PubMed Health⌕ Search

Biomedical subjects

M I Brusilovskiĭ

Publications and source records attributed to M I Brusilovskiĭ.

At least 19 recordsLinked to original sources
PubMed1980

[Certain indices of the immunologic reactivity of patients with pancreonecrosis and rectal cancer during external drainage of the thoracic duct].

Main parameters of the cellular and humoral immunity were determined within the 1, 3, 5, 7 and 10th days of the drainage of the thoracic lymphatic duct in 7 patients with pancreanecrosis and 10 patients with the rectum cancer. The general number of lymphocytes and concentration of the main immunoglobulin fractions in the peripheral blood and lymph within 5 days does not substantially change. At the expense of loss with the lymph there was a tendency to decrease T-immune cells and A-fractions of immunoglobulins in the peripheral blood.

B-Lymphocytes↗
PubMed1980

[Prevention of lymphogenic metastasis in the surgical treatment of rectal cancer].

It was shown that during radical operations, performed for local spread of rectal cancer (T3--T4, P3--P4), in most patients tumor cells identical to the primary tumor are found in the thoracic duct lymph. To the end of prophylaxis of intraoperative lymphogenic dissemination of tumor cells 71 patients with rectal cancer, spread locally, were subjected preoperatively to endolymphatic infusion of 10% dibunol solution in iodolipol or chromolymphotrast. The preparation was found to be completely deposited in the lymphatic system and to block the routes of lymphogenic dissemination of tumor cells. A considerably reduced number of the postoperative metastases and recurrence of rectal cancer was noted in patients, subjected to radical operations following endolymphatic infusion of oil dibunol solution.

Adult↗
PubMed1980

[The rationale for combined operations for rectal cancer metastases to the liver].

The results of 12 observations over the patients subjected to resection of the cancer involved rectum, associated with segmental or edge resection of the liver in case of solitary metastatic foci in it, are reported. These patients survived, on an average, for 3 years after the operation. It is believed that the combination surgical intervention for rectal cancer with solitary metastases in the liver should be considered to be the operation of choice. Solitary focal changes in the liver in surgical treatment of rectal cancer should be verified morphologically in most cases.

Adult↗
PubMed1978

[Variant of the descent operation with preservation of the sphincter in cancer of the distal end of the rectum].

A new variant of the operation for cancer of the rectum with a partial preservation of the natural function of the obturator apparatus is suggested. The method consists in the keeping of the anal constrictor muscular ring, the vascularization and innervation of which are brought about by preservation of two portions of the muscles rising the anus. The operation carried out upon 7 patients has shown fair immediate and early results.

Anal Canal↗
PubMed1978

[Expansion of the indications for sphincter-preserving operations in rectal cancer].

The authors present the analysis of 353 abdomino-anal resections of the rectum with a pull-through procedure on the colon. Different postoperative complications were noted in 88 patients (24.9%), 59 of them (16.7%) developed complications typical for the procedure concerned (necrosis of the descended colon, colovaginal fistula). Due to a high level of the descended colon necrosis 24 patients (6.7%) were subjected to the reoperation - a double trunk transversostomy to exclude feces. In 37 patients with necrosis of the descended intestine a principally new method of treatment with colonic enemas was employed. As a result, there was a possibility to avoid colostomy and to liquidate diastasis between the descended colon and anal canal in 33 patients. The postoperative mortality among patients, subjected to abdomino-anal resection of the rectum with a pull-through procedure on different portions of the colon, made 3.1 per cent.

Anal Canal↗
PubMed1977

[Methods of anastomosis in anterior resection of the rectum].

For the second row of anastomosis sutures in anterior resection the authors employed the technic of "enlarging rectosigmoid anastomosis", which is formed by two running sutures. The second row of sutures is put prior to the withdrawal of the apparatus KTs-28, which is used for pulling the stoma into the wound and turning of both anastomosed intestines to provide an adequate access to the anastomotic line. The experience with the initial II operations seems to be fairly promising. No stricture of the anastomosis develops while using this technic. Indications to the anterior resection of the rectum for cancer are discussed.

Humans↗