•  
  •  
 

Central Asian Journal of Medicine

Abstract

To assess the results of resection interventions, along with the routine examination complex, modern methods are used, including MSCT angiography, MRI with contrast enhancement, angiographic hepatography, determination of the critical frequency of flicker to assess the severity of PE. In determining indications and contraindications for resection intervention on the liver, it is necessary to have an accurate idea of the prevalence of the structural formation of the liver, its relationship with the main vessels, the volume of the unaffected part of the organ, the degree of functional impairment of the liver. All this implies the use of a rational complex instrumental examination, including ultrasound examination of the hepatobiliary zone, multislice computed tomography, magnetic resonance imaging with contrast enhancement, radioisotope scanning of the liver, determination of the level of specific hepatic tumor markers (α-fetoprotein).

First Page

102

Last Page

116

References

1. Vishnevskiy V.A., Yefanov M.G., Ikramov R.Z. Selektivnaya sosudistaya izolyatsiya pecheni pri segmentarnykh rezektsiyakh: bezopasnost', vliyaniye na ob"yem krovopoteri // Annaly khir. gepatol. – 2010. – T. 15, №2. – S. 24-30. 2. Got'ye C.B., Konstantinov B.A., Tsirul'nikova O.M. Transplantatsiya pecheni. – M.: Medinform. agentstvo, 2008. – S. 86-87. 3. Yefanov M.G. Segmentarnyye rezektsii pri ochagovykh obrazovaniyakh pecheni: Avtoref. dis. … d-ra med. nauk. – M., 2010. – 21 s. 4. Kochiyeva M.P., Bagmet N.N., Abdullayev A.G., Skipenko O.G. Khirurgicheskiy vzglyad na lecheniye biliarnykh kist pecheni i polikistoza // Ros. zhurn. gastroenterol., gepatol., koloproktol. – 2010. – T. 20, №1. – S. 30-37. 5. Kubyshkin V.A., Vishnevskiy V.A., Kakharov M.A. i dr. Evolyutsiya metodov khirurgicheskogo lecheniya ekhinokokkoza pecheni // Annaly khir. gepatol. – 2002. – T. 7, №1. – S. 18-22. 6. Nazyrov F.G., Devyatov A.B., Makhmudov U.M. Kompleksnyy podkhod k khirurgicheskomu lecheniyu ekhinokokkoza pecheni i organov bryushnoy polosti: Materialy nauchno-prakticheskoy konferentsii. – Tashkent, 2004. – S. 50. 7. Patyutko YU.I., Sagaydak I.V., Kotel'nikov A.G. i dr. Rezektsiya pecheni: sovremennyye tekhnologii pri opukholevom porazhenii // Annaly khir. gepatol. – 2010. – T. 15, №2. – S. 9-17. 8. Polishchuk L.O., Koz'min L.D., Stroyakovskiy D.L. i dr. Neposredstvennyye rezul'taty rezektsiy pecheni posle neoad"yuvantnoy khimioterapii kolorektal'nogo raka (sravnitel'nyy analiz) // Khirurgiya. – 2010. – №1. – S. 30-40. 9. Skipenko O.G, Shatveryan G.A., Bagmet N.N. i dr. Khirurgicheskaya gepatologiya v RNTSKH: ot istokov v razvitii… // Khirurgiya. – 2013. – №2. – S. 8-16. 10. Fedorov A.V. Robot-assistirovannyye operatsii v abdominal'noy khirurgii // Khirurgiya. – 2010. – №1. – S. 16-21. 11. Chardarov N.K., Ganiyev F.A., Bagmet N.N., Skipenko O.G. Gemangiomy pecheni: vzglyad khirurga // Annaly khir. gepatol. – 2012. – №1. – S. 86-93. 12. Agrawal S., Agarwal S., Arnason T. et al. Management of Hepatocellular Adenoma: Recent Advances // Clin. Gastroenterol. Hepatol. – 2014. – Vol. 5. 13. Aleksandrova K. et al. Inflammatory and metabolic biomarkers and risk of liver and bilary tract cancer // Hepatology. – 2014. – Vol. 17. 14. Ali A.H., Carey E.J., Lindor K.D. Diagnosis and management of primary biliary cirrhosis // Exp. Rev. Clin. Immunol. – 2014. – Vol. 10. – P. 1-12. 15. Aloia T.A., Fahy B.N., Fischer C.P. et al. Predicting poor outcome following hepatectomy: analysis of 2313 hepatectomies in the NSQIP database // HPB (Oxf.). – 2009. – Vol. 11. – P. 510-515. 16. Azoulay D., Maggi U., Lim C. et al. Liver resection using total vascular exclusion of the liver preserving the caval flow, in situ hypothermic portal perfusion and temporary porta-caval shunt: a new technique for central tumors // Hepatobiliary Surg. Nutr. – 2014. – Vol. 3, №3. – P. 149-153. 17. Bismuth H., Houssin D., Castaing D. Major and Minor Segmentectomies "Rйglйes" in Liver Surgery // Wld J. Surg. – 1982. – Vol. 6. – P. 10-24. 18. Dannenberg S., Eder F.. 130 Years of bile duct surgery - a short historical review of the pioneering contributions to surgery of the gallbladder and bile duct by Professors Carl Langenbuch and Hans Kehr // Zentralbl. Chir. – 2012. – Bd. 137, №1. – S. 16-19. 19. de Martel C., Ferlay J., Franceschi S. et al. Global burden of cancers attributable to infections in 2008: a review and synthetic analysis // Lancet Oncol. – 2012. – Vol. 13. – P. 607-615. 20. Dhingra S., Fiel M.I. Update on the new classification of hepatic adenomas: clinical, molecular, and pathologic characteristics // Arch. Pathol. Lab. Med. – 2014. – Vol. 138, №8. – P. 1090-1097. 21. Di Fabio F., Samim M., Di Gioia P. et al. Laparoscopic major hepatectomies: clinical outcomes and classification // Wld J. Surg. – 2014. – Vol. 38, №12. – P. 3169-3174. 22. Dopazo C., Bilbao I., Sapisochin G. et al. Are repeat liver resections a safe and effective treatment for recurrent colorectal liver metastases? // HPB (Oxf.). – 2009. – Vol. 11 (Suppl. 2). – P. 102. 23. Drognitz O., Holzner P., Glatz T. et al. The surgical technique of laparoscopic right hemihepatectomy. Technical aspects and results // Chirurg. – 2014. – Vol. 85, №2. – P. 139-146. 24. Farges O., Vibert E., Cosse C. et al. "Surgeons' intuition" versus "prognostic models": predicting the risk of liver resections // Ann. Surg. – 2014. – Vol. 260, №5. – P. 923-930. 25. Fedirko V. et al. Consumption of fish and meats and risk of hepatocellular carcinoma: the European Prospective Investigation into Cancer and Nutrition (EPIC) // Ann. Oncol. – 2013. – Vol. 24, №8. – P. 2166-2173. 26. Hoffmann K., Mьller-Bьtow V., Franz C. et al. Factors predictive of survival after stapler hepatectomy of hepatocellