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Biomedical subjects

N V Merzlikin

Publications and source records attributed to N V Merzlikin.

At least 19 recordsLinked to original sources
PubMed1991

[Complications after reoperation hepatectomy].

The main cause of lethal outcomes after resection of the liver in reoperations is hemorrhage and hepatic insufficiency. Among most frequent specific complications are right-side pleurisy, formation of the residual cavity and sequestration. Complications are often observed in combinations and require active therapy. Ultrasonic scanning is a leading method of diagnosing complications after resection of the liver.

Carcinoma, Hepatocellular↗
PubMed1991

[The late results of liver resection in repeat operations].

Long-term results after resections of the liver in reoperated patients are described. The operations were performed on 48 patients. Four of them died (8.4%). The patients were followed-up during 1-15 years. The volume of the operations was from segment resections up to wide hemihepatectomies. Good long-term results were obtained in 82.7% of the patients, satisfactory--in 13.9%, unsatisfactory--in 3.4%. The use of cryosurgical methods in palliative resections gives better long-term results of the operations. Recurrences were noted in 17.2% of the patients. Labor rehabilitation after vast resections of the liver in reoperated patients takes place within 1.5-2.5 years.

Adult↗
PubMed1991

[The classification of cryosurgical resections of the liver in reoperated patients].

The authors present a classification of cryosurgical operations in resection of the liver in reoperated patients. The basis of this classification is different combination of usual and cryosurgical (cryoresection and cryodestruction) methods, which allow to increase the radicality of the operations. Ten kinds of cryointerventions (5 radical and 5 palliative) were established. The classification proposed allows the operative volume for resection of the liver in reoperated patients to be correctly planned.

Cryosurgery↗
PubMed1991

[Ultrasonic diagnosis of complications in repeated surgery of the liver].

Ultrasonic examination is an effective noninvasive method in the diagnosis of complications in reoperations on the liver. With the application of the method the cavity of disintegration and sequestration were diagnosed in 86% of patients with complicated alveococcosis. Affection of the elements of the porta hepatis and inferior vena cava was revealed in 82% of patients, which was very important in determining the operability of the process and was of essential significance in planning the volume of liver resection. Right pleuritis, the formation of a residual cavity, and sequestration of the parasitic and hepatic tissue are also diagnosed adequately in the postoperative period by means of ultrasonic examination.

Cysts↗
PubMed1990

[Hepatectomy in repeated operations on patients with parasitic diseases of the liver].

The results of resection of the liver in repeated operations on patients with parasitic disease of the liver are discussed. Operations were conducted on 22 patients with alveococcosis and 7 patients with echinococcosis. By means of the method of atypical liver resection radical operations were performed on 20 patients (69%) and palliative resections of the liver in 9 patients (31%). The palliative resections were combined with cryodestruction of the remaining parasitic tissue, which improved the therapeutic effect significantly and prolonged the patients' survival. The volume of the resection ranged from a segment to one half of the liver. The fatality rate was 6.8%.

Adult↗
PubMed1990

[Cryosurgery of focal lesions of the liver in patients requiring reoperation].

Cryosurgery ++ (cryoresection and cryodestruction) was carried out in 21 of a group of 43 patients (48.8%) during resection and +re-resection of the liver in repeated operations. One patient died. It was found that cryodestruction combined with radical and palliative resections of the liver in reoperations improved the late-term results of the operation significantly. With the use of cryotechniques, blood loss is reduced and intraoperative dissemination of the tumour cells and alveococcus and recurrences in the postoperative period are prevented.

Adult↗
PubMed1990

[Repeat surgery of hepatic neoplasms].

The paper discusses resection and repeat resection of the liver for tumor carried out at a specialized institution. Combination of resection and cryotherapy for hepatic tumor prevents dissemination of cells thereby improving ablasticity of surgery.

Adult↗