RESUMO
On the basis of rich clinical experience and analysis of the case records of 445 patients who underwent operation in 1982-1988, the author calculates the risk of the operation in patients with acute cholecystitis according to the severity of their condition, the concomitant diseases and complications, the complex nature of the intervention which will be undertaken, the surgeon's rating, and other factors. The high efficacy of the calculations shown.
Assuntos
Colecistite/cirurgia , Doença Aguda , Idoso , Colecistectomia , Colecistite/mortalidade , Coledocostomia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Complicações Pós-Operatórias , Prognóstico , Fatores de Risco , Esfíncter da Ampola Hepatopancreática/cirurgiaRESUMO
The work analyzes the data of treatment of 144 patients with the cirrhotic process in the liver. The patients were subjected to 196 different operations. Surgical interventions were fulfilled depending on the stage of cirrhosis, chronic hepatitis--precirrhosis included. To diagnoze and determine the stage of the cirrhotic process the authors used a complex of investigations including the summary assessment of the liver function by the formula developed in the clinic, radioisotopic diagnosis, laparoscopy with target puncture biopsy, splenoportography, lymphography. The cirrhosis stage and the degree of hepatic insufficiency determined the choice of periarterial hepatic neurectomy. Marginal resection of the liver was performed in chronic hepatitis and the initial stage of cirrhosis.
Assuntos
Cirrose Hepática/cirurgia , Doença Crônica , Denervação , Drenagem , Hepatite/cirurgia , Humanos , Fígado/cirurgia , Cirrose Hepática/classificação , Cirrose Hepática/complicações , Derivação Portocava Cirúrgica , Esplenectomia , Ducto Torácico/cirurgiaRESUMO
To correct the portal blood flow 52 operations on the thoracic lympheduct (TLD) were performed on 43 patients with decompensated portal hypertension syndrome. The external drainage of the TLD (lymphaticostomy) was carried out upon 22 patient and the internal drainage of TLD (lympho-venous anastomosis-LVA) upon 26 patients. 4 patients underwent other operations. The authors conclude that the selection of a LVA variant should be individual, depending on peculiarities of topographo-anatomical correlations between TLD and the anastomosed vein.
