ABSTRACT
Results of treatment of 342 patients with non-parasitic cysts of the liver (NCL) were analyzed. Based on obtained data diagnostic algorithm was developed. Indications and contraindications for transcutaneous and laparoscopic methods in NCL are clarified and substantiated. Features of laparoscopic operations in different location of cysts are presented. In mini-invasive surgeries postoperative complications rate was minimum, there were no lethal outcomes. The authors believe that conventional surgeries in NCL should be performed in critical states only.
Subject(s)
Cysts/diagnosis , Cysts/surgery , Liver Diseases, Parasitic/diagnosis , Liver Diseases, Parasitic/surgery , Adult , Algorithms , Diagnosis, Differential , Female , Humans , Male , Middle AgedABSTRACT
Differential diagnostic criteria of lateral amyotrophic sclerosis (LAS) and lateral amyotrophic sclerosis syndrome were elaborated on the basis of complex investigation, including EMG and blood plasma trace element analysis. Fifty-two patients (25 with LAS, 27 with LAS syndrome) have been examined, the diagnoses being established according to the World Neurologist Federation criteria. LAS syndrome was stipulated by a vascular spinal cord lesion-discircular myelopathy; in some cases vascular deficit was combined with an inherent narrowness of spinal cord channel. All patients were followed-up with a 6-month interval. The results of the study allow to differentiate LAS and LAS syndrome of vascular genesis, already during the first medical examination.
Subject(s)
Amyotrophic Lateral Sclerosis/diagnosis , Amyotrophic Lateral Sclerosis/physiopathology , Aged , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Severity of Illness IndexABSTRACT
135 patients have been evaluated to improve methods of diagnosis and treatment of nonparasitogenic liver cysts. Ultrasound, ETA, indirect hemagglutination were used for differential diagnosis. Target thin-needle aspiration biopsy under the ultrasound control with subsequent cytologic studies was performed in all the patients. Most informative data have been provided by enzyme immunoassay and indirect hemagglutination. 118 patients have been successfully treated with puncturing, drainage and sclerosing of the cavity walls with 96% ethanol. There were no cases of recurrence, morbidity, mortality. Surgery has not been performed in 17 patients with small-size cysts.
Subject(s)
Cysts/diagnosis , Cysts/therapy , Drainage/methods , Liver Diseases/diagnosis , Liver Diseases/therapy , Sclerosing Solutions/therapeutic use , Adult , Aged , Aged, 80 and over , Cysts/etiology , Diagnosis, Differential , Female , Hemagglutination Tests , Humans , Immunoenzyme Techniques , Liver Diseases/etiology , Male , Middle Aged , Retrospective Studies , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Choice of a proper method of treatment of complicated acute pancreatitis remains indefinite. The results of treatment of 130 patients with acute destructive pancreatitis complicated with pancreatic pseudocysts have been analysed. The authors formulate individual indications to minor surgery under the ultrasound control. The classical type of surgery was used only in patients with calculous pancreatitis complicated with pseudocysts (14). In other patients various types of transcutaneous ultrasound controlled procedures were used. Pilot experience of placing cystoduodenoanastomosis under ultrasound endoscopic control is described. Letal outcomes were absent. The rate of recurrence in external drainage was 10, 5%; there were no cases of recurrence in internal drainage of pseudocysts. The period of long-term follow-up was 58 months.
