Asunto(s)
Seudoquiste Pancreático/sangre , Pancreatitis Crónica/sangre , Adulto , Anciano , Proteínas Sanguíneas/análisis , Estudios de Casos y Controles , Diagnóstico por Computador , Femenino , Humanos , Lípidos/sangre , Masculino , Persona de Mediana Edad , Pronóstico , Factores Sexuales , Tensión SuperficialAsunto(s)
Antibacterianos/uso terapéutico , Pancreatectomía , Pancreatitis/cirugía , Enfermedad Aguda , Adolescente , Adulto , Anciano , Antibacterianos/administración & dosificación , Terapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pancreatitis/diagnóstico , Pancreatitis/tratamiento farmacológico , Pancreatitis/etiología , Pancreatitis/mortalidad , Índice de Severidad de la Enfermedad , Resultado del Tratamiento , Adulto JovenAsunto(s)
Hepatectomía/métodos , Hepatopatías/cirugía , Encuestas y Cuestionarios , Adulto , Anciano , Femenino , Humanos , Hepatopatías/etiología , Masculino , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos , Calidad de Vida , Factores de Tiempo , Resultado del Tratamiento , Adulto JovenRESUMEN
The method and the results of preoperative schedule (PS) in 128 patients with obstructive jaundice (OJ) of cholelithic genesis after conduction of cholecystectomy (CE) were analyzed. The risk scale (4 degrees) and an optimal scheme of antioxidant-sorption treatment was elaborated. Radical operation on biliary ducts is conducted while the I-III degree risk presence and palliative one--while the IV degree. The PS application have promoted the mortality lowering from 5.7 to 0.9%.
Asunto(s)
Colecistectomía , Colelitiasis/cirugía , Colestasis/terapia , Complicaciones Posoperatorias/terapia , Cuidados Preoperatorios/métodos , Colelitiasis/complicaciones , Colestasis/etiología , Humanos , Persona de Mediana Edad , Cuidados Paliativos , Complicaciones Posoperatorias/etiología , Factores de RiesgoRESUMEN
The authors analysed 92 reconstructive and restorative operations on the biliary tract injured at a high level during emergency operations. Such complications occur most frequently when the surgeon is insufficiently experienced or due to unavailability or incomplete use of the radiological method of intraoperative diagnostics. The expediency of reinfusion of the lost bile into the gastrointestinal tract in the diagnosis of injury to the biliary tract is pointed out. It is emphasized that patients must be transferred early to a specialized medical establishment for a reconstructive operation. The creation of hepato-digestive anastomoses on a transhepatic drain produces better results than the other drainage methods. In the group of 92 patients 77 recovered and 15 died in different periods after the operation.
Asunto(s)
Conductos Biliares/lesiones , Procedimientos Quirúrgicos del Sistema Biliar/efectos adversos , Adulto , Anciano , Conductos Biliares/cirugía , Enfermedades de las Vías Biliares/cirugía , Drenaje , Urgencias Médicas , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
The ultrasonic examination results of mammary gland and regional lymph outflow zones were studied in 16,542 patients, including 415 with punction biopsy performance. The mammary gland cancer diagnosis was verified at the cytological examination of bioptic materials in 108 patients.
Asunto(s)
Adenocarcinoma Escirroso/diagnóstico por imagen , Adenocarcinoma/diagnóstico por imagen , Neoplasias de la Mama/diagnóstico por imagen , Mama/patología , Mastitis/diagnóstico por imagen , Ultrasonografía Mamaria , Adenocarcinoma/patología , Adenocarcinoma Escirroso/patología , Biopsia con Aguja , Neoplasias de la Mama/patología , Diagnóstico Diferencial , Femenino , Humanos , Metástasis Linfática , Mastitis/patología , Ultrasonografía Mamaria/instrumentaciónRESUMEN
From 1977 till 1993 in the clinic 108 patients were treated for the injury of extrahepatic biliary ducts occurred during cholecystectomy or gastric resection, performed mainly in the other medical departments. Injury of the ducts was diagnosed while operation performance in 68 patients. In 58 (54,6%) observations the reason of injury was the lack of surgeon's qualification and in 22 (20,3%)--nonadequate conditions of operation performance.
Asunto(s)
Conductos Biliares Extrahepáticos/lesiones , Colecistectomía/efectos adversos , Gastrectomía/efectos adversos , Gastroenterostomía/efectos adversos , Conducto Colédoco/lesiones , Femenino , Humanos , Enfermedad Iatrogénica , Masculino , Persona de Mediana EdadRESUMEN
The automatized value of treatment results and postoperative period course was done according to special programs in 218 patients with choledocholithiasis using the united computer system. Integral risk factors and four regressional patterns of postoperative period course were obtained using the factor analysis. Prognosis was quite right in 87,5-97,5% of patients.
