Khirurgiia
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In 203 (5.9%) of 3420 patients with acute pancreatitis clinical signs of suppurative inflammation were present. In all the cases purulent pancreatitis has developed on the background of destructive pancreatitis. The rate of purulent complications in 1003 patients with destructive forms of pancreatitis was 20.2%. ⋯ It is 6.8% of all the patients with destructive pancreatitis. Purulent pancreatitis, purulent parapancreatitis, purulent peritonitis and polyorganic insufficiency were distinguished and analysed based on the intraoperative and morphologic data. Lethality in surgery of purulent complications of pancreatitis was 57.3% (38 of 68 patients).
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Comparative Study
[Antibiotic prophylaxis of postoperative infective complications in patients with rectal and colonic cancers].
The results of operative use of clindamycin and netilmycin (1st group), piperacillin (2d group), in comparison to the standard protocol (carbenicillin and its combination with gentamicin) in 103 patients operated on rectal and colonic cancer are discussed. The rate of postoperative complications was 2.3% (1st groups), 5.3% (2d groups) vs. 37.1% (control group). The authors advocate the proposed protocols of antibacterial prophylaxis of rectal and colonic cancer.
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Review Comparative Study
[Problems of organ-preserving treatment of breast cancer (lecture)].
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The results of surgical treatment of 209 patients with diseases of bile ducts with use of minimum approach and special instrument are presented. Cholecystectomy was carried out in 186 patients, cholecystectomy together with other interventions-in 15, operations on hepaticocholedochus in 7, cholecystectomy and choledochostomy-in 1. ⋯ After cholecystectomy the patients were discharged in 3-9 days. The authors consider the operations on biliary tract from minimum approach as an alternative to conventional laparotomy as well as laparoscopic cholecystectomy.