ABSTRACT
AIM: To define surgical approaches which provide surgical adequacy, preservation of function and aesthetic results. MATERIAL AND METHODS: Analysis included 191 emergency interventions for various neck injuries and more than 35.000 elective operations for thyroid diseases. RESULTS: The study showed that collar-like incisions have the best aesthetic effect on the neck; an approach along anterior margin of the sternocleidomastoid muscle is advisable for emergency assessment of cervical organs; W.F. MacFee access is optimal for lateral cervical lymphadenectomy in asthenic patients while serpentine incision - in hypersthenic ones.
Subject(s)
Elective Surgical Procedures , Emergency Treatment , Lymph Node Excision/methods , Neck/surgery , Surgical Flaps , Thyroid Diseases/surgery , Thyroidectomy/methods , Adult , Elective Surgical Procedures/adverse effects , Elective Surgical Procedures/methods , Emergency Treatment/adverse effects , Emergency Treatment/methods , Female , Humans , Male , Patient Outcome Assessment , Patient SatisfactionABSTRACT
A comparative analysis of surgical treatment of non-small cell carcinoma of lung was made in 64 patients of senile age and more young patients. It was stated, that preference should be given to the partial lung resections (lob- and segmentectomies). The authors recommended to avoid pneumoectomy and typical resection of the lung as non-radical operations accompanied by high rate of local recurrences. The comorbidity background of patients should be thoroughly investigated before planning of surgery. If necessary, a surgical treatment of accompanied vascular pathology should be fulfilled as the first stage before oncology surgery.
