Khirurgiya最新文献_第6页

[Hybrid surgery for acute lower limb ischemia]. [混合手术治疗急性下肢缺血]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202508139

I P Mikhailov, V A Arustamyan, L S Kokov, I A Eroshkin, B V Kozlovsky, E V Kungurtsev, N E Kudryashova, O V Leshchinskaya

引用次数: 0

[Surgical issues of the treatment of meningococcal disease in children]. [小儿脑膜炎球菌病的外科治疗问题]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025091104

L I Budkevich, G V Mirzoyan, V V Soshkina

{"title":"[Surgical issues of the treatment of meningococcal disease in children].","authors":"L I Budkevich, G V Mirzoyan, V V Soshkina","doi":"10.17116/hirurgia2025091104","DOIUrl":"https://doi.org/10.17116/hirurgia2025091104","url":null,"abstract":"Background: The paper addresses an important section of pediatric combustiology - generalized meningococcal infection, associated with a severe course, the risk of disabling complications, life-threatening conditions, and high mortality.Objective: The purpose of the study was to share the experience of treating patients with the sequelae of generalized bacterial infection caused by Neisseria meningitidis in a children's burn center.Material and methods: We conducted a retrospective analysis of the medical records of 23 patients treated in the burn department for babies from 0 to 3 years of the Children's City Clinical Hospital No. 9, named after G.N. Speransky, in the period between 2008 and 2025 for the surgical sequelae of meningococcal disease.Clinical cases illustrate the late diagnosis of meningococcal infection, the challenges of treating septic shock in the intensive care unit, surgical methods for repairing damaged skin and underlying tissues resulting from generalized meningococcal infection, as well as the indications and timing of organ-resecting surgery. The issues of prevention of this disease in children are considered.Results: Summarizing treatment outcomes is a challenging task due to the individualized approach to providing specialized medical care during surgical interventions, which varies depending on the severity of each patient's condition, as well as the depth and extent of tissue involvement.Conclusion: Based on the above, managing such patients requires continuity in treatment following a widely used, unified protocol for local pediatricians, ambulance teams, infectious disease doctors, intensivists, pediatric surgeons, traumatologists, and medical rehabilitation specialists.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 9","pages":"104-114"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024346","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 cancer in tubular villous colorectal adenomas]. 【管状绒毛状结直肠腺瘤肿瘤的治疗】。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202509129

O I Kit, Yu A Gevorkyan, N V Soldatkina, V M Legostaev, E N Kolesnikov, O K Bondarenko, E N Mironenko, D S Petrov

{"title":"[Treatment of cancer in tubular villous colorectal adenomas].","authors":"O I Kit, Yu A Gevorkyan, N V Soldatkina, V M Legostaev, E N Kolesnikov, O K Bondarenko, E N Mironenko, D S Petrov","doi":"10.17116/hirurgia202509129","DOIUrl":"https://doi.org/10.17116/hirurgia202509129","url":null,"abstract":"Objective: To study the results of treatment of cancer in tubular villous colorectal adenomas.Material and methods: A retrospective analysis included 51 patients with cancer in tubular villous colorectal adenomas cTis-T1N0M0 between 02.2019 and 09.2021. The median age of patients was 64 (57; 71) years. Minimally invasive interventions were performed in all patients (transanal endoscopic microsurgical resection of the rectum - 25 cases, endoscopic submucosal dissection - 20 cases, laparoscopic resection of the intestine - 6 cases).Results: Intraoperative complications (intestinal wall perforation) developed in 1 (2%) patient, early postoperative complications (intestinal bleeding from suture line) - in 2 (4%) patients. Throughout the follow-up period (29-84 months), tumor recurrence was detected in 2 (4%) patients with rectal primary tumor, colorectal polyps - in 8 (15.7%) patients. Eleven (21.6%) patients had previous malignant tumors.Conclusion: The study demonstrated favorable oncological and surgical results of treatment of cancer in tubular villous colorectal adenomas. Minimally invasive interventions are safe and predictable, as well as accompanied by low incidence of complications.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 9","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024362","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

[Scientific legacy of Theodor Billroth (1829-1894) - a brilliant scientist, clinician and mentor to a galaxy of outstanding surgeons, who was ahead of his time... (by the 195th anniversary and the 130th anniversary of his death)]. [西奥多·比罗斯（1829-1894）的科学遗产——一位杰出的科学家、临床医生和一群杰出外科医生的导师，他走在了他的时代的前列……（在他逝世195周年和130周年之际）。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025061133

T Sh Morgoshiya, N A Syroezhin

引用次数: 0

[Single-stage resection of giant thoracic aortic aneurysm and pneumonectomy]. 【单期切除巨大胸主动脉瘤及全肺切除术】。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025061117

V A Porkhanov, S Y Boldyrev, V Yu Ivashchuk, S B Abidzakh, A M Kazaryan, A A Kalajyan, Ya V Rusakova, K O Barbukhatti

引用次数: 0

[The first thousand of VATS anatomical lung resections at the Herzen Moscow Oncology Research Institute]. [在Herzen Moscow肿瘤研究所进行的前1000例VATS解剖肺切除术]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia20250617

A B Ryabov, O V Pikin, O A Aleksandrov, V A Bagrov, V V Barmin, D E Martynova, A R Dotdaev

