The Analysis of Influence of Chronic Diffuse Liver Pathology at the Risk of Intra- and Postoperative Complications in the Resectional Interventions on the Liver

Ф.Г, Назыров; М.М, Акбаров; Девятов, А. В.; Сайдазимов, Е М; Нишанов, М Ш; Хакимов, Ю У

doi:10.18499/2070-478x-2015-8-2-142-150

VECS

2015

DOI: 10.18499/2070-478x-2015-8-2-142-150

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The Analysis of Influence of Chronic Diffuse Liver Pathology at the Risk of Intra- and Postoperative Complications in the Resectional Interventions on the Liver

Назыров Ф.Г¹,

Акбаров М.М²,

А. В. Девятов³

et al.

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Cited by 2 publications

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Staged Surgical Treatment for Patients with Liver Tumors and Optimal Method of Vicarious Hypertrophy of the Liver Remnant: Literature Review

Pelts,

Tropin,

Pavlenko

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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The evolution of hepatic surgery at the present stage of medical development requires specialists to develop patient-oriented rational surgical tactics and use modern methods for the diagnosis and prediction of post-resection liver failure in the surgical treatment of liver tumors by resection, thereby forming approaches that reduce the risks of severe postoperative complications associated with insufficient liver remnants remaining after extensive resection. The paper reviews the problematic issues of diagnosis and treatment of liver tumors, as well as provides current views on the relevance of timely prevention of post-resection liver failure. The study considers methods for assessing the risks of complications and adverse outcome when planning and performing extensive liver resections, defines the concept of post-resection liver failure, and highlights the main mechanisms of vicarious hypertrophy. The paper examines the most commonly used methods for vicarious hypertrophy of the parenchyma remaining after extensive liver resection, their advantages, and disadvantages. The main possible causes of failures in developing a strategy for two-stage liver resections are analyzed. A critical analysis of available contemporary literature enabled the authors of the paper to identify possible ways to further improve the results of extensive liver resections.

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Staged Surgical Treatment for Patients with Liver Tumors and Optimal Method of Vicarious Hypertrophy of the Liver Remnant: Literature Review

Pelts,

Tropin,

Pavlenko

et al. 2023

Kreativnaâ hirurgiâ i onkologiâ

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Postcholecystectomy Syndrome Caused by Various Disorders of Intestinal Permeability

Савченко

Бенсман

Suzdaltsev

et al. 2018

Kuban. nauсh. med. vestnik

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Aim.This study was designed to prove the connection between postcholecystectomy syndrome, chronic disorder of duodenal patency, adhesive disease of the abdominal cavity, and chronic colostasis and to develop the methods of its treatment.Materials and methods.During the period from 2004 to 2016 we monitored 140 patients with a clear picture of postcholecystectomy syndrome which was manifested after the surgeries on the extrahepatic biliary tract by clinic of passage disorders in the digestive tract.Results.The results of our study indicate that there are created a number of conditions that cause various pathologies in patients with colostasis who have unfavorable outcomes after cholecystectomy. Colostasis can cause functional changes in the biliary tract due to the overstretch of the colon areas by the accumulated contents. Functional disturbances can be a consequence of the tension of the mesocolon lowered by the transverse colon or duodenojejunal ligament narrowing the lumen of the duodenum. The hepatic angle of the large intestine in high position, deforming the bile duct and duodenum, can also cause postcholecystectomy syndrome.Conclusion. Long-term results of the surgical treatment of the pathological conditions after cholecystectomy depend not only on the condition of the organ which surgery was performed on but also on other physiologically related organs and body systems. The biliary and enteroenteric connections are very important in this case. Psychosomatic disorders of the patient are also crucial while assessing the long-term results of the surgical treatment of this type of patients. The results of the surgical treatment of the duodenal patency chronic disorders depend on the selected type of surgery. Thus, the exclusion of the duodenum from the food passage gives better results than the surgeries aimed at improving the passage of food through the duodenum. The choledochojejunostomy and duodenoenterostomy are not effective. In the most severe cases of duodenal patency chronic disorders two sided exclusion of the duodenum with duodenenterostomy can be the only effective method of its correction but the development of post-resection syndrome cannot be ruled out.

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The Analysis of Influence of Chronic Diffuse Liver Pathology at the Risk of Intra- and Postoperative Complications in the Resectional Interventions on the Liver

Cited by 2 publications

References 0 publications

Staged Surgical Treatment for Patients with Liver Tumors and Optimal Method of Vicarious Hypertrophy of the Liver Remnant: Literature Review

Staged Surgical Treatment for Patients with Liver Tumors and Optimal Method of Vicarious Hypertrophy of the Liver Remnant: Literature Review

Postcholecystectomy Syndrome Caused by Various Disorders of Intestinal Permeability

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