[Role of splenectomy in the surgery of acute and chronic pancreatitis].
The authors have formulated the indications for splenectomy in acute and chronic pancreatitis. Clinical observations are presented.
Biomedical subjects
Publications and source records attributed to V S Zemskov.
The authors have formulated the indications for splenectomy in acute and chronic pancreatitis. Clinical observations are presented.
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The authors experience with 96 patients treated for cancer of the hepatic porta arising from the hepatic duct is discussed. The most resultant technics of investigation in this pathology are retrograde endoscopic cholangio-cholecystography (in 30 patients) and transjugular cholangiography (in 3 patients). Thirteen patients were radically operated upon, they were subjected to a circular resection of the common bile duct the site of hepatic ducts branching with subsequent hepaticojejunostomy. It is believed that a higher degree of resectability in tumors of this zone may be possible on account of perfection of early diagnosis and widening of an extent of surgery.
The experience with surgical treatment of 866 patients with malignant neoplasms of the pancreato-duodenal zone is analyzed. Radical operations were carried out upon 220 (25.4%) patients, palliative ones-upon 459 (52.8%) and laparotomies-upon 187 (22.7%) patients. The authors draw the conclusion that a one-stage pancreato-duodenal resection is the operation of choice for cancer of the Vater's papilla, distal portion of the common bile duct and of the head of the pancreas. Extended pancreato-duodenal resections with excision of a segment of the portal or the superior mesenteric veins are indicated when adhesion of tumor and the venous wall makes the only contraindication to the radical operation.
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Based on the personal experience with treatment of patients having acute iliofemoral venous thromboses, the authors have elaborated a method of one-moment radical surgical correction in malignant ovarian tumors complicated with acute iliofemoral thrombosis. This technic was successfully performed in the clinic on 3 patients, a good therapeutic effect being gained.
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