RESUMEN
An analysis of treatment of 584 patients with complicated forms of chronic pancreatitis operated during 2000-2100 years was carried out. Quality of life of postoperative patients was estimated according to a technique of calculations of modules EORTC QLQ-C30 and EORTC QLQ-PAN26. The indicators of quality of life have improved by 19.7% in performance of saving duodenal outflow of operations of pancreatic juice. Change of the surgical strategy has led to decreased number of postoperative complications by 4.6% and to satisfactory long-term results in 92.6% of the patients.
Asunto(s)
Enfermedades del Conducto Colédoco/cirugía , Descompresión/métodos , Dolor Postoperatorio , Pancreatectomía , Pancreatoyeyunostomía , Pancreatitis Crónica , Dolor Abdominal/etiología , Dolor Abdominal/fisiopatología , Adulto , Pérdida de Sangre Quirúrgica/prevención & control , Enfermedades del Conducto Colédoco/etiología , Enfermedades del Conducto Colédoco/fisiopatología , Femenino , Hemostasis Quirúrgica/métodos , Humanos , Masculino , Persona de Mediana Edad , Dimensión del Dolor/métodos , Dolor Postoperatorio/etiología , Dolor Postoperatorio/fisiopatología , Pancreatectomía/efectos adversos , Pancreatectomía/métodos , Pancreatoyeyunostomía/efectos adversos , Pancreatoyeyunostomía/métodos , Pancreatitis Crónica/complicaciones , Pancreatitis Crónica/fisiopatología , Pancreatitis Crónica/cirugía , Satisfacción del Paciente , Calidad de Vida , Encuestas y Cuestionarios , Resultado del TratamientoRESUMEN
Results of 18 patients with traumatic diaphragmal hernia treatment were generalized. Most of them were hospitalized at a date later than 1 year after injury for the other diseases, at 4--diagnosis was established during the operation. Operated in conditions of partial or complete strangulated hernia 16 patients. A critical analysis of diagnostic methods and options of surgical tactics in traumatic diaphragmatic hernia was lead. Based algorhythm for choosing the adequate surgical access.
Asunto(s)
Hernia Diafragmática Traumática/cirugía , Laparoscopía/métodos , Traumatismos Torácicos/complicaciones , Procedimientos Quirúrgicos Torácicos/métodos , Traumatismos Abdominales/complicaciones , Traumatismos Abdominales/diagnóstico por imagen , Adulto , Femenino , Hernia Diafragmática Traumática/diagnóstico por imagen , Humanos , Masculino , Radiografía , Estudios Retrospectivos , Traumatismos Torácicos/diagnóstico por imagen , Factores de Tiempo , Resultado del Tratamiento , UltrasonografíaRESUMEN
Results of treatment of 160 patients, operated on for nontumoral biliary ducts impassibility, complicated by purulent cholangitis, were analyzed. In 60 patients intraoperatively and after the operation in complex of treatment laferon solution was injected into biliary ducts in dosage 500,000--1 million IU a day, permitting to reduce the frequency of the postoperative complications occurrence from 62.2 to 36% and of postoperative mortality--from 13 to 6%. Regional immune therapy using laferon stimulates the factors of organism inflammatory reaction and hepatocytes functional state restoration.
Asunto(s)
Colangitis/tratamiento farmacológico , Colangitis/cirugía , Interferón Tipo I/uso terapéutico , Colangitis/complicaciones , Enfermedad Crónica , Terapia Combinada , Cálculos Biliares/complicaciones , Cálculos Biliares/cirugía , Humanos , Interferón-alfa , Cuidados Intraoperatorios , Proteínas RecombinantesRESUMEN
Ten-year experience of operative treatment of cholelithic disease using mini-access cholecystectomy (MACH) in 920 patients was summarized. There were operated on 167 patients for an acute cholecystitis, chronic calculous cholecystitis--716, gall bladder polyposis--36, gall bladder cancer--1. In 48 patients the MACH was matched with choledochus drainage, in 9--choledocholithotomy was performed, in 1--choledochoduodenostomy. In 6 observations the MACH were done simultaneously inguinal herniotomy, in 10--umbilical herniotomy, in 7--uterine extirpation, in 13--operation for ovarial cyst. The bile leakage from gall bladder bed occurred in 3 observations, the operative wound suppuration--in 4. Duration of stationary treatment was 4.1 days at average.
Asunto(s)
Colecistectomía Laparoscópica/métodos , Colelitiasis/cirugía , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Estudios RetrospectivosRESUMEN
On the basis of examination of 58 patients, the main principles of diagnosis and surgical treatment of the internal biliary fistulas are suggested.