RESUMO
The results of risk factors analysis of aerostasis failure in 141 patients are presented in the article. All patients were operated in the A.V. Vishnevskogo Institute of Surgery at the period from January 2009 to December 2010. During statistical analysis it was considered surgeries volume, presence of emphysema, respiratory function etc. Also it was defined the dependence of venting duration in patients with residual pleural cavity and long aerostasis failure.
Assuntos
Neoplasias Pulmonares/cirurgia , Pulmão , Cavidade Pleural , Pneumonectomia , Enfisema Pulmonar/cirurgia , Insuficiência Respiratória , Deiscência da Ferida Operatória , Feminino , Humanos , Pulmão/fisiopatologia , Pulmão/cirurgia , Masculino , Pessoa de Meia-Idade , Cavidade Pleural/fisiopatologia , Cavidade Pleural/cirurgia , Pneumonectomia/efeitos adversos , Pneumonectomia/métodos , Período Pós-Operatório , Ventilação Pulmonar , Insuficiência Respiratória/etiologia , Insuficiência Respiratória/fisiopatologia , Insuficiência Respiratória/prevenção & controle , Deiscência da Ferida Operatória/etiologia , Deiscência da Ferida Operatória/fisiopatologia , Fatores de Tempo , Resultado do TratamentoRESUMO
The rare clinical case of multiple primary gastrointestinal stromal tumors (GIST) in one patient is presented in the article. The analysis of the available material confirmed that there is the problem of early detection of this type of tumors and their differential diagnosis. The minutes of outpatient radiological methods of research should include methods of identifying GIST in various locations. Early diagnosis of the disease allows you to make a radical mini-invasive intervention in the endoscopic or robotic-assisted version. This tactic is characterized by high efficiency in combination with the chemotherapeutic treatment.
Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/métodos , Tumores Neuroendócrinos , Neoplasias Pancreáticas , Adulto , Idoso , Angiografia/métodos , Diagnóstico Diferencial , Detecção Precoce de Câncer , Feminino , Humanos , Cuidados Intraoperatórios/métodos , Masculino , Pessoa de Meia-Idade , Gradação de Tumores , Estadiamento de Neoplasias , Tumores Neuroendócrinos/diagnóstico , Tumores Neuroendócrinos/patologia , Tumores Neuroendócrinos/cirurgia , Avaliação de Resultados em Cuidados de Saúde , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/patologia , Neoplasias Pancreáticas/cirurgia , Estudos Retrospectivos , Tomografia Computadorizada por Raios X/métodosRESUMO
4 clinical cases of metastatic invasion of pancreas by renal cancer were analyzed. The main features were the late metastatic revealance and the absence of specific clinical picture. The radiodiagnostics showed signs similar to neuroendocrine tumors of the pancreas, which complicated the diagnosis. All the patients were operated on - the resection of the pancreas was performed.