, as well as increase in serum lactate and pyruvate levels. Intra-abdominal pressure increases with progression of disease and destructive processes. There was direct correlation between intra-abdominal pressure and clinical form of acute pancreatitis (r=0.8033, p<0.001). The same was true for intra-abdominal pressure and indicators of oxidative toxemia (conjugated dienes - p<0.001, malondialdehyde - p<0.001) and hypoxia (lactate - p<0.001, pyruvate - p<0.001, and hypoxia coefficient - p<0.001).Conclusion: A comprehensive examination of patients with acute pancreatitis allows to analyze lipid peroxidation, hypoxia and intra-abdominal hypertension. These parameters depend on clinical form of disease.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 11","pages":"38-45"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711477","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

[Acute appendicitis in adults]. [成人急性阑尾炎]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia20241115

A V Sazhin, A A Gulyaev, A S Ermolov, I I Zatevakhin, G B Ivakhov, A I Kirienko, M A Kurtser, O E Lutsevich, S V Mosin, T V Nechay, M I Prudkov, D A Son, E A Stradymov, A E Tyagunov, A V Fedorov, A M Shulutko, G D Shulyak

引用次数: 0

[Adapted scale for analysis of necessary septal myectomy in aortic valve replacement].

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202412235

M A Fomin, E P Evseev, E V Balakin, Ya A Aidamirov, A A Botashev, V A Ivanov, T G Nikityuk

{"title":"[Adapted scale for analysis of necessary septal myectomy in aortic valve replacement].","authors":"M A Fomin, E P Evseev, E V Balakin, Ya A Aidamirov, A A Botashev, V A Ivanov, T G Nikityuk","doi":"10.17116/hirurgia202412235","DOIUrl":"https://doi.org/10.17116/hirurgia202412235","url":null,"abstract":"Objective: To develop the adapted scale for analysis of necessary septal myectomy (SME) in aortic valve replacement (AVR) for severe aortic stenosis.Material and methods: A retrospective and prospective analysis included 180 patients with severe aortic stenosis and interventricular septal hypertrophy ≥1.5 cm who underwent surgery between 2012 and 2024. Age of patients was 64 (61; 67.3) years. There were 96 (53.3%) men and 84 (46.7%) women. Heart failure NYHA class III was observed in 98 patients (54.4%), class II in 54 (30.0%) patients. The AVR+SME group included 100 patients, and the AVR group included 80 patients. Both groups did not differ in preoperative clinical and echocardiography characteristics.Results: Logistic regression was performed to identify significant predictors. Multivariate analysis provided logistic function including 3 predictors: IVST / PWT, indexed LV myocardial mass and aortic annulus diameter. Regression model included significant factors obtained at the first stage of analysis. The obtained prognostic model was significant (p<0.01). Sensitivity was 77.0%, specificity - 83.8%. IVST/ PWT and indexed LV myocardial mass increase the probability of concomitant SME, while aortic annulus diameter has inverse relationship. The cut-off point for indexed LV myocardial mass is 167.5 g, for IVST/ PWT - 1.15, for aortic annulus diameter - 23.5 mm. Further analysis was performed by assigning a score to each predictor. The total score in two groups was determined. Thus, total score > 83.5 indicates advisability of SME in aortic valve replacement.Conclusion: The new scale for predicting the need for SME in AVR will improve postoperative results.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12. Vyp. 2","pages":"35-41"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814340","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

[Short- and mid-term outcomes after posterolateral endoscopic discectomy in patients with lumbosacral junction disc herniations].

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202412152

I A Stepanov, V A Beloborodov

{"title":"[Short- and mid-term outcomes after posterolateral endoscopic discectomy in patients with lumbosacral junction disc herniations].","authors":"I A Stepanov, V A Beloborodov","doi":"10.17116/hirurgia202412152","DOIUrl":"https://doi.org/10.17116/hirurgia202412152","url":null,"abstract":"Objective: To analyze the short- and mid-term results of posterolateral endoscopic discectomy (PLED) in patients with lumbosacral junction intervertebral discs (IVD) herniations.Material and methods: A retrospective observational cohort study included 95 medical records of respondents (35 (36.8%) males, 60 (63.2%) females, age 21 - 72 years), who underwent PLED for lumbar IVD herniations. Mean postoperative follow-up period was 14.4±3.2 months. Clinical outcomes and incidence of complications were studied.Results: VAS scores of back and lower limb pain significantly decreased after 1, 3, 6, 9 and 12 months (p<0.01). Disability significantly improved in short- and mid-term follow-up period (Oswestry Disability Index, p<0.01). Analysis of subjective satisfaction with surgical intervention (modified MacNab scale) revealed that 92 (92.9%) respondents had excellent results. Complications occurred in 5 (5.2%) patients.Conclusion: PLED is effective and safe in patients with lumbosacral joint IVD herniations. No significant complications were noted in our respondents.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883072","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