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Biomedical subjects

V A Kubyshkin

Publications and source records attributed to V A Kubyshkin.

At least 19 recordsLinked to original sources
PubMed2004

[Neuroendocrine "silent" tumors of the pancreas].

Neuroendocrine tumors are the rare pathology. They are characterized by slow growth and favorable prognosis for life. From 1985 to 2000 fifty-two patients with "silent" neuroendocrine tumors were treated. Clinical symptoms in 60% patients were associated with squeezing of the surrounding organs and tissues (gastroduodenal obstruction or cholestasis), in 20% patients tumors were diagnosed within the framework of syndrome of multiple endocrine metaplasia and in 16% cases tumors were revealed accidentally. Fifty-two percent of the tumors located in the head of the pancreas, 23 and 25% - in the corpus and tail of the pancreas respectively. All the patients underwent surgery. Neuroendocrine nature of the tumors was verified during morphologic study. Five-year survival was 51.8, 41.6 and 54.5% when tumor located in the head, corpus and tail of the pancreas, respectively.

Diagnosis, Differential↗
PubMed2004

[Anatomic conditions for isolated proximal resection of the pancreas].

Based on summarized data of the literature it is concluded that proximal resection of the duodenum in chronic pancreatitis with lesion of the pancreatic head is possible only bearing in mind variability of arterial blood supply. Experience of surgical treatment of 19 patients with chronic pancreatitis who underwent isolated resections of pancreatic head due to inflammatory changes of pancreas' proximal parts demonstrates expediency of this surgery. Maximal resection of pancreatic tissue permits to decrease risk of purulent and inflammatory complications and promotes favorable course after surgery.

Chronic Disease↗
PubMed2004

[Radio-frequency ablation appliance in resection of the liver].

Pilot experience with "Radionics Cool-Tip RF System" appliance for radio-frequency ablation (RFA) in hepatic resection in the patients with focal lesions of the liver is presented. Advantages of RFA as an alternative method for hemostasis are demonstrated. With this technique bisegmentectomy (II - III) was performed in 4 patients, right-sided hemihepatectomy - in 2 patients. RFA permitted to minimize intraoperative blood loss without increase of surgery time. There were no severe complications during surgery and in early postoperative period. The method permits to perform combined surgeries without a significant increase of surgical risk.

Abscess↗
PubMed2003

[Rationale for removal of fibrous capsule in echinococcectomy from the liver].

Experience of radical surgical treatment in 253 patients with hepatic echinococcosis is presented. Twenty-six patients underwent hepatic resection; 218, pericystectomy, 9 patients, combined interventions. Based on comparative analysis of the results of surgical treatment in 109 patients from the study and control groups, it is concluded that radical operations have significant advantages and show fever postoperative complications and recurrences. Removal of fibrous capsule is a token of successful treatment for hepatic echinococcosis.

Adolescent↗
PubMed2003

[Bronchopulmonary and laryngeal symptoms of gastroesophageal reflux disease: diagnosis and treatment].

The article discloses the results of the examination and treatment of patients with gastroesophageal reflux disease, the course of which was complicated with extraesophageal (bronchopulmonary and laryngeal) symptoms. The authors managed to establish the connection between gastric reflux and pulmonary and laryngeal symptoms with a high degree of reliability, based on the results of functional methods of research (24-hour pH-measurement in the esophagus). The obtained results of the treatment testify to the efficiency of active surgical tactics in this group of patients.

Bronchi↗
PubMed2003

[Pancreatoduodenal resection with preservation of the pylorus].

Experience with 106 pancreatoduodenal resections (PDR) with pylorus savage for tumors and benign diseases of pancreatic head and periampullar zone is analyzed. Features of mobilization of pancreatoduodenal complex in PDR are shown. They permit to reduce the rate of complications (gastrostasis). Necessity of differential approach to choice of creation of biliodigestive anastomosis is demonstrated. Risk of postoperative pancreatitis is highest in non-dilated pancreatic duct and small-changed pancreatic parenchyma. In these cases terminolateral pancreatojejunostomy with external drainage of pancreatic duct (12 patients) and pancreatogastrostomy (21) are preferable. PDR with pylorus savage permitted to use wider pancreato-, bilio- and duodenoenteroejunoanastomosis on one loop of the jejunum. Gastrostasis was seen in 50% patients after PDR with pylorus savage. Technical features of surgery and also postoperative complications leading to gastrostasis are demonstrated.

Humans↗
PubMed2003

[Subtotal leiomyomatosis of the esophagus and proximal part of the stomach].

Generalized leiomyomatosis of the esophagus and stomach is a rare disease. According to literature data, age of the patients ranges from 9 to 84 years, in men this disease is diagnosed 2 times more often than in women. It is necessary to differentiate this disease with cancer, esophageal diverticulum, achalasia of the cardia, hiatal hernia. In our case a woman of 32 years was ill from 5 years of age. Correct diagnosis was not made before surgery. Endoscopic examination suspected leiomyoma. Only repeated urgent histological tests during surgery resulted in accurate diagnosis (subtotal leiomyomatosis of the esophagus and proximal stomach) and in adequate surgical policy--subtotal resection of the esophagus and proximal resection of the stomach with Toprover gastrostoma creation. Then, retrosternal esophagocoloplasty was performed. 2 years after the first surgery the state of the patients is satisfactory, there are no symptoms of recurrence of the disease.

Adult↗
PubMed2003

[Quality of life of patients after antireflux surgery].

The purpose of our research was to study the patients' quality of life after different traditional and laparoscopic, partial--180, 270 and complete 360 surgical operations in cases of diaphragm esophagus hole hernia and the gastroesophageal reflux disease (GERD).

Gastroesophageal Reflux↗