RESUMO
Experience of surgical treatment of 11 patients, suffering locally-advanced cancer of right colon without remote metastases, was analyzed. In all the patients various variants of extended right-sided hemicolectomy with adjacent organs resection were applied, Surgical tactics in advanced cancer of right colon was substantiated and detailed. The results of investigation conducted witness the trustworthiness of individualized approach application for operative intervention variant choice in patients, suffering locally-advanced complicated cancer of right colon, promoting the results of surgical treatment improvement.
Assuntos
Colectomia/métodos , Colo Ascendente/cirurgia , Neoplasias do Colo/complicações , Neoplasias do Colo/cirurgia , Idoso , Colo Ascendente/patologia , Neoplasias do Colo/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica , Estudos Retrospectivos , Resultado do TratamentoRESUMO
A detailed analysis of clinico-endoscopic peculiarities of gastric ulcer type I and II was presented. The peculiarities of a clinical course and the complications character of differently localized gastric ulcers were determined. There was shown the connection between concomitant disorders of esophagogastroduodenal motor-evacuation function and gastric ulcer localization and type. While tactics of treatment and operative procedure choosing it is mandatory to take into account the clinical course peculiarities and the results of endoscopic investigation.
Assuntos
Gastroscopia , Úlcera Gástrica/patologia , Diagnóstico Diferencial , Refluxo Duodenogástrico/complicações , Refluxo Duodenogástrico/patologia , Refluxo Duodenogástrico/fisiopatologia , Feminino , Mucosa Gástrica/patologia , Refluxo Gastroesofágico/complicações , Refluxo Gastroesofágico/patologia , Refluxo Gastroesofágico/fisiopatologia , Motilidade Gastrointestinal/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Gástrica/complicações , Úlcera Gástrica/fisiopatologiaRESUMO
20 patients with peptic ulcer disease of duodenum were studied. We found that metabolic activity of neutrophils in peripheral blood and in mucosa is the same in patients with complicated peptic ulcer. The absorption activity of tissue neutrophils is higher than in blood. During operation we observed an increase of neutrophils' activity both in blood and mucosa. On the 6th day after operation the response of neutrophils recovered. In patients who undergo conservative treatment for peptic ulcer of duodenum the activity of neutrophils decreased significantly. This emphasizes that immunocorrection treatment is indicated to all patients that receive conservative treatment for peptic ulcer.
