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1.
Klin Khir ; (3): 5-11, 2011 Mar.
Artigo em Russo | MEDLINE | ID: mdl-21698815

RESUMO

While doing pancreatic gland resection for cancer the lymphadenectomy is performed in volume, recommended on a congress of pancreatologists in Castelfranco-Venetto (standard, radical, extended radical) or in manuals of Japanese investigators (D1, D2). These classifications have got several shortages: terminological inaccuracies, lack of information, concerning the borders of the vegetative neural plexuses dissection etc. The authors have proposed a modified terminology and classification of lymphadenectomy, in accordance to which four types of lymphadenectomy are delineated: D1p, D2p, D3p, corresponding to lymphatic collectors N1, N2, N3, as well as D4p--complete excision of lymphatic nodes in all three regions while total pancreatectomy performance. The symbols 9n-dex/sin and 14n-dex/sin were recommended to name the lymph nodes of the ninth and fourteenth groups, indicating availability of the nervous plexuses dissection performance of right/left hemicircumference of vessels only. The retroperitoneal dissection borders and criterions for the lymphadenectomy volume choice were proposed.


Assuntos
Excisão de Linfonodo/classificação , Excisão de Linfonodo/métodos , Neoplasias Pancreáticas/cirurgia , Terminologia como Assunto , Humanos , Metástase Linfática/patologia , Neoplasias Pancreáticas/patologia
5.
Klin Khir ; (8): 25-30, 2008 Aug.
Artigo em Russo | MEDLINE | ID: mdl-19145839

RESUMO

While introduction of laparoscopic technologies into clinical practice the extrahepatic bile--efferent ways damages during cholecystectomy performance had increased from 0.1-0.2 to 0.4-0.7%. The necessity of elaboration of a simple and mostly complete classification of such damages had occurred. The advantages and faults of the main world-wide now existing classifications of the extrahepatic biliary ducts damages were analyzed. Classification of their own, reflecting, without unnecessary details, the majority of possible variants of the biliary ducts damages, was proposed, making it convenient for practical application.


Assuntos
Doenças dos Ductos Biliares/classificação , Ductos Biliares Extra-Hepáticos/lesões , Colecistectomia Laparoscópica/efeitos adversos , Doenças dos Ductos Biliares/etiologia , Humanos , Doença Iatrogênica
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