RESUMO
The method of gastrostomy can be used as a stage of treatment of patients with cicatricial strictures of the esophagus due to chemical burn (for gullet bougienage by the directing thread). Localization of the dotted gastrostomy on the anterior wall of the stomach provides safety of the intraorganic main vessel in different variants of extraorganic angio-architectonics.
Assuntos
Queimaduras Químicas/terapia , Dilatação/métodos , Estenose Esofágica/terapia , Esôfago/lesões , Gastrostomia/métodos , Adulto , Queimaduras Químicas/complicações , Queimaduras Químicas/diagnóstico , Estenose Esofágica/diagnóstico , Estenose Esofágica/etiologia , Seguimentos , Humanos , MasculinoRESUMO
The goal of this study was to assess the informative yield of modem radiology diagnostic (endorectal and intraoperative sonography, spiral computed tomography and magnetic resonance imaging) and three-dimensional modeling methods in patients with rectal cancer. The effectiveness of postoperative immune-modulating therapy (Neovir and Betaleukin) was also evaluated. The aforementioned techniques contributed to an adequate preoperative selection of surgical treatment and allowed reducing the incidence of postoperative complications.
Assuntos
Antineoplásicos/uso terapêutico , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Neoplasias Retais/diagnóstico , Neoplasias Retais/terapia , Reto/diagnóstico por imagem , Acridinas/uso terapêutico , Idoso , Idoso de 80 Anos ou mais , Terapia Combinada/métodos , Simulação por Computador , Endossonografia , Feminino , Humanos , Imageamento Tridimensional , Imunomodulação , Interleucina-1/uso terapêutico , Período Intraoperatório , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Proteínas Recombinantes/uso terapêutico , Neoplasias Retais/complicações , Tomografia Computadorizada Espiral , Resultado do TratamentoRESUMO
154 patients with rectal cancer were divided into the main group and the control group. All of them were investigated using endorectal and intraoperative sonography, spiral computer tomography and magnetic resonance tomography. Basing on the data of radial diagnostics pelvis model with tumour projection into rectum, bladder, ureters, prostate, uterus and vagina was recieved in all patients from the main group using Power SHAPE programm. Application of modern radial techniques and 3D modeling in diagnostics of rectal cancer contributes to adequate extent of surgical treatment adjacent with increased amount of radical operations (from 50% to 81,5%) and improvement of prognosis and survival rate in postoperative period.
Assuntos
Modelos Anatômicos , Neoplasias Retais/patologia , Neoplasias Retais/cirurgia , Idoso , Simulação por Computador , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Metástase Neoplásica , Neoplasias Retais/diagnóstico por imagem , Tomografia Computadorizada Espiral , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
An investigation of the information value of modern radial methods of diagnostics (endorectal and intraoperative sonography, spiral computed and magnetic resonance imaging) and Power Shape program for three- dimensional modeling in 150 patients with rectum cancer has shown their significance in the assessment of prevalence of the tumor process, invasion of the tumor into the rectum wall, its spreading in the intestinal wall, involvement in the tumor process of the pararectal fat and adjacent to the rectum organs of the small pelvis, the presence of signs of metastases to the regional lymph nodes. These methods of X-ray analyses and three- dimensional computed modeling of the tumor process of the rectum facilitate preoperative decision on the adequate volume of surgery.
