ABSTRACT
Experience of surgical treatment of 171 patients, suffering hepatocellular carcinoma (HCC), was summarized. Extensive hepatic operations were performed in 99 (71.2%) patients, of them in 22.2%--on the concurrent hepatic cirrhosis background. Late results of treatment, depending on the main prognostic factors present, were analyzed. Cumulative survival in the terms of 5, 10 and 20 years have constituted 53.5, 37.3 and 28.8% accordingly. Accomplishment of a radical hepatic resection for HCC permits to achieve a durable remission of a tumoral process. While revealing a concurrent hepatic cirrhosis stage B (according to Child--Pugh classification) it is appropriate to use a hepatic transplantation and other methods of treatment, including chemoembolization, radiofrequency ablation, chemotherapy.
Subject(s)
Carcinoma, Hepatocellular/surgery , Hepatectomy/methods , Liver Neoplasms/surgery , Adolescent , Adult , Aged , Carcinoma, Hepatocellular/complications , Carcinoma, Hepatocellular/mortality , Carcinoma, Hepatocellular/pathology , Disease-Free Survival , Female , Hepatectomy/mortality , Humans , Liver Cirrhosis/complications , Liver Cirrhosis/mortality , Liver Cirrhosis/pathology , Liver Cirrhosis/surgery , Liver Neoplasms/complications , Liver Neoplasms/mortality , Liver Neoplasms/pathology , Male , Middle Aged , Neoplasm Staging , Young AdultABSTRACT
Examination, treatment, and postoperative complications in 286 patients with penetrating chest injuries are analysed. Errors in the diagnosis and treatment were disclosed in 104 (36.4%) cases. All of the wounded were operated on, a total of 490 operations were carried out. Complications occurred in 69 (14.1%) patients. Sixteen (5.6%) patients died. Diagnostic errors were made in 28 patients, tactical in 25, technical in 51, faulty postoperative management was revealed in 18 patients. A connection between the errors and complications was established in 52 cases with complications (75.4%). Gross fatal errors were made in 7 of 16 patients who died.
