RESUMEN
There were examined 124 patients with nidal affection of liver. In 52.4% of them the cyst was revealed, in 31.5%--the benign tumor, in 16.1%--malignancy. In the treatment of cyst of all sizes the puncture method with injection into her cavity of 96% ethanol solution was applied. Benign tumor was verified using the puncture biopsy. If the tumor less than 5 cm in diameter was present, the atypical hepatic resection was performed, if bigger one--hemihepatectomy. Mortality had constituted 3-8%. Surgical tactics is substantiated.
Asunto(s)
Quistes/cirugía , Hepatopatías/cirugía , Neoplasias Hepáticas/cirugía , Procedimientos Quirúrgicos Operativos/métodos , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Fibrosarcoma , Lipoma , Neoplasias Primarias Múltiples , Neoplasias Retroperitoneales , Adulto , Femenino , Fibrosarcoma/patología , Fibrosarcoma/cirugía , Humanos , Lipoma/patología , Lipoma/cirugía , Neoplasias Primarias Múltiples/patología , Neoplasias Primarias Múltiples/cirugía , Neoplasias Retroperitoneales/patología , Neoplasias Retroperitoneales/cirugía , Espacio Retroperitoneal/patologíaRESUMEN
A course of the disease was studied in 190 patients with hepatic cirrhosis and portal hypertension without bleeding as well as in 107 patients with bleeding from esophageal and gastric varices. The Wald's consecutive analysis with derivation of a summary diagnostic coefficient on the basis of 13 clinical signs was used. Effectiveness of the method was assessed by means of retrospective analysis of 150 case records and long-term results of treatment of 30 patients. The method permits to predict the development of gastroesophageal bleeding in 95.4% of cases.
Asunto(s)
Várices Esofágicas y Gástricas/complicaciones , Hemorragia Gastrointestinal/etiología , Cirrosis Hepática/complicaciones , Adulto , Anciano , Várices Esofágicas y Gástricas/etiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Estudios RetrospectivosAsunto(s)
Síndrome de Budd-Chiari/diagnóstico por imagen , Niño , Humanos , Masculino , UltrasonografíaAsunto(s)
Síndrome de Budd-Chiari/diagnóstico por imagen , Niño , Humanos , Masculino , UltrasonografíaRESUMEN
Ultrasound investigation was performed in 49 patients with the syndrome of portal hypertension. A portal blood flow blockade level could be determined by the type of changes of the abdominal and hepatic vessels. Portal hypertension of intrahepatic type was characterized by the dilated portal and splenic veins and the hepatic artery. The intrahepatic branches of the portal vein were amputated. Prehepatic blockade was diagnosed on the basis of local narrowing of the portal vein by a sizable formation, liver vascularization was unnoticed. A suprahepatic block was unaccompanied by a dramatic change in the lumens of the portal and splenic veins and the hepatic artery. A conclusion was made that real time ultrasound investigation could provide important information on differential diagnosis of the causes of a portal block. As a noninvasive and harmless method it should play a leading role in hepatological practice.
Asunto(s)
Hipertensión Portal/diagnóstico por imagen , Adolescente , Adulto , Anciano , Niño , Diagnóstico Diferencial , Femenino , Humanos , Hipertensión Portal/clasificación , Circulación Hepática , Masculino , Persona de Mediana Edad , Vena Porta/diagnóstico por imagen , Vena Esplénica/diagnóstico por imagen , UltrasonografíaAsunto(s)
Lesiones Cardíacas/cirugía , Heridas Punzantes/cirugía , Adolescente , Humanos , Masculino , MétodosRESUMEN
The possibility of liver reportalization in subhepatic blockade of the portal vein is substantiated experimentally. The operation of liver reportalization was performed in 2 patients with good long-term results.