Subject(s)
Anastomosis, Surgical/adverse effects , Arteries/surgery , Gastrectomy , Gastrointestinal Hemorrhage , Intraoperative Complications , Ligation/adverse effects , Peptic Ulcer Perforation/surgery , Stomach/surgery , Anastomosis, Surgical/methods , Arteries/injuries , Arteries/pathology , Duodenum/blood supply , Gastrectomy/adverse effects , Gastrectomy/methods , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/physiopathology , Gastrointestinal Hemorrhage/surgery , Humans , Intraoperative Complications/diagnosis , Intraoperative Complications/etiology , Intraoperative Complications/physiopathology , Intraoperative Complications/surgery , Ligation/methods , Male , Middle Aged , Pancreas/blood supply , Reoperation/methods , Treatment OutcomeABSTRACT
Different tactical approaches present to optimize surgical treatment of patients with malignant tumors hepatopancreatoduodenal zone. This research based on diagnosis and results of treatment of tumors of this localization, which included 357 analyzed case histories of patients treated in the Chelyabinsk Regional Hospital from 2010 to 2014. During this study was considered the preoperative preparation of patients with malignant obstructive jaundice genesis, and was assessed its impact on the level of postoperative complications and mortality. Farther was found effectiveness of a two-stage surgical treatment of patients with obstructive jaundice malignant etiology for the reduction of postoperative mortality. The complication rate is significantly reduced radically operated patients with bilirubin level below 40 mmol/l, palliative - 80 mmol/l. Also were presented results of treatment of chronic pain.
Subject(s)
Biliary Tract Neoplasms/surgery , Duodenal Neoplasms/surgery , Pancreatic Neoplasms/surgery , Preoperative Care/methods , Biliary Tract Neoplasms/diagnosis , Biliary Tract Neoplasms/mortality , Decompression, Surgical/methods , Duodenal Neoplasms/diagnosis , Duodenal Neoplasms/mortality , Female , Hepatectomy/methods , Humans , Male , Middle Aged , Palliative Care , Pancreatic Neoplasms/diagnosis , Pancreatic Neoplasms/mortality , Pancreaticoduodenectomy/methods , Survival AnalysisABSTRACT
Diagnostics and treatment of the splenic artery pseudoaneursm as a complication of acute pancreatitis were highlighted. Literature data is reviewed. Personal results of treatment of 5 such patients were thoroughly analyzed. The effective treatment and diagnostic algorithm was worked out. Technical aspects of visceral arteries' surgery were featured and optimized.