{"title":"[The first thousand of VATS anatomical lung resections at the Herzen Moscow Oncology Research Institute].","authors":"A B Ryabov, O V Pikin, O A Aleksandrov, V A Bagrov, V V Barmin, D E Martynova, A R Dotdaev","doi":"10.17116/hirurgia20250617","DOIUrl":"https://doi.org/10.17116/hirurgia20250617","url":null,"abstract":"Objective: To analyze the first thousand of anatomical resections at the Herzen Moscow Oncology Research Institute between 2009 and 2023.Material and methods: A retrospective study included 1078 patients who underwent thoracoscopic anatomical lung resection: lobectomy (TL - group 1) or segmentectomy (TS - group 2) between 2009 and 2023. Perioperative parameters including gender, age, side of surgery, resected lobe, histological data, surgery time, blood loss, tumor size, duration of pleural drainage were assessed. Postoperative complications were classified according to the TM&M system. Statistical analysis was performed using the Student's t, Mann-Whitney U and Pearson's χ2 tests.Results: There were 513 men (47.59%) and 565 women (52.41%). The median age was 61.3 and 59.7 years in both groups, respectively (p=0.672). Lung cancer patients predominated (70.6% and 43.5%, respectively). Stage I of disease was diagnosed in 70.36% of patients. Lymph nodes were affected in 160 patients (14.84%), including 100 (62.5%) ones with N1 and 60 (37.5%) ones with N2. TL was performed in 92% of N1 cases and 91.67% of N2 cases. The overall complication rate was 10.76% (n=116). Complications were less common after TS compared to TL (p=0.007). The conversion rate decreased from 35% in the first years to 1.8% over 10 years. In 2023, this parameter slightly increased to 6.3%.Conclusion: Successful development of thoracoscopic anatomical lung resection program is based on standardization of technique and interchangeability of surgical team. This shortens the learning curve, increases safety of surgeries and reduces conversion rate.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 6","pages":"7-18"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200308","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 subtotal cholecystectomy for severe cholecystitis]. 腹腔镜胆囊次全切除术治疗严重胆囊炎。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202507167

A P Ukhanov, D V Zakharov

引用次数: 0

[Laparoscopic interventions in urgent surgery (literature review)]. [急诊手术中的腹腔镜干预（文献综述）]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202502194

E K Salakhov, A P Vlasov, O V Markin, N S Sheiranov, A A Alagulov, K M Dukhovnova

{"title":"[Laparoscopic interventions in urgent surgery (literature review)].","authors":"E K Salakhov, A P Vlasov, O V Markin, N S Sheiranov, A A Alagulov, K M Dukhovnova","doi":"10.17116/hirurgia202502194","DOIUrl":"10.17116/hirurgia202502194","url":null,"abstract":"Laparoscopy is increasingly used in emergency surgery, demonstrating several advantages over open interventions.Material and methods: A systematic literature review for 2018-2023 was performed, searching PubMed, MEDLINE, RSCI, CyberLeninka databases. 33 studies on the use of laparoscopy in acute surgical abdominal diseases were selected.Results: The most convincing data have been obtained regarding laparoscopic treatment of acute appendicitis, cholecystitis, and gynecological pathology. There is a growing number of studies confirming the effectiveness of laparoscopy in intestinal obstruction, perforated ulcers, and abdominal trauma. Numerous publications indicate a reduction in the complication rate, decreased pain, shortened treatment and rehabilitation time after laparoscopic surgeries compared to open ones. At the same time, insufficient integration of the method into practice, lack of clear patient selection criteria, and the need for further standardization are noted.Conclusion: Laparoscopy should be considered as the method of choice in many urgent surgical conditions; however, further study and development of uniform protocols are required for wider implementation into the routine practice of emergency surgery.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 2","pages":"94-101"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366147","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

[Liver abscesses: modern approaches to diagnosis and treatment]. 肝脓肿：现代诊断和治疗方法。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501193

D G Amarantov, V N Pavlova, A S Barinova

引用次数: 0

[Treatment and prevention of suture failure and bleeding after various bariatric interventions]. [各种减肥干预后缝合失败和出血的治疗和预防]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202505179

A I Mitsinskaya, M A Mitsinsky, A D Akhmetov

{"title":"[Treatment and prevention of suture failure and bleeding after various bariatric interventions].","authors":"A I Mitsinskaya, M A Mitsinsky, A D Akhmetov","doi":"10.17116/hirurgia202505179","DOIUrl":"https://doi.org/10.17116/hirurgia202505179","url":null,"abstract":"Objective: To assess the incidence, treatment and prevention of leakage, as well as bleeding after various types of bariatric interventions.Material and methods: There were 3.107 various bariatric interventions between 2020 and 2024 including 1.403 (45.2%) laparoscopic sleeve gastrectomies (LSG), 1.622 (52.2%) laparoscopic mini/one anastomosis gastric bypass procedures (MGB-OAGB) and 82 (2.6%) laparoscopic Roux-en-Y gastric bypass surgeries (RYGB). The incidence of intraperitoneal and intraluminal bleeding, suture failure and incidence of complications depending on intraoperative prevention were evaluated. Efficacy of endoscopic VAC system (vacuum-assisted closure) for suture failure after LSG, MGB-OAGB and RYGB was evaluated.Results: The overall complication rate between 2020 and 2024 was 1.64% (51 patients), suture failure - 0.45% (14 patients), bleeding - 0.71% (22) cases. Ten (71.4%) patients with suture failure were treated using VAC system. In 9 patients, the defect recovered without external gastric fistula. In 5 patients, defect closure was primary, in 4 patients - secondary, i.e. through ulcerative defect. In 1 patient after LSG, the defect did not heal despite VAC therapy for 21 days, and external gastric fistula occurred. Double treatment of stapler line for prevention of postoperative bleeding and leakage reduced the incidence of leaks by 2.5 times, intra-abdominal bleeding by 23 times, intraluminal bleeding from 0.95% to 0%.Conclusion: Endoscopic VAC system is effective for suture failure after bariatric interventions. Double treatment of stapler suture line can significantly reduce the incidence of bleeding and leakage after LSG, MGB-OAGB and RYGB.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"79-85"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019901","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