Комбінований відеоендоскопічно-черезшкірний доступ у хірургічному лікуванні інфікованого гострого некротичного панкреатиту
| Autor: | V. І. Rotar, І. V. Khomyak, О. V. Rotar, М. V. Коstylev, І. S. Теreshkevych, А. І. Khomyak |
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| Jazyk: | ruština |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Mortality rate Psychological intervention lcsh:Surgery General Medicine lcsh:RD1-811 medicine.disease Surgery Performance rate Medicine Pancreatitis business Surgical treatment Pathological інфікований гострий некротичний панкреатит мініінвазивні втручання ехо-відеоендоскопія |
| Zdroj: | Клінічна хірургія, Iss 1, Pp 20-23 (2018) |
| ISSN: | 2522-1396 0023-2130 |
| Popis: | Objective. To estimate the efficacy of the proposed combined videoendoscopic transcutaneous access in surgical treatment of the infected acute necrotic pancreatitis. Маterials and methods. Transcutaneous diapeutic punctures and draining were applied in 74 patients (control group), and in 23 (main group) for treatment of spread infected pathological foci, using combined videothoracoscoopic transcutaneous access. Results. Application of diapeutic interventions have permitted to defer the operative intervention performance up to 25 - 30-th day of the disease in all patients of the main group and in 82.7% – in a control one. In the main group a reduction of necessity in laparotomic necrsequestrectomy performance by 29.1%, of the invasive interventions – by 46.1%, and for mortality rate – by 2.9% was noted. Conclusion. Application of combined access have guaranteed the reduction of the invasive interventions performance rate, including laparotomic necrsequestrectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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