RESUMO
Tactics and results of surgical treatment of 5 patients for splenic cyst were analyzed. The original method of splenic cyst resection, using blood-preserving technologies (ultrasonic aspirator-destructor, the argon laser and hemostatics) was applied. The data obtained permit to consider the splenic resection performance an adequate procedure for the focal organ pathology treatment.
Assuntos
Cistos/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Esplenopatias/cirurgia , Adulto , Cistos/diagnóstico , Cistos/etiologia , Humanos , Esplenopatias/diagnóstico , Esplenopatias/etiologia , Resultado do TratamentoRESUMO
There were examined 124 patients with nidal affection of liver. In 52.4% of them the cyst was revealed, in 31.5%--the benign tumor, in 16.1%--malignancy. In the treatment of cyst of all sizes the puncture method with injection into her cavity of 96% ethanol solution was applied. Benign tumor was verified using the puncture biopsy. If the tumor less than 5 cm in diameter was present, the atypical hepatic resection was performed, if bigger one--hemihepatectomy. Mortality had constituted 3-8%. Surgical tactics is substantiated.
Assuntos
Cistos/cirurgia , Hepatopatias/cirurgia , Neoplasias Hepáticas/cirurgia , Procedimentos Cirúrgicos Operatórios/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Ultrasound investigation was performed in 49 patients with the syndrome of portal hypertension. A portal blood flow blockade level could be determined by the type of changes of the abdominal and hepatic vessels. Portal hypertension of intrahepatic type was characterized by the dilated portal and splenic veins and the hepatic artery. The intrahepatic branches of the portal vein were amputated. Prehepatic blockade was diagnosed on the basis of local narrowing of the portal vein by a sizable formation, liver vascularization was unnoticed. A suprahepatic block was unaccompanied by a dramatic change in the lumens of the portal and splenic veins and the hepatic artery. A conclusion was made that real time ultrasound investigation could provide important information on differential diagnosis of the causes of a portal block. As a noninvasive and harmless method it should play a leading role in hepatological practice.
