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Biomedical subjects

V I Stoliarov

Publications and source records attributed to V I Stoliarov.

At least 19 recordsLinked to original sources
PubMed1998

[Clinical introduction and results of simultaneous resection and repair in esophageal cancer].

The data on 80 cases of radical resection and extirpation of the esophagus for intrathoracic tumors entailing esophagogastroplasty are discussed. Esophageal extirpation with resection of the proximal part of the stomach, sufficient lymphadenectomy, simultaneous transmedianal esophagogastroplasty and formation of cervical esophago-gastrostomy proved the most radical. The 3-year complication and mortality rates were 20.0 and 5.0%, respectively. The procedure yields the best functional results, too. It is understood that the long and tortuous process of development of a new surgical procedure inevitably involves frequent postoperative complications, which, however, can be effectively treated if measures are taken to improve surgical technique and intensive care standards. The end-results still leave much to be desired--the 3-year survival rate was 24.0, 5 years--8.0%.

Esophageal Neoplasms↗
PubMed1998

[Surgical treatment of soft tissue sarcomas of the pelvic girdle].

Wide excision of neoplasm is most frequently used in surgery for soft tissue tumors, on appropriate sites and whenever the "envelope" can be preserved. The most frequent site of pelvic girdle soft-tissue tumors was the glutal area (39.0 +/- 4.8%). Out of 100 patients with such sarcomas, wide excision of tumor was performed in 82, and tumor excision + bone resection--18. The former procedure was mostly used in the management of liposarcomas (26.5 +/- 4.2%), while the latter--in synovial sarcoma (33.3 +/- 4.9%).

Adolescent↗
PubMed1997

[Treatment of lung metastasis in patients with soft-tissue sarcoma].

The study group included 104 patients with soft-tissue sarcoma and metastases into the lung, treated at the Institute Clinic in 1960-1992. Surgery for lung metastasis was given to 10 and chemotherapy-to 48 patients; the remaining 48 cases received treatment for symptoms only. Overall 5-year survival was 13.5% (after surgery-30.0%; chemotherapy-19.1%). All the 46 patients treated for symptoms died within two years after detection of lung metastasis. Chemotherapy proved effective in the treatment of multiple metastasis when detected shortly after removal of the first lesion.

Adolescent↗
PubMed1997

[The quality of medical care given to patients with esophageal cancer in St. Petersburg and the Leningrad region].

The data on the morbidity, time of diagnosis and results of treatment of esophageal cancer in St. Petersburg and Leningrad Region (1992-1994) were analyzed. The morbidity rates were higher in women than in men, the predominant age being over 60. Morphological verification data were not available in almost half the cases. Stage I-II tumors were detected in 15.7-26.5%. Specialized treatment was given to 25%, combination one-to nearly 2%. To raise the standards of medical aid, it is suggested that measures be taken to ensure stable operation of the Cancer Register, St. Petersburg, and to offer treatment to esophageal cancer patients at specialized medical facilities.

Age Distribution↗
PubMed1997

[Subchondral endoprosthesis in combined treatment of patients with primary and metastatic tumors of long tubular bones].

The report deals with the results of organ-saving surgery for subchondral endoprosthesis carried out in 31 patients with primary tumors and pathological fracture of bones caused by metastasis. An original procedure using the anatomo-physiological peculiarities of cartilage permits to preserve the physiological status of the joint. Lysis of tumor cells in subchondral bone is caused by methyl acrylate used as bone cement. Administration of adaptogen-immunomodulators promotes postoperative healing processes and lowers the risk of infection-related complications.

Adolescent↗
PubMed1996

[Combined operations for non-organ retroperitoneal tumors].

Incision biopsy of skin melanoma is performed after forming a circular blocking barrier by means of a laser beam. Once tumor proper is subsequently irradiated, this prevents dissemination of tumor process. Skin melanomas, degree I-IV invasion (Clark), and 4.5 mm thick (Breslow) are effectively treated by pulsed laser radiation.

