The Ukrainian Journal of Clinical Surgery最新文献_第2页

Modern principles of diagnosis and treatment of post–pancreatic resection bleeding 胰腺切除术后出血的现代诊断和治疗原则

The Ukrainian Journal of Clinical Surgery Pub Date : 2024-03-22 DOI: 10.26779/2786-832x.2023.5.09

V. Kopchak, L. Pererva, V. A. Kondratiuk, I. Mazanovych, P. Azadov, V. Khanenko, V. Trachuk

{"title":"Modern principles of diagnosis and treatment of post–pancreatic resection bleeding","authors":"V. Kopchak, L. Pererva, V. A. Kondratiuk, I. Mazanovych, P. Azadov, V. Khanenko, V. Trachuk","doi":"10.26779/2786-832x.2023.5.09","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.5.09","url":null,"abstract":"Objective. To improve the results of treatment of patients with post–pancreatic resection bleeding. \u0000Materials and methods. The results of treatment of 827 patients who underwent radical resection of the pancreas for malignant tumours in the period from 2010 to 2021 were analysed. The patients were divided into two groups: the main group – 449 patients who were treated at the clinic from 2016 to 2021, and the control group – 378 patients who were treated in the clinic from 2010 to 2015. Postpancreatectomy bleeding occurred in 27 (6.0%) patients in the main group who were treated according to the developed diagnostic and therapeutic algorithm with the maximum use of endovascular techniques, and in 20 (5.3%) patients in the control group who received standard treatment. \u0000Results. X–ray endovascular bleeding control was performed in 14 (51.9%) of 27 patients in the main group: X–ray endovascular occlusion – in 9, by means of stent graft placement – in 5. In 3 (11.1%) patients of the main group, the source of bleeding was not detected during angiography, and they underwent laparotomy with subsequent bleeding control. Complications after X–ray endovascular occlusion occurred in 1 (11.1%) patient, and there were no complications after stent graft placement. Open surgical interventions were performed in 13 (48.1%) patients. One (3.7%) patient died after laparotomy with bleeding control due to the development of further purulent–septic complications. In the control group, X–ray endovascular bleeding control was performed in 3 (15%) patients, and relaparotomy with bleeding control in 17 (85%) patients. 6 (30%) patients died after open reoperative interventions. \u0000Conclusions. Endovascular techniques for stopping post–pancreatic transplantation bleeding are highly effective and safe with favourable technical and clinical results. They are advisable as the first step in the treatment of postpancreatic surgery bleeding with stent grafts in case of bleeding from the great vessels.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140216369","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

The use of ablation technologies for the treatment of hepatic metastases of colorectal cancer 使用消融技术治疗结直肠癌肝转移灶

The Ukrainian Journal of Clinical Surgery Pub Date : 2024-03-22 DOI: 10.26779/2786-832x.2023.5.54

Н. M. Kostyleva, T. A. Yusupov

引用次数: 0

Immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of visceral veins 对侵犯内脏静脉的周围胆管癌患者进行胆总管重建术的即时效果

The Ukrainian Journal of Clinical Surgery Pub Date : 2024-03-22 DOI: 10.26779/2786-832x.2023.5.02

O. Usenko, A. I. Zhylenko

{"title":"Immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of visceral veins","authors":"O. Usenko, A. I. Zhylenko","doi":"10.26779/2786-832x.2023.5.02","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.5.02","url":null,"abstract":"Objective. To evaluate the immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of the visceral veins. \u0000Materials and methods. From 2004 to 2018, 28 patients with peripheral cholangiocarcinoma with invasion of the visceral veins were radically operated at the Department of Liver Transplantation and Surgery of the Shalimov National Institute of Surgery and Transplantation of the National Academy of Medical Sciences of Ukraine (now the Shalimov National Scientific Centre of Surgery and Transplantation of the National Academy of Medical Sciences of Ukraine). The main group consisted of 8 (28.6%) patients who underwent biliodigestive reconstruction simultaneously with resection and reconstruction of visceral veins, the control group consisted of 20 (71.4%) patients who underwent resection and reconstruction of visceral veins, and biliodigestive reconstruction was not performed. \u0000Results. Postoperative clinically significant (grade IIIaIV according to the ClavienDindo classification) complications during the 90day postoperative period were noted in 12.5% of patients in the main group and 25% of patients in the control group (p=0.002), postoperative liver failure according to the criteria of the International Study Group on Liver Surgery in 25 and 30%, respectively (p=0.415). Repeat surgery was performed in 12.5 and 10% of patients, respectively (p=0.923). There was no postoperative mortality in both study groups. \u0000Conclusions. The immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of the visceral veins are satisfactory.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140219584","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

Kopchak Volodymyr Mykhailovych (to the 70th anniversary) 科普恰克-沃洛德梅尔-米哈伊洛维奇（Kopchak Volodymyr Mykhailovych）（纪念建国 70 周年

The Ukrainian Journal of Clinical Surgery Pub Date : 2024-03-22 DOI: 10.26779/2786-832x.2023.5.71

Editorial Board

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Сухаревські читання. Конгрес судинних хірургів, флебологів та ангіологів. Тези доповідей. 苏哈雷夫读本。血管外科医生、静脉学家和血管学家大会。摘要。

The Ukrainian Journal of Clinical Surgery Pub Date : 2023-06-20 DOI: 10.26779/2786-832x.2023.3.02

Editorial Board

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An acute pancreatitis: what is new in surgical tactics after the Atlanta–2012 consensus? 急性胰腺炎:亚特兰大- 2012共识后的新手术策略是什么?

