Carcinosarcoma is an exceedingly rare and highly aggressive malignant tumor. Some patients with carcinosarcoma have normal levels of prostate specific antigen; therefore, digital rectal examination is the only method of early diagnosis in them. In this article, we report a case of prostate carcinosarcoma and describe its diagnosis and treatment.
Цель исследования. Анализ результатов последних исследований БК с целью понимания возможности модифицирования естественного течения БК терапевтическими или хирургическими методами, возможности полного излечения БК терапевтическими методами.Материалы и методы. В данном обзоре рассмотрены результаты последних исследований, направленных на изучение влияния современных терапевтических методов лечения БК на течение данного заболевания, возможности уменьшения количества оперативных вмешательств.Результаты. Концепция грамотного терапевтического лечения БК в долгосрочном периоде (более 7 лет) не нашла подтверждения. Накапливающийся опыт повторных резекций кишечника при БК, свидетельствует о том, что фенотип заболевания у повторно оперируемых пациентов с БК остается прежним, в независимости от характера проводимого лечения. Однако риск хирургических вмешательств у пациентов с БК в последние годы снижается.Заключение. Ранняя диагностика (КТ, ЯМРТ) и ранее оперативное лечение осложнённых форм вместо назначения терапевтического лечения, эффективная профилактика рецидивов современными препаратами в послеоперационном периоде приводит к тому, что в последнее время наблюдается снижение риска хирургических вмешательств у пациентов с БК. Хирургическая стратегия направлена на применение «экономных» резекций с формированием первичного тонко-тонкокишечного или тонко-толстокишечного анастомоза открытым способом.
Complications of tumor in patients with colorectal cancer are well known-a bowel obstruction, bleeding, perforation, tumor, liver failure, etc. Less common is a complication of massive intra-abdominal recurrence of colon cancer as the abdominal kompartment-syndrome or abdominal hypertension-rapid or gradual increase in intra-abdominal pressure to the further development of multiple organ failure. In this article we present a clinical case of surgical treatment of patients with metastatic colorectal cancer, complicated by intra-abdominal hypertension syndrome.
A case report of the patient at week 21 of pregnancy with Mirizzi type 2 syndrome complicated by acute cholangitis is described. During the examination, the level and cause of the biliary obstruction (cholecystocholedocheal fistula and gallstone of the common bile duct) were revealed. A detailed description of the surgical procedure is presented: subtotal laparoscopic cholecystectomy, choledochotomy, choledochoscopy, lithoextraction, drainage of the common bile duct. The analysis of information from literature sources is carried out.
The article is devoted to the eminent naval surgeon Professor Gurin Nikolay Nikolaevich, head of the Department of marine medicine of the Leningrad GIUV (1978–1980), Vice-rector Langius (1984–1995), Colonel of medical service. Nikolai Nikolaevich graduated from the Naval medical Academy in 1955 and was sent to the black sea fleet. Winner of the government of the Russian Federation award (1999) in the field of education for the development and implementation of systems of practice (clinical doctor) for medical higher educational institutions. In 1959–1962, he studied in the clinical residency of the VMGH clinic, and in 1969–1982, he was the chief surgeon OF the DRA. Scientific works: «Military field surgery» textbook (1980); «Marine medicine» guide for doctors ‘ exams (1989); «General medical practice (family medicine)» (1996). Monographs: «Diagnosis and treatment of acute appendicitis on ships at sea» (1994); «Treatment of acute cholecystitis» (1999); «Choice of method for treatment of stomach ulcers» (2001); «Family medicine of Gatchina» (2001); «Treatment of complicated osteomyelitis» (2004); «First aid» (2009);«Surgical care for stomach wounds» (2010). Awarded 14 medals. Including the medal «for services to the Fatherland of the II degree».
The article is devoted to the outstanding naval surgeon professor Mikhail Luschitsky, head of the department of naval and hospital surgery of the Military medical Academy. S. M. Kirov (1973–1986 biennium), general-major of the medical service. Mikhail Alekseevich graduated from the Naval medical Academy in 1941 and was sent to the Pacific fleet. For participation in the war with militaristic Japan will be awarded the order of the red Star. From 1951 to 1958 he served in the Kronstadt naval hospital as head of the surgical Department. Kronstadska school of naval surgeons laid the future surgeon general of the navy and head of the department of naval and hospital surgery professor, the general-major of medical service M. A. Luschitsky to go the fundamental basis of his future scientific and pedagogical activity. In the period from 1958 to 1961, he, being an adjunct of the department of naval surgery, prepared his thesis «Surgical treatment of frostbite 3–4 degrees, combined with radiation sickness», for the scientific value of which the Scientific Council of the Academy awarded him the degree of doctor of medical Sciences. From 1973 to 1986 Mikhail Alekseevich was the head of the department of naval and hospital surgery, where his talent of a great teacher, surgeon and organizer was fully manifested. He created his own unique school of naval surgeons. Mikhail Alekseevich is the author of 146 scientific works, he was twice elected Chairman of the Surgical society of Pirogov. Under his leadership, 7 doctoral and 18 master’s theses were prepared and defended. He retired in 1986. Mikhail Alekseevich died on March 10, 1999.
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