Khirurgiia
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10 patients with adrenal damage were observed during 2.5 years. It amounted 0.93% of all patients with closed abdominal injuries. ⋯ Ultrasound and tomographic semiotics of adrenal damage was worked out, which allowed ascertaining diagnosis in 80% on application of ultrasound study and in 100% at computer tomography. Injury of one adrenal gland was not accompanied by adrenal failure and did not require hormonal replacement therapy.
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Bronchioloalveolar cancer (BAC) belongs to a high- grade differentiated lung adenocarcinoma, localizes in peripheral parts of the lung and demonstrates an intraalveolar growth. 21 patients with BAC has been operated during the period of 1968-2008yy. It comprised 0,5% of the whole amount of patients operated on lung cancer. ⋯ Lobectomy is considered to be a method of choice for the surgical treatment. Long-term treatment results are somewhat better then of other forms of non-small cell carcinoma of lung: of 21 radically operated patients, 11 are alive.
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Results of surgical treatment of 12 patients with the combined hydatid disease of heart and target organs (liver, lungs) are analyzed. Authors recommend echocardiography for all the patients with echinococcosis of target organs as a means of timely heart involvement diagnostics. ⋯ Cyst perforations to the heart cavity should be considered a fatal complication of the disease. Intraoperative lethality achieved 25%.