[Optimal organization of sub-internship in surgery].
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Biomedical subjects
Publications and source records attributed to A T Butenko.
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Modified methods of making external fistulas for laparoscopy in 72 patients with tumors of digestion organs are described. An assessment of such fistulas with respect to their functional role, localization of the tumor process and other conditions is given.
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Twenty three cases of lung hamartoma are described, which were not always properly diagnosed roentgenologically. In a half of patients lung cancer was diagnosed, that influenced greatly the character and extent of surgical treatment. An attention is given to the existance of the sign of "palpable displacement" of hamartomas, the latter is recommended for establishing the differential intraoperative diagnosis.
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Bronchospirometric studies of the ventilatory function in 200 patients with pulmonary cancer inducated a dependence between functional losses in the involved lung and tumor localization, and the functional importance of the bronchus involved. A central localization of the tumor results in more pronounced functional losses in gas metabolism, in particular, that, as evidenced by rheographic findings, is conditioned by both the reduced ventilation and blood flow in the affected lung. The results of investigations have indicated that in 80% of patients the rate of functional losses and their distribution between the involved and intact lung allowed an accomplishment of an operative intervention such as pneumonectomy.
Using bronchospirometry and rheography the external respiration and hemodynamics of the minor circulatory circuit were studied in 164 patients with suppurative processes in the lung. Ventilatory-respiratory indices were found to be reduced in the affected and "healthy" lung. A correlative dependence between the gravity of respiratory disorders and the state of the minor circulation hemodynamics was proved statistically.
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