[Role of regional perfusion in the combined treatment of complicated forms of cholecystopancreatitis].
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Biomedical subjects
Publications and source records attributed to V S Zemskov.
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The authors' experience includes 62 patients with pancreatic fistulas. Complex conservative treatment was first used in all the patients and proved to be effective in 11 of them. In 42 patients with fistulas resistant to conservative therapy the surgical treatment was fulfilled. Postoperative lethality was 7,1%. During 1980 the authors were using their original operative method of closure of pancreatic fistulas with good and stable effect.
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One hundred and nineteen patients were operated upon, 89--for primary cancer of the liver, 30--for cancer metastases. Radical operations for primary cancer of the liver were performed in 5 of 89 patients, and in 8 of 30 patients with metastatic involvement of the liver. In radical operations for malignant hepatic neoplasms frequently there would arise the necessity of a temporary exclusion of the organ from the portal and caval circulation.
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The authors observed 146 patients with pancreatic cysts. Operations were performed on 119 patients. Pancreatic cysts were diagnozed by a complex method of examination including retrograde endoscopic pancreatography, ultrasonic echography and selective angiography. The use of the complex method gave high diagnostic results--97.2%.
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