Biomedical subjects

M V Khrustaleva

Publications and source records attributed to M V Khrustaleva.

6 recordsLinked to original sources

PubMed2004

[Surgical policy in patients with chronic calculous cholecystitis complicated by choledocholithiasis].

Results of surgical treatment in 116 patients with chronic calculous cholecystitis complicated by choledocholithiasis were studied. Introduction in clinical practice of endoscopic papillosphincterotomy (EPST) and laparoscopic cholecystectomy changed surgical policy for benign combined lesions of gall bladder and extrahepatic bile ducts. Complex endoscopic treatment is preferable if contraindications are absent. Complex endoscopic treatment was used in 26.7% cases, combined surgical and endoscopic (trans-papillar surgeries) - in 30.2%, conventional surgical - in 33.6%. Isolated EPST and endo-biliary procedures were performed in 9.5% patients. Complex endoscopic treatment is preferable for chronic calculous cholecystitis complicated with choledocholithiasis. Combined and conventional surgical policy is indicated when appliance of endoscopic technologies is not possible.

Adolescent↗

PubMed2004

[Surgical treatment of major duodenal papilla neoplasm].

Immediate and long-term results of pancreatoduodenal resections in 33 patients undergone surgery for adenocarcinoma of bile papilla from 1984 to 2003 were studied. Majority of patients had II and III stages of diseases. Correct diagnosis before surgery was made in 27 (81.8%) patients. Morphologic study revealed metastasis in 11 patients. Lethality was 9.1%, moreover last 18 pancreatoduodenal resections had no lethal outcomes. Long-term results were studied in 25 (83.3%) patients: 1-year survival was 90.4%, 3, 5 and 10 years survived 71.4, 61.2 and 51% patients respectively. Only metastatic lesion of lymph nodes and later stage of disease had negative influence on long-term results. Such factors as gender, diameter of carcinoma, lymphadenectomy and pylorus-saving variant of surgery did not influence on long-term results. It is concluded that pancreatoduodenal resection must be surgery of choice in the treatment of resected cancer of bile papilla.

Adult↗

PubMed1998

[The use of angioscopy in the reconstructive surgery of vascular diseases of the lower extremities].

On the basis of the literature data and original research, the value of angioscopy in reconstructive surgery of vascular diseases of lower extremities is analyzed with a report of clinical application of intraoperative angioscopy. Practical recommendations for the use of angioscopy as a method of intraoperative control of quality of reconstructive operations on lower limbs vessels are provided.

Adult↗

PubMed1998

[Endoscopic duodenobiliary drainage in the treatment of mechanical jaundice of blastomatous etiology].

The experience of endoscopical treatment of 112 patients with blastomatous disease of extrahepatic biliary ducts was summarized. Principal method of biliary bypass was duodenobiliary drainage with the use of transpapillary endoprostheses. Endoprosthetic procedure was carried out in 79 (70.5%) patients, which gave the possibility in 14 of them after elimination of jaundice and cholangitis to perform radical operations. In 52 cases duodenobiliary drainage was used as the final palliative procedure. In 13 patients due to insufficient effect of prosthesis biliary draining procedures were used. The causes of failures in 33 (29.5%) cases were infiltrative growth of the tumor into bowel wall with stricture formation as well as high and extended lesion of hepaticocholedochus duct.

Adult↗

PubMed1998

[Intraoperative angioscopy in vascular reconstructive surgery].

Based on the data available in the literature and their own findings, the authors analyzed the value of angioscopy in the reparative surgery of low limb vessels. Some cases of clinical application of intraoperative angioscopy are described and guidelines for the use of angioscopy as an intraoperative control of the quality of reparative surgery on low limb vessels.

Adult↗

PubMed1990

[Use of electron video-endoscopic system in the diagnostic and therapeutic endoscopy].

Welch Allyn videoendoscopic system (USA) was used in 739 diagnostic and therapeutic investigations of 573 patients with various diseases of the gastrointestinal tract. Clinical experience has demonstrated the advantages of videoendoscope over common fibroscopes: it permits monitoring of the investigation by several specialists simultaneously, improves the training of specialists in endoscopy, permits recording and storage of endoscopic information, etc. At the same time videoendoscopes of this system are not devoid of shortcomings, i.e. the working part is too flexible, the image is frequently misrepresented during operation, this necessitating additional designing. On the whole videoendoscopic systems hold good promise in gastrointestinal endoscopy.

Adolescent↗