The Ukrainian Journal of Clinical Surgery Pub Date : 2023-04-20 DOI: 10.26779/2786-832x.2023.2.11

V. P. Andriushchenko, D. V. Andriushchenko, V. V. Kunovskyi, Yu. S. Lysiuk

{"title":"An acute pancreatitis: what is new in surgical tactics after the Atlanta–2012 consensus?","authors":"V. P. Andriushchenko, D. V. Andriushchenko, V. V. Kunovskyi, Yu. S. Lysiuk","doi":"10.26779/2786-832x.2023.2.11","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.11","url":null,"abstract":"Objective. To delineate new approaches to surgical treatment in patients with an acute pancreatitis as development of principles of the Atlanta–2012 consensus and guidelines of the World Society for Urgent Surgery. Materials and methods. The results of treatment of patients in The Lviv Municipal Pancreatologic Centre were analyzed, using general clinical, the laboratory, biochemical, radiological, pathomorphological, bacteriological, pH–metric, cytomorphological and mathematic–statistical methods. Results. There was established, that local complications of an acute pancreatitis occur as solitary or multiple or coexistent foci of pathological processes. Diagnostic algorithm, taking into account the most informative indices (in accordance to criteria “sensitivity”, “specificity” and “diagnostic efficacy”), was proposed. Own predictors of severity of the disease – visual, pH–metric, cytomorphological and bacteriological – were elaborated. Taking into account the significance of early enteral feeding, the procedures of its transintestinal probe realization was proposed and their efficacy proved. The methods of analgesia without preparations–opiates and minimization of invasive way of the medicines administration were elaborated. Surgical tactics, using application of miniinvasive and standard operative technologies, was depicted. Conclusion. The renewed approaches to diagnosis and treatment of an acute pancreatitis are based on advances and gains of international and Ukrainian surgical pancreatology.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708191","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}

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Colorectal cancer with synchronous liver metastases: terminology, diagnosis and management 结直肠癌伴同步肝转移:术语、诊断和处理

The Ukrainian Journal of Clinical Surgery Pub Date : 2023-04-20 DOI: 10.26779/2786-832x.2023.2.55

O. Yu. Usenko, A. A. Skums

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Application of ethylmethylhydroxypyridine succinate in patients with the burns 琥珀酸乙甲基羟吡啶在烧伤患者中的应用

The Ukrainian Journal of Clinical Surgery Pub Date : 2023-04-20 DOI: 10.26779/2786-832x.2023.2.29

O. M. Lynnyk, G. P. Kozynets

{"title":"Application of ethylmethylhydroxypyridine succinate in patients with the burns","authors":"O. M. Lynnyk, G. P. Kozynets","doi":"10.26779/2786-832x.2023.2.29","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.29","url":null,"abstract":"Objective. To determine clinical efficacy of the preparation ethylmethylhydroxypyridine succinate application in early period of the burn disease. Materials and methods. In 14 patients with burns ethylmethylhydroxypyridine succinate (the main group) was applied in complex treatment, while 22 patients were treated in accordance to standard scheme (control group). The content of TBK–active products, superoxide dismutase, tumor necrosis factor–α and S–nitrosothiols in peripheral blood on the 1–2, 7–8 and 13–14th days after the burn trauma were determined. Results. In the main group versus initial values there were registered: the content of TBK–active products lowered in 1.22 times, the content of SOD raised in 1.73 times, the content of the S–nitrosothiols lowering in 117 times, while content of the tumor necrosis factor–α versus certain index in control group reduced in 1.15 times on 7–8th day and in 1.08 times on the 13–14th day after the burn. In the main group of patients the average square of necrectomies have reduced, volume of performance of autodermoplasty was less in 1.12 times, in them less surgical interventions performed, and the stationary stay has been shortened in 1.48 times. Conclusion. Application of ethylmethylhydroxypyridine succinate promotes reduction of endothelial dysfunction, oxidative stress, inflammation, what improves the burns treatment results, reduces the surgical interventions quantity and the patients' stationary stay.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708271","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}

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Surgical treatment of paravasal phlegmon of the neck 颈部鼻窦旁痰的外科治疗

The Ukrainian Journal of Clinical Surgery Pub Date : 2023-04-20 DOI: 10.26779/2786-832x.2023.2.47

V. V. Vashchuk, T. P. Kyryk, M. I. Kushnirchuk, R. P. Baidala, M. Y. Krat

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Primary adenocarcinoma of antral part of gastric transplant after radical operation for cardioesophageal cancer 贲门食管癌根治术后胃正中部原发腺癌

The Ukrainian Journal of Clinical Surgery Pub Date : 2023-04-20 DOI: 10.26779/2786-832x.2023.2.50

A. I. Sukhodolia, S. A. Sukhodolia, V. P. Mosiichuk, B. O. Drahochynskyi

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