RESUMO
Results of treatment of 2415 patients with acute pancreatitis, including 285 cases of the acute necrotizing pancreatitis, are analyzed. The algorithm of diagnostics and treatment of this category of patients is worked out and successfully applied. The comparative results of the acute pancreatitis treatment before (1995-1999) and after (2000-2005) introducing the algorithm to practice are analyzed. Thus, the rate of postoperative complications decreased from 16,7 to 4,95% and postoperative lethality came down from 25 to 9,1%.
Assuntos
Laparotomia/métodos , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Pancreatite Necrosante Aguda/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Drenagem/métodos , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Estudos Retrospectivos , Resultado do Tratamento , Adulto JovemRESUMO
Results of surgical treatment of 106 patients with complications of colon malignant tumors are analyzed. Diagnostic and treatment algorithm for these patients has been developed and used in clinical practice. Standardization and use of this algorithm permitted to increase the rate of radical operations from 48.9 to 62.6%, to reduce the rate of purulent complications more in 2 times and postoperative lethality - in 1.6 times.
Assuntos
Colectomia/métodos , Neoplasias do Colo/complicações , Colonoscopia/métodos , Hemorragia Gastrointestinal/cirurgia , Hemostase Endoscópica/métodos , Obstrução Intestinal/cirurgia , Peritonite/cirurgia , Adulto , Idoso , Algoritmos , Anastomose Cirúrgica , Colo Transverso , Feminino , Seguimentos , Hemorragia Gastrointestinal/etiologia , Humanos , Obstrução Intestinal/etiologia , Masculino , Pessoa de Meia-Idade , Peritonite/etiologia , Estudos Retrospectivos , Ruptura Espontânea , Resultado do TratamentoRESUMO
The paper presents the experience in testing virtual colonoscopy on examining patients with colonic diseases. The potentialities of virtual colonoscopy in imaging tumors, polyps, diverticula, and strictures of the colon are assessed. The place of the procedure in the algorithms of examination of patients is defined. Its advantages and disadvantages are preliminarily estimated.
Assuntos
Algoritmos , Doenças do Colo/diagnóstico , Colonografia Tomográfica Computadorizada/métodos , Adulto , Idoso , Colonoscópios , Diagnóstico Diferencial , Desenho de Equipamento , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Sensibilidade e EspecificidadeRESUMO
One of important aspects influencing the results of surgical treatment of patients with diseases of the colon is thought to be stepwise diagnostic and treatment measures. A retrospective analysis of treatment of 171 patients with pathology of the colon has been made. A medical-diagnostic algorithm has been developed and introduced which allowed improvement of effectiveness of medical aid in the group under study. Of importance was also modernization of certain technical aspects of operation. Efficiency of the developed method of the formation of colonic anastomosis with strengthening the line connection with a plate "Tahokomb" was proved in experiment and confirmed in clinical practice. The application of the medical-diagnostic algorithm allowed unification and standardization of approaches to treatment of patients with a pathology of the colon and better results were obtained with 3 times less number of complications.
