ABSTRACT
Analysis of the results of exfoliative cytological diagnosis of lung diseases from fibrobronchoscopic materials in the presence of the affected bronchial mucosa made it possible to verify lung cancer in 75.9% of cases and to give a descriptive reply due to the fact that cytological specimens were of no diagnostic value. Further examinations of transthoracic puncture specimens and clinical and X-ray findings of patients from the latter group could reveal an inflammatory process in two thirds of cases and peripheral lung cancer in a third.
Subject(s)
Carcinoma, Non-Small-Cell Lung/diagnosis , Lung Neoplasms/diagnosis , Small Cell Lung Carcinoma/diagnosis , Bronchoalveolar Lavage Fluid/cytology , Bronchoscopy/methods , Carcinoma, Non-Small-Cell Lung/pathology , Humans , Lung Neoplasms/pathology , Small Cell Lung Carcinoma/pathologyABSTRACT
For prophylaxis and treatment of ileus in 12 patients after performance of radical operation for esophageal and gastroesophageal carcinoma, since the end of the first day during subsequent 4 days postoperatively sorbilact was infused intravenously twice a day. Terms of the intestinal peristalsis restoration, passage of flatus, spontaneous defecation restoration were shorter, than after application of generally accreted treatment.
Subject(s)
Cathartics/therapeutic use , Esophageal Neoplasms/surgery , Intestinal Pseudo-Obstruction/drug therapy , Postoperative Complications , Sodium Lactate/therapeutic use , Sorbitol/therapeutic use , Stomach Neoplasms/surgery , Digestive System Surgical Procedures , Drug Combinations , Humans , Intestinal Pseudo-Obstruction/etiologyABSTRACT
Antimicrobal preparation Unazin, combining sodium sulbactam and sodium ampicillin, characterized by broad antibacterial spectrum and potency to overcome the microorganisms stability, was applied in 15 patients in the early postoperative period after operations for pulmonary, esophageal, cardial cancers and mediastinal tumor. In these patients purulent-septic complications were not noted. According to the retrospective analysis data, of 846 patients, operated earlier, the complications have occurred in 131 (13.2%).
Subject(s)
Drug Therapy, Combination/therapeutic use , Surgical Wound Infection/prevention & control , Thoracic Neoplasms/rehabilitation , Aged , Ampicillin/therapeutic use , Cancer Care Facilities , Hospitalization , Humans , Middle Aged , Retrospective Studies , Sulbactam/therapeutic useABSTRACT
The optimal approaches to the choice of the surgical treatment of carcinoma of the thoracic esophagus are discussed from analysis of 425 operations. Louis' operation providing for a convenient approach for a rather high resection of the esophagus with one-stage esophagogastric anastomosis is recommended in localization of the tumor in the inferior third of the esophagus. Garlock's operation is indicated only in low localization of the carcinoma (diaphragmatic and supradiaphragmatic segments). In carcinoma of the middle third of the esophagus Dobromyslov-Torek's operation is indicated only for elderly and debilitated patients; in the remaining cases a one-stage intervention (Louis' operation) is recommended. An original modification of esophagogastric anastomosis is suggested.
Subject(s)
Esophageal Neoplasms/surgery , Aged , Anastomosis, Surgical , Esophagus/surgery , Female , Humans , Male , Methods , Middle Aged , Stomach/surgeryABSTRACT
The levels of spontaneous chemoluminescence of serum in patients with cancer of the proximal part of the stomach and the esophagus were found to be 2-6 times the age-connected norm. The said concentrations decreased by half following radiation treatment, to rise by 75% after surgery. At later periods after surgery, chemoluminescence levels dropped almost to normal unless complications developed. However, in patients with gastroesophageal cancer, the level of spontaneous chemoluminescence remained high over a long period of time. Variation patterns were identical, with an amplitude being significantly lower. Changes in blood serum resistance were insignificant. Scale factor K varied in the range of 6-66. In cases of purulent complications, spontaneous chemoluminescence levels showed a sharp rise, the values of K exceeding 75. This pattern made it easier to differentiate between inflammatory lesions and neoplasia.
