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Biomedical subjects

K V Lapkin

Publications and source records attributed to K V Lapkin.

At least 19 recordsLinked to original sources
PubMed1991

[Precision technique of pancreatoduodenal resection].

Precision termino-lateral pancreatico-jejunal anastomosis with or without mobilization of the pancreatic duct, with the use of inert suture materials in pancreatoduodenal resection was conducted in 21 patients, 3 of them died. Incompetence of the anastomoses was not encountered. The number of patients treated by radical operation increased almost 2.5 fold, and was 27.4%. The authors consider inclusion of the stump of the gland into digestion together with other conservative and technical measures to be most promising trend in the prevention of incompetence of the anastomoses and postoperative pancreatitis, in improvement of the results of pancreatoduodenal resection, and in expanding the scope of its use.

Adult↗
PubMed1989

[Surgical treatment of injuries of the bile ducts].

The bile ducts were injured during cholecystectomy in 143 of 155 patients treated at the clinic. In most cases (78) the iatrogenic injuries occurred under conditions of a severe inflammatory and cicatricial process in the zone of the cystic neck and hepaticocholedochus. Mortality in correction of a fresh injury of the duct by the traditional methods was 11.1%. An alternative approach to improvement of the results of surgical treatment of injury to the bile ducts and its late-term sequelae may be the use of precision techniques with application of sutures of nonreactive and nonlithogenous monofilamentous suture materials.

Adolescent↗
PubMed1985

[Bile-diverting anastomoses in tumorous obturation of the bile ducts].

The authors make an analysis of the operative treatment of 525 patients with cancer of the hepato-biliary and pancreatoduodenal zones. The distal, central and proximal obturations of bile ducts were found which determined the indications to formation of various bilio-digestive anastomoses. The operation of choice for distal obturation is a wide areflux cholecystogastrostomy with the use of blanket suture with the chromium-coated catgut. In the central and proximal obturation the precision suture with an atraumatic suture material and magnifying optics are recommended.

Ampulla of Vater↗