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1.
Khirurgiia (Mosk) ; (4): 98-99, 2021.
Artigo em Russo | MEDLINE | ID: mdl-33759477

RESUMO

The discussion was prompted by an article by Prof. A.G. Beburishvili et al. in which the results of acute cholecystitis treatment over several periods since 1965 were analyzed.


Assuntos
Colecistite Aguda , Colecistostomia , Colecistite Aguda/cirurgia , Humanos
2.
Khirurgiia (Mosk) ; (2): 66-73, 2018.
Artigo em Russo | MEDLINE | ID: mdl-29460882

RESUMO

AIM: To analyze immediate outcomes of 286 laparoscopic and robot-assisted interventions on the colon and rectum. MATERIAL AND METHODS: There were 256 (89.51%) laparoscopic and 30 (10.49%) robot-assisted procedures. 233 (81.46%) operations were performed for rectum and colon cancer. Postoperative complications after colon cancer surgery were revealed in 11.11%, including anastomosis failure in 2.08% of cases. Postoperative complications after rectal cancer surgery occurred in 32.58% of cases including anastomosis failure after anterior rectectomy in 11.67%. CONCLUSION: Robot-assisted surgery is not advisable for colon diseases according to price-effectiveness ratio due to available laparoscopic approach. Preventive intestinal stoma in endoscopic low and ultra-low anterior rectal resection allows you to avoid clinically significant inconsistency of colorectal anastomosis. Laparoscopic procedure should be performed with Contour stitching-cutting device in low and ultra-low anterior rectal resection if there is technical complexity of one-stage rectum intersection below the tumor. Robot-assisted operations for rectal cancer have advantages due to three-dimensional imaging and better orientation, greater freedom of manipulation in confined spaces, and simplicity of lymphadenectomy.


Assuntos
Colectomia , Colo Transverso , Neoplasias Colorretais , Laparoscopia , Complicações Pós-Operatórias , Reto , Procedimentos Cirúrgicos Robóticos , Idoso , Colectomia/efeitos adversos , Colectomia/métodos , Colo Transverso/patologia , Colo Transverso/cirurgia , Neoplasias Colorretais/patologia , Neoplasias Colorretais/cirurgia , Cirurgia Colorretal/métodos , Feminino , Humanos , Laparoscopia/efeitos adversos , Laparoscopia/métodos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Avaliação de Processos e Resultados em Cuidados de Saúde , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/prevenção & controle , Reto/patologia , Reto/cirurgia , Procedimentos Cirúrgicos Robóticos/efeitos adversos , Procedimentos Cirúrgicos Robóticos/métodos
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