Медицинская литература. Новинки

 

 

 

 

 

 

Вмешательства на печени в сочетании с нефрэктомией у больных злокачественными опухолями печени и почек

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В ходе исследования предстояло оценить ближайшие результаты симультанной нефрэктомии и резекции печени различного объема у пациентов со злокачественными опухолями почек и печени. В 2008–2009 гг. оперировано 5 пациентов (средний возраст – 54 года). Объем операции во всех наблюдениях включал нефрэктомию, вмешательство на печени (гемигепатэктомия, атипичная или анатомическая сегментарная резекция), в одном наблюдении также выполнили резекцию сигмовидной кишки, еще в одном – спленэктомию, резекцию тела и хвоста поджелудочной железы. Комбинированные и симультанные вмешательства на печени и почках при злокачественном поражении допустимо выполнять при тщательном отборе пациентов с оценкой их общего соматического состояния и распространенности опухолевого процесса.

Ключевые слова:
нефрэктомия, резекция печени, гемигепатэктомия, симультанные операции, комбинированные операции, рак почки, метастазы в печень.

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Concomitant Surgical Interventions on the Liver and Kidneys in Malignant Tumors of the Liver and Kidneys

Aim of the investigation is evaluation of immediate results of simultaneous nephrectomy and different volume liver resection in the liver and kidney malignant tumor patients. 5 patients (mean age 54 years) are operated on during 2009–2009 years. An operation in all cases included nephrectomy, liver resection (hemihepatectomy, atypical and anatomical segmentectomy), sigmoid colon resection in one case, splenectomy – in another and distal pancreatectomy – in the third. After peculiar selection of the patients and evaluation of their general condition and the tumor spreading the combined and simultaneous operations on the liver and kidneys are bearable.

Keywords:
simultaneous operations, liver resection, nephrectomy.