ABSTRACT
An experimental investigation of the character and spread of morphological and histological alterations in the liver was performed in order to follow their dependence on the regimen of using an electrosurgical apparatus for resection and coagulation of the liver tissue.
Subject(s)
Liver/anatomy & histology , Liver/surgery , Animals , Dogs , Electrosurgery , Female , MaleABSTRACT
An experience with laparoscopic cholecystectomies in 233 patients is analyzed. The laparoscopic operation is a little invasive method of treatment of cholelithiasis. However intraoperative (5.5%) and postoperative (4.2%) complications are possible. Their risk might be decreased with the following factors taken into consideration: the adequate estimation of indications and contraindications, preoperative preparation of the patients, strict observation of the technology of all steps of the operation, the preparedness of the apparatuses and surgeons. The technical methods are described as well as the measures for prevention of complications after the laparoscopic cholecystectomy.
Subject(s)
Cholecystectomy, Laparoscopic/adverse effects , Intraoperative Complications/prevention & control , Postoperative Complications/prevention & control , Adolescent , Adult , Aged , Cholecystectomy, Laparoscopic/instrumentation , Cholecystectomy, Laparoscopic/methods , Contraindications , Female , Humans , Male , Middle Aged , Risk FactorsABSTRACT
The analysis of the results of 74 experiments involving large bowel resection for intestinal obstruction in rabbits demonstrated advantages offered by microsurgical procedures intended to form large bowel anastomosis. The results were used in clinical practice. The immediate results of surgery, postoperative complications and lethality were evaluated in 133 cases of large bowel cancer (anastomosis formed by microtechnique-67; by standard procedures-66). In group I, heart-lung complications resulted in one death (lethality-1.5%); group II--in 18, 13 of them being caused by anastomotic leakage and peritonitis development (lethality-27.3%). It was clinically confirmed that precision formation of large bowel anastomosis by microsurgery prevents suture failure--the main factor of postoperative lethality.
Subject(s)
Colonic Neoplasms/surgery , Microsurgery/methods , Adult , Aged , Animals , Female , Humans , Male , Middle Aged , Postoperative Complications , RabbitsABSTRACT
Results of the surgical treatment of 172 patients with tumors of the proximal part of the stomach and colon are analyzed. The patients were divided into 2 groups according to the method of forming the esophago-intestinal and colono-intestinal anastomoses. Suture incompetence and peritonitis were shown to appear much more rarely after using a microsurgical technique than after using surgical methods.