Khirurgiia
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Review Comparative Study
[Laparoscopic resection of the stomach by Billroth-I technique].
Laparoscopic resection of the stomach by Billroth-I technique is described. Previously different variants of laparoscopic Billroth-II resection and laparoscopy-assisted Billroth-I resection have been performed a complete variant of laparoscopic Billroth-I resection of the stomach the authors reported on Symposium of Endo-surgeons in 2004.
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The article covers the main problems and disputable points in diagnosis and treatment of pheochromocytoma: differential diagnosis before surgery and treatment which policy. The authors define a specific group of patients required a comprehensive deep examination (group of risk) for chromaffin tissue. Differentiated use of different methods of diagnosis of catecholamine-secreting tumors is validated. Some last est negative tendencies in adrenal surgery are also discussed.
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Comparative Study
[Comparative analysis of different methods in the treatment of patients with acute calculous cholecystitis and choledocholithiasis].
In the patients with different forms of cholelithiasis 1988 operations were performed, 597 of them - on account of acute calculous cholecystitis. In 118 (19%) patients with acute calculous cholecystitis choledocholithiasis was diagnosed. All the patients were divided into two groups. ⋯ In group 2 complications were seen in 1 (2%) patient, residual choledocholithiasis -- in 1 (2%), there were no lethal outcomes. Mean hospital stay was 15.1 days. It is concluded that minimally invasive technologies in the treatment of acute calculous cholecystitis and choledocholithiasis improve results of treatment and shorten hospital stay.
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Comparative Study
[Adequate gas exchange in two-sided and combined surgeries on thoracic and abdominal organs].
Method of combined artificial lung ventilation during simultaneous two-sided operations on the lungs was studied in 60 patients. This method is based on traditional ALV with parameters calculated according to functional state of the patient's respiratory system, and additional high-frequency jet pulmonary ventilation. The developed method was not accompanied by any severe disorders of gas exchange and mechanics of ventilation.
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The experience in the treatment of 143 patients with foreign bodies of the rectum and sigmoid colon is analyzed. Groups of foreign bodies are distinguished according to their size, structure and ways of occurring. Methods of extraction of foreign bodies in typical and non-typical situations are described. It is demonstrated that in 2.8% cases of extraction surgeries laparotomy is required even without perforation of this organ.