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Biomedical subjects

E S Futorian

Publications and source records attributed to E S Futorian.

At least 19 recordsLinked to original sources
PubMed1983

[Methods of evaluating the results of treatment of breast cancer].

The following limitations of the available prospective cooperated methods of evaluation of the results of breast cancer treatment are identified: the attention of the researcher often appears to be focused on only one and, inevitably, a rather narrow aspect of the problem. The studies are time-consuming and involve organizational difficulties. It is suggested that assessment of treatment results may be carried out faster and more effectively, if the advantages of the Soviet state system of health protection are used to the full. Such measures as life-time registration and dispensary-sponsored follow-up of all cancer patients, particularly, in large cities where cancer incidence is relatively high application of traditional therapeutic procedures developed at oncological dispensaries of the city of Moscow, computerized retrospective randomization and integration of rational methods of breast cancer treatment with practice may serve the purpose.

Adult↗
PubMed1979

[Repeated operations in the treatment of cancer of the extrahepatic biliary tracts].

Repeated interventions in carcinoma of the ducts were carried out upon 14 patients. The operations happened to be very beneficial for the most of patients and raised the survival period by 3 month to 2 years 4 months. The clinical course of carcinoma of the gallbladder is the most unfavorable. Only in 1 of 3 cases with mechanical jaundice--an aftermath of carcinoma of the gallbladder--the repeated intervention resulted in the formation of the biliodigestive anastomosis. Repeated interventions in carcinoma of the extrahepatic bile ducts are expedient and should enter the scope of routine interventions.

Aged↗
PubMed1979

[Repeated operations in pancreatic cancer].

Twenty four reoperations were performed for cancer of the pancreas. The indications were as follows: gastroduodenal obstruction, recurrent jaundice, external biliary fistulas and uneffective primary operations. In 20 patients palliative measures were performed, which improved considerably the patents' state. Reoperations for pancreatic cancer seem to be rational only in the presence of the proper indications; however an adequate primary operation in some cases may render unnecessary such relaparotomies.

Adult↗
PubMed1978

[Results of repeated operations in cancer of the major duodenal papilla].

15 repeated operations for cancer of the major duodenal papilla were carried out. Gastroduodenal obstruction, recurrent jaundice, external bile fistulas, uneffective first operation served as indications for these interventions. Pathological conditions following a radical operation in cancer of the major duodenal papilla are not always due to the progress of the tumor. Repeated operations for cancer of this localization are by far justified with appropriate indications.

Adult↗
PubMed1978

[Primary cancer of the duodenum].

8 patients with primary carcinoma of the duodenum were operated upon: 3 pancreatoduodenal resections were carried out upon 3 patients. 1 patient underwent duodenectomy, the rest were mitigating and exploratory interventions. There were no fatal outcomes after radical interventions. The authors believe that radical operations for carcinoma of the duodenum allow to look forward to a longlasting cure.

Adult↗
PubMed1978

[Palliative surgery in cancer of the organs of the pancreatoduodenal zone].

A modification of surgical intervention for cancer of the pancreatoduodenal zone organs aimed at the creation of a biliferous anastomosis and gastroenteroanastomosis at a time was carried out upon 26 patients. In 7 patients this was added by a temporary external bile drainage with a "plug" of interanastomotic intestinal loop. The suggested method of the simultaneous formation of biliodigestive and gastrointestinal anastomoses is functionally beneficial, easy to be carried out and favours the prophylaxis of postoperative complications.

Adenocarcinoma↗
PubMed1976

[Importance of the method of timely external drainage of the pancreatic duct in transduodenal papillectomy and pancreatoduodenal resection].

With the aim of prophylaxis against postoperative pancreatitis in transduodenal papillectomy and pancreatoduodenal resection the authors have elaborated the technic of a provisional external drainage of Wirsung's duct by means of a controlled transnasal drainage. Ten operations were performed using this technic. There were two deaths. The recommended technic provides a free outflow of the pancreatic juice from the pancreas outwardly during several days after the operation.

Ampulla of Vater↗
PubMed1976

[Technic for performing biliodigestive anastomoses in cancer of the pancreas and periampullar region].

Palliative treatment was employed in 183 patients with cancer of the pancreas and periampullary zone. In most of them the decompression of bile passages was accomplished by means of cholecystogastroanastomosis. The authors have modified the routinely used technic of cholecystogastrostomy. The latter procedure was supplemented by external draining of bile passages by means of a controlled transnasal drainage tube. The technic concerned seems to be recommended for constructing biliodigestive anastomoses in cancer of this region due to relative satisfactory indices of the postoperative mortality (15+/-6%).

Ampulla of Vater↗
PubMed1975

[Resection of extrahepatic bile ducts in cancer].

Resection of the bile ducts for cancer was performed in 9 patients. Indications for such operations are well demarcated tumors located in the zone of triple junction of the ducts. Radicality of surgery and improvement of its results are largely contributed by an extensive resection of the duct with removal of the cellular tissue, lymph nodes of the hepatoduodenal ligament with obligatory cholecystectomy. A reconstructive stage should be terminated by constructing hepatico-gastroanastomosis with a controlled transnasal drainage.

Adult↗
PubMed1975

[The clinical picture and diagnosis of mechanical jaundice during tumor growth].

Studies on the clinical course of the lesion in 525 patients with malignant tumors of the bilio-pancreato-duodenal system organs have evidenced that jaundice is not an early sign of the affection. In developed jaundice it is rational to differentiate two main diagnostic stages: presurgical which main task is differentiation between mechanic jaundice and hepatocellular jaundice, the greatest importance being attached to clinical investigation of serum enzymes and clinical data. The second main diagnostic stage is an operation during which all feasible methods of ultimate diagnosis should be employed, including direct cholangiography and urgent microscopy of a tumor.

Bile Duct Neoplasms↗