Female↗
PubMed1995

[The partial removal of nonorganic tumors of the retroperitoneal space].

An analysis of observation of 24 patients after partial resection of nonorganic retroperitoneal tumors has shown that 3 years survival of the patients subjected to partial resection of the tumor was equal to (57.7 +/- 10.8)% and 5 years survival was noted in (47.2 +/- 11.1)% of the patients. None of the patients subjected to explorative operations survived more than 3 years.

Adult↗
PubMed1994

[Vocational rehabilitation of patients after radical surgery for stomach cancer].

The authors analyse the dynamics of the working capacity of 146 patients with stomach carcinoma according to the type of operative treatment and the character of the work. The results of vocational rehabilitation were best after Billroth I subtotal resection; by the end of a 5-year follow-up period 81.8 +/- 8.2% of the patient who had survived worked (after Billroth II resection 57.8 +/- 7.4%, p < 0.05). After gastrectomy patients resumed work at more later periods. Lethality among parsons who resumed work was independent of the type of operation and was not higher than that among patients who did not work (8.2 +/- 2.3% and 62.6 +/- 2.5%, respectively; p < 0.001). Individuals of intellectual vocations returned earlier to their work after treatment (76.5 +/- 5.9% resumed work in the first 2 years, as compared to 42.1 +/- 5.1% of persons engaged in physical work; p < 0.001). The main tendency was to change to easier conditions of work, with the exception of highly qualified and highly specialized profession. Most of the patients (99 +/- 0.7%) resumed work in the first 4 years after the end of treatment.

Female↗
PubMed1992

[An analysis of the work activities and survival of patients operated on for stomach cancer].

The paper deals with the analysis of dynamics of working activity of 146 radically treated gastric cancer patients examined by the Oncological Commission for Ability Expertise of Novosibirsk in 1984-1988 and then followed for 2-5 years. The percentage of patients returning to work was the highest during the first and third years posttreatment. This was attributed to extension of temporary invalidity period and rehabilitation of group 2 invalids, respectively. Lethality among patients returning to work was 8.2 +/- 2.3% as compared to 62.6 +/- 2.5% in a group of 385 patients who did not work. Labor activity did not adversely influence the clinical course of disease. The unfavorable course was attributed to biological properties of tumor such as low degree of differentiation and infiltrative pattern of growth.

Adult↗
PubMed1991

[Adenogenous cancer of the esophagus].

The authors consider the most promising long-term results to be achieved in treatment of patients with highly differentiated adenocarcinomas, size of the tumor up to 60 cm and growth of the tumor into the muscle level. The prognosis was doubtful in patients after radical operations but having average degree of differentiation of adenocarcinomas, with size more than 60 cm and growth into the whole esophagus wall. The prognosis was unfavorable in patients with poorly differentiated adenocarcinomas. Metastatic involvement of lymph nodes does not make the prognosis worse.

Adenocarcinoma↗
PubMed1991

[Interscapular-thoracic resection in the treatment of patients with tumors of the musculoskeletal system].

Data of 13 patients with tumors of the locomotor system subjected to +interscapular-thoracic resection (ITR) are presented. Main technical aspects of ITR are described. Complications took place in 6 patients, including marginal necrosis of the skin in 4 patients. As a whole the 5-year survival made up 49.9% +/- 13.8%. Data are presented on rehabilitation measures which allow to widen the functional possibilities of the extremity.

Adult↗
PubMed1991

[The choice of the extent of the surgical intervention in patients with soft-tissue tumors of the trunk].

Data on 145 cases of soft-tissue tumor of the trunk were analysed. Tumor was located on the chest or back in 81 patients and deep in the anterior abdominal wall--in 64. When intramuscular sarcoma is removed, a 2-3-cm margin should be left around the palpable mass. Five-year survival in the entire group of patients with tumors of the chest and back was 59.4% +/- 2.4. Five out of ten cases with tumor of the abdominal wall survived over 5 years.

Abdominal Muscles↗