Asunto(s)
Diagnóstico por Computador , Cálculos Biliares/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Cálculos Biliares/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Complicaciones Posoperatorias , Pronóstico , Análisis de Regresión , Factores de RiesgoRESUMEN
In the clinic, the special appliances and apparatus for collection of the bile, its filtration, sterilization and introduction into the stomach of a patient were developed and used in patients with external biliary fistula. Since 1987, the original method for treatment of the alcoholic disease has been introduced. It was used in 40 patients.
Asunto(s)
Bilis/metabolismo , Fístula Biliar/prevención & control , Fístula Biliar/terapia , Diseño de Equipo , Humanos , Cuidados Posoperatorios , Manejo de Especímenes/instrumentaciónRESUMEN
Of 7000 patients operated on biliary ducts in 622 the recovering and reconstructive interventions were conducted. Late follow-up result was studied in 313 (51%) patients. Good result was noted in 179 (57.7%) patients, fair--in 99 (32.2%), poor--in 35 (10.1%) in terms from 3 months till 17 years. In patients operated on for the "forgotten" biliary ducts concrements, frequently combined with stenosis of common biliary duct terminal portion, most frequently good and fair result was noted. Late follow-up result of reconstructive operations using external transhepatic carcass drainage was significantly better than after application of other methods of correction for high stricture and injury of biliary ducts.
Asunto(s)
Conductos Biliares/cirugía , Procedimientos Quirúrgicos del Sistema Biliar/mortalidad , Procedimientos Quirúrgicos del Sistema Biliar/estadística & datos numéricos , Causas de Muerte , Estudios de Seguimiento , Humanos , Reoperación/estadística & datos numéricos , Factores de Tiempo , Resultado del Tratamiento , Ucrania/epidemiologíaAsunto(s)
Colangitis/diagnóstico , Cálculos Biliares/diagnóstico , Cálculos Biliares/cirugía , Enfermedad Aguda , Adulto , Anciano , Anciano de 80 o más Años , Colangitis/epidemiología , Colangitis/etiología , Colangitis/cirugía , Enfermedad Crónica , Femenino , Cálculos Biliares/complicaciones , Cálculos Biliares/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/epidemiología , Pronóstico , Recurrencia , Factores de RiesgoRESUMEN
In treatment of 86 patients with a iatrogenic injury, or cicatricial stricture of the extrahepatic bile ducts, the Prader-Smith, Saypole-Kurian transhepatic drainage of hepatico-digestive anastomosis and that with the use of the method suggested by the authors have been used. The technique for performance of the operations is described, the special instruments are offered. After the operation, only one female patient has developed a subphrenic abscess.
Asunto(s)
Conductos Biliares Extrahepáticos/lesiones , Conductos Biliares Extrahepáticos/cirugía , Cicatriz/cirugía , Enfermedad Iatrogénica , Complicaciones Intraoperatorias/cirugía , Complicaciones Posoperatorias/cirugía , Anastomosis Quirúrgica/métodos , Conductos Biliares Extrahepáticos/patología , Procedimientos Quirúrgicos del Sistema Biliar/instrumentación , Colecistectomía , Cicatriz/etiología , Constricción Patológica/etiología , Constricción Patológica/cirugía , Drenaje/instrumentación , Drenaje/métodos , Diseño de Equipo , Femenino , Humanos , Complicaciones Intraoperatorias/etiología , Complicaciones Posoperatorias/etiología , Reoperación/métodosRESUMEN
An automated assessment of the results of treatment and prediction of a course of the postoperative period was performed in 218 patients with cholelithiasis by means of ES computer according to 100 parameters. Five statistic packs of the application programs (VMDR-75 version) were used. Cluster-analysis, factor analysis and a method of the main components were employed. Four most essential risk factors were distinguished, the regressive models of a postoperative period obtained. This permitted to choose the most rational method for treatment.
Asunto(s)
Colelitiasis/cirugía , Procesamiento Automatizado de Datos , Modelos Lineales , Programas Informáticos , Análisis por Conglomerados , Humanos , Periodo Posoperatorio , Pronóstico , Análisis de Regresión , Factores de RiesgoRESUMEN
A study of 198 patients with chronic gastritis after cholecystectomy revealed that chronic gastritis occurred in 2.6-4.5% of patients with benign diseases of the biliary tract and postcholecystectomy syndrome that were not diagnosed before surgery. Gastric disorders should be considered in the complex of rehabilitation measures after cholecystectomy. Treatment in a gastroenterological department and at health resort will improve long-term results.