Subject(s)
General Surgery/history , History, 19th Century , History, 20th Century , Russia (Pre-1917) , USSRABSTRACT
The analysis of results of the examination and surgical treatment of 567 patients with obstructive jaundice is presented. In 198 (34,9%) jaundice was caused by a cholelithic disease, in 362 cases (64.9%) there were tumoral lesions, in 7 (1,2%)- parasitogenic lesions of the organs of the hepatobiliopancreatoduodenal zone. The kinds of operations in obstructive jaundice are described with recommendations to create transvesicular hepatochlangiojejunoanastomosis in high blocks of bile tracts. Practical recommendations for the improved diagnosis of obstructive jaundice, its prevention and decreased postoperative lethality are given.
Subject(s)
Cholestasis/surgery , Adult , Cholecystectomy , Cholestasis/diagnosis , Cholestasis/etiology , Common Bile Duct/surgery , Female , Humans , Male , Methods , Preoperative CareABSTRACT
Near and late results of the surgical treatment of 158 patients with chronic pancreatitis are presented. The authors believe that it is only the complex examination before operation and the data revealed during the operation which enable the correct choice of surgery to be made. Variants of surgical measures in the patients examined are described, their rationality being substantiated by good and satisfactory results of the surgery.
Subject(s)
Pancreatitis/surgery , Cholecystitis/surgery , Chronic Disease , Common Bile Duct/surgery , Duodenum/surgery , Humans , Male , Methods , Pancreas/surgery , Pancreatic Cyst/surgery , RecurrenceSubject(s)
Rectal Neoplasms/surgery , Rectum/surgery , Abdomen/surgery , Anal Canal/surgery , Colon, Sigmoid/surgery , Drainage , Humans , MethodsABSTRACT
The work deals with the results of treatment of 322 patients with subhepatic jaundice of tumorous origin, who were treated at the clinic of Hospital Surgery of the Kuibyshev Medical Institute during the recent 15 years. In patients subjected to surgery associated with chemotherapy a longer survival was noted as compared with those without chemotherapy.
Subject(s)
Bile Duct Neoplasms/complications , Cholestasis/surgery , Adult , Aged , Alkaline Phosphatase/metabolism , Cholestasis/diagnosis , Cholestasis/etiology , Diagnosis, Differential , Female , Humans , Liver/enzymology , Male , Middle Aged , Palliative CareABSTRACT
The author presents on analysis of the treatment of pathological patients, admitted to the Chair of Hospital Surgery of Kuibyshev Medical Institute named after D. I. Uljyanov, for a 32-year period. A total number of patients-21.590, 1.702 of them were treated for rectal cancer, and 1.250 fo these (73.4) were radically operated upon. Three basic types of radical surgery performed by the author are described, as well as the method of the postoperative management of the patients (chemotherapy, etc). A survival over 5 years was noted 46.5% and over 10 years in 18.1% of radically operated patients.
