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Biomedical subjects

E V Kotliarov

Publications and source records attributed to E V Kotliarov.

At least 19 recordsLinked to original sources

[The surgical treatment of cancer of the middle lobe of the lung].

The immediate and long-term results of surgical treatment for cancer of the middle lobe of the lung in 84 patients are discussed. Radical procedure was used in 65 (77.4%) patients. Postoperative lethality was 6.1% (4 cases out of 65). 30.2% survived over 5 years. Regional lymphatic node involvement was found to significantly affect the end results. At zero involvement, 5-years survival was 38.7% whereas at involvement 1-2, it dropped to 8.3%. With regional nodes intact, midlobectomy was survived for more than 5 years by 20.0%, bilobectomy--71.4%, and pneumonectomy--35.7%. Maximal advantage is assured by bilobectomy since it allows for adequate lymphadendissection, midlobectomy being not radical enough for surgical treatment of lung cancer.

Adenocarcinoma

[Segmental and atypical resections in lung cancer].

Segmental or atypical resection was performed in 25 out of 1120 (2.2%) patients operated on for lung cancer. The choice was determined by concomitant pathology and old age. No fatalities were registered in the postoperative period. Five-year survival in the segmental and atypical resection group was 33.3%. The procedure discussed may be recommended if radical surgery is contraindicated.

Adenocarcinoma

[Conservative surgery in extensive forms of lung cancer].

The paper discusses a 15-year experience gained in using surgical treatment for lung cancer. Lobe- or bilobectomy, extended lobectomy and combined lobectomy were carried out for advanced tumor in 97 patients (11.5% of radically--operated cases). Postoperative lethality was 5.2%. The end results in cases of tumor dissemination to regional lymph nodes was half that in metastasis--free patients. Organ--saving surgery is indicated in patients with well-differentiated advanced cancer of the lung without metastasis to lymph nodes.

Adenocarcinoma

[Mediastinal lymphadenectomy in diffuse forms of lung cancer].

Radical surgical interventions for spreaded forms of lung cancer were performed in 291 patients. Mediastinal lymphadenectomy was fulfilled in 147 out of these patients. No substantial difference was found between patients with lymphadenectomy and those without it. At the same time a tendency was established to greater amount of 5 year survival in the group of patients with mediastinal lymphadenectomy without metastases into regional lymph nodes. More than 5 year survival was noted in 23.7% of the patients.

Adult

[Combined surgical interventions in disseminated forms of lung cancer].

Combined operations for spreaded forms of lung cancer were performed in 59 of 841 patients which made up 7%. Postoperative complications following the combined interventions were observed in 35.6% of the cases. Lethality was 10.7%. Five year survival in patients without metastases to regional lymphatic nodes after the combined operations was 27.8%.

Adenocarcinoma

[Content of sugar and immunoreactive insulin in the blood of patients with myocardial infarct].

The content of sugar in the blood and that of immunoreactive insulin was determined in myocardial infarction cases on the 1st, 7th and 30th day. On the 30th day the carbohydrates tolerance test was conducted, and the content of immunoreactive insulin was determined after a glucose provocation. The assessment of glycemia and of the content of immunoreactive insulin was made in accordance with the type of the sugar curve. Hyperglycemia during the acute period of myocardial infarction was detected in 1/3 of the patients, a decrease of carbohydrates tolerance--2/3. Transient hyperglycemia was observed in persons in whom the glycemic and insulinemic curves resembled those in diabetes mellitus. The patients of this group displayed the same symptoms as those with diabetes mellitus. The dynamics of the content of the immunoreactive insulin from day to day of the disease differed in patients with transient hyperglycemia from those with normoglycemia.

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