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Biomedical subjects

A M Sdvizhkov

Publications and source records attributed to A M Sdvizhkov.

17 recordsLinked to original sources

[Surgical treatment of cancer of the stomach in patients over 70 years].

Surgical treatment was performed in 322 patients over 70 years with cancer of the stomach. Radical operation was made in 220 (68.3%) patients: subtotal distal resection -- in 137, subtotal proximal resection -- in 18, gastrectomy -- in 55, extirpation of the gastric stump -- in 10. Symptomatic and test surgeries were performed in 102 (31.7%) patients. Postoperative complications were seen in 16,1+/-2,1% cases, lethality was 6.8+/-1.4%. Complications after radical resections were seen in 16.4+/-2.5% patients, lethality was 5.0+/-1.5%. The rate of purulent complications was maximal (8.4%). Cardiovascular complications and coagulopathies (4.7%) were the main causes of lethal outcome (in 11 of 15 patients). Score scale of assessment of postoperative risk was developed. Five-years survival in stage I cancer of the stomach was 62.8%, stage II -- 42.6%, III -- 16.7%. Immediate and long-term results demonstrate necessity of radical surgical treatment of patients with cancer of the stomach over 70 years depending on the disease stage and risk factors.

Age Factors↗

[Modern endosurgical technologies in the diagnosis and treatment of maxillary inflammations and tumors (part 2)].

A total of 102 patients with inflammatory diseases and tumors of the maxillary sinuses were examined and treated using endosurgical technologies. X-Ray computer-aided tomography and magnetic imaging helped determine the access to the maxillary sinus, and the endosurgical instrument was inserted through the anterior wall of the sinus, medial wall, and maxillary tuberosity. Endosurgery was the most effective in polypous sinusitis, mucocele, inverted papilloma, and for biopsy. Endosurgical technologies allow a full-scale surgical intervention with the least invasion.

Adult↗

[The current status of the problem and the treatment possibilities in disseminated malignant neoplasms of the maxilla].

A study of the results of treatment of 170 patients makes a case for combined electrosurgical resection of the maxilla and local chemotherapy with deposited cytostatic drugs for localized malignant tumors of this site. No recurrences were detected within the first 12 months in 75.4% of patients and 52%--in control. Three-year survival in treated patients and controls was 67 and 48%, respectively.

Antineoplastic Combined Chemotherapy Protocols↗

[Malignant tumors involving the skull base: methods of treatment and results].

The paper presents experience with surgical and combined treatment of 197 patients with malignant tumors involving the skull base and extracranially originating. The authors have defined indications for and contraindications to different types of surgical treatment, developed methods for radical and palliative tumor removal, which are based on a comprehensive approach considering the basic principles of oncology and neurosurgery. Assessing the immediate and long-term results of surgical treatment by mathematical statistical methods could reveal the major factors influencing survival rates in patients after surgery and the duration of a relapse-free period.

Adolescent↗

[Functionally sparing surgery in locally spread malignant maxillary tumors and the use of local chemotherapy].

53 patients underwent functionally sparing operations which imply electrosurgical maxillectomy with alveolar process and hard palate left intact as well as eyeball preserving resections. At termination of the surgical intervention cyanoacrylate glue compounds incorporating cytostatics bleomycin or carminomycin were applied to the walls of the postoperative cavity. Maxillary alveolar process and hard palate were preserved when the tumor arose from maxillary posterior superior segments, ethmoidal labyrinth and upper nasal cavity. In orbital direction of the tumor spread the eyeball was spared when the lesion was confined to orbital wall and if intraorbital fat was uninvolved. 3-year survival after the above operations made up 60.4%. The method is believed oncologically effective and functionally, cosmetically sparing.

Antibiotics, Antineoplastic↗