ABSTRACT
An analysis of treatment of 584 patients with complicated forms of chronic pancreatitis operated during 2000-2100 years was carried out. Quality of life of postoperative patients was estimated according to a technique of calculations of modules EORTC QLQ-C30 and EORTC QLQ-PAN26. The indicators of quality of life have improved by 19.7% in performance of saving duodenal outflow of operations of pancreatic juice. Change of the surgical strategy has led to decreased number of postoperative complications by 4.6% and to satisfactory long-term results in 92.6% of the patients.
Subject(s)
Common Bile Duct Diseases/surgery , Decompression/methods , Pain, Postoperative , Pancreatectomy , Pancreaticojejunostomy , Pancreatitis, Chronic , Abdominal Pain/etiology , Abdominal Pain/physiopathology , Adult , Blood Loss, Surgical/prevention & control , Common Bile Duct Diseases/etiology , Common Bile Duct Diseases/physiopathology , Female , Hemostasis, Surgical/methods , Humans , Male , Middle Aged , Pain Measurement/methods , Pain, Postoperative/etiology , Pain, Postoperative/physiopathology , Pancreatectomy/adverse effects , Pancreatectomy/methods , Pancreaticojejunostomy/adverse effects , Pancreaticojejunostomy/methods , Pancreatitis, Chronic/complications , Pancreatitis, Chronic/physiopathology , Pancreatitis, Chronic/surgery , Patient Satisfaction , Quality of Life , Surveys and Questionnaires , Treatment OutcomeABSTRACT
Results of 18 patients with traumatic diaphragmal hernia treatment were generalized. Most of them were hospitalized at a date later than 1 year after injury for the other diseases, at 4--diagnosis was established during the operation. Operated in conditions of partial or complete strangulated hernia 16 patients. A critical analysis of diagnostic methods and options of surgical tactics in traumatic diaphragmatic hernia was lead. Based algorhythm for choosing the adequate surgical access.
Subject(s)
Hernia, Diaphragmatic, Traumatic/surgery , Laparoscopy/methods , Thoracic Injuries/complications , Thoracic Surgical Procedures/methods , Abdominal Injuries/complications , Abdominal Injuries/diagnostic imaging , Adult , Female , Hernia, Diaphragmatic, Traumatic/diagnostic imaging , Humans , Male , Radiography , Retrospective Studies , Thoracic Injuries/diagnostic imaging , Time Factors , Treatment Outcome , UltrasonographyABSTRACT
Results of treatment of 160 patients, operated on for nontumoral biliary ducts impassibility, complicated by purulent cholangitis, were analyzed. In 60 patients intraoperatively and after the operation in complex of treatment laferon solution was injected into biliary ducts in dosage 500,000--1 million IU a day, permitting to reduce the frequency of the postoperative complications occurrence from 62.2 to 36% and of postoperative mortality--from 13 to 6%. Regional immune therapy using laferon stimulates the factors of organism inflammatory reaction and hepatocytes functional state restoration.
Subject(s)
Cholangitis/drug therapy , Cholangitis/surgery , Interferon Type I/therapeutic use , Cholangitis/complications , Chronic Disease , Combined Modality Therapy , Gallstones/complications , Gallstones/surgery , Humans , Interferon-alpha , Intraoperative Care , Recombinant ProteinsABSTRACT
Ten-year experience of operative treatment of cholelithic disease using mini-access cholecystectomy (MACH) in 920 patients was summarized. There were operated on 167 patients for an acute cholecystitis, chronic calculous cholecystitis--716, gall bladder polyposis--36, gall bladder cancer--1. In 48 patients the MACH was matched with choledochus drainage, in 9--choledocholithotomy was performed, in 1--choledochoduodenostomy. In 6 observations the MACH were done simultaneously inguinal herniotomy, in 10--umbilical herniotomy, in 7--uterine extirpation, in 13--operation for ovarial cyst. The bile leakage from gall bladder bed occurred in 3 observations, the operative wound suppuration--in 4. Duration of stationary treatment was 4.1 days at average.
Subject(s)
Cholecystectomy, Laparoscopic/methods , Cholelithiasis/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures/methods , Retrospective StudiesSubject(s)
Common Bile Duct Diseases/surgery , Cysts/surgery , Adult , Common Bile Duct Diseases/diagnosis , Cysts/diagnosis , Female , HumansABSTRACT
On the basis of examination of 58 patients, the main principles of diagnosis and surgical treatment of the internal biliary fistulas are suggested.
