ABSTRACT
The results of treatment of 32 patients with complications, occurring after operations on pancreatic gland, ended by the external pancreatic fistula formation, in the complex of their treatment Somatulin, somatostatin analogue of prolonged action, were studied. Application of the treatment tactics proposed have permitted to achieve the fistula closure in all the patients without the operative intervention. The terms of the pancreatic fistula closure after Somatulin injection had constituted 5-20 days, (11.1 +/- 0.7) days at average.
Subject(s)
Digestive System Surgical Procedures/adverse effects , Pancreas/surgery , Pancreatic Fistula/drug therapy , Peptides, Cyclic/therapeutic use , Somatostatin/analogs & derivatives , Adolescent , Adult , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Pancreas/metabolism , Pancreatic Fistula/diagnosis , Pancreatic Fistula/enzymology , Pancreatic Fistula/etiology , Pancreatic Juice/drug effects , Pancreatic Juice/enzymology , Pancreatic Juice/metabolism , Peptides, Cyclic/administration & dosage , Somatostatin/administration & dosage , Somatostatin/therapeutic use , Treatment Outcome , Young AdultSubject(s)
Cysts/therapy , Liver Diseases/therapy , Sclerotherapy/methods , Adolescent , Adult , Aged , Aged, 80 and over , Combined Modality Therapy , Cysts/diagnosis , Cysts/etiology , Cysts/surgery , Diagnosis, Differential , Female , Humans , Laparoscopy , Liver Diseases/diagnosis , Liver Diseases/etiology , Liver Diseases/surgery , Male , Middle Aged , Suction , Treatment Outcome , Young AdultABSTRACT
The results of miniinvasive interventions under the ultrasonographic control, performed in 125 patients suffering pancreatic cancer, were analyzed. Trepan-biopsy of pancreatic gland was applied in preoperative examination algorhythm. The biliary ducts transcutaneous transhepatic decompression application had permitted to increase the frequency of the elective radical operations performance, to lower the general and postoperative mortality rate (from 23.3 to 6.5%) as well as the frequency of early postoperative complications (from 12.4 to 6.8%).
Subject(s)
Bile Ducts/surgery , Decompression, Surgical , Minimally Invasive Surgical Procedures/methods , Pancreatic Neoplasms , Postoperative Complications , Biopsy , Disease-Free Survival , Humans , Pancreatic Neoplasms/diagnostic imaging , Pancreatic Neoplasms/pathology , Pancreatic Neoplasms/surgery , Postoperative Complications/etiology , Postoperative Complications/mortality , UltrasonographySubject(s)
Adenocarcinoma/complications , Adenocarcinoma/pathology , Cholecystitis/complications , Cholecystitis/surgery , Intestinal Neoplasms/pathology , Intestinal Obstruction/complications , Intestinal Obstruction/diagnosis , Intestine, Large/pathology , Pancreatitis/complications , Pancreatitis/surgery , Peritonitis/etiology , Acute Disease , Cholecystectomy/methods , Cholecystitis/diagnosis , Female , Humans , Intestinal Neoplasms/surgery , Intestinal Obstruction/surgery , Intestine, Large/surgery , Middle Aged , Pancreatitis/diagnosis , Peritonitis/diagnosis , Peritonitis/surgeryABSTRACT
Basing on the examination results of 68 patients with complicated cholelithic disease the diagnosis value of the bile biochemical contents changes was established for the inflammation course prognosis.
Subject(s)
Cholangitis/diagnosis , Cholelithiasis/complications , Acute Disease , Adult , Aged , Aged, 80 and over , Bile/chemistry , Cholangitis/etiology , Cholangitis/metabolism , Cholangitis/surgery , Cholelithiasis/metabolism , Cholelithiasis/surgery , Female , Humans , Male , Middle Aged , Postoperative Period , PrognosisSubject(s)
Biliary Tract Neoplasms/surgery , Liver Neoplasms/surgery , Pancreatic Neoplasms/surgery , Anastomosis, Surgical , Biliary Tract Neoplasms/diagnosis , Choledochostomy , Diagnosis, Differential , Gallbladder/surgery , Gallbladder Neoplasms/diagnosis , Gallbladder Neoplasms/surgery , Humans , Jejunum/surgery , Liver/surgery , Liver Neoplasms/diagnosis , Pancreatic Neoplasms/diagnosisABSTRACT
The authors provide information concerning an experimental model of a suturing instrument for the formation of linear biliodigestive anastomoses, by means off which the communications are created in different parts of the ducts, even the intrahepatic ducts, 5 mm or more in diameter. The instrument was used in operations on 29 patients who had cicatricial stenosis of the major duodenal papilla, carcinoma of the pancreas or ducts in the region of the porta hepatis. The instrument is universal in range and can be used for the creation of various types of biliodigestive anastomoses, it makes the operative techniques simpler and more reliable. Complications associated with the use of the instrument did not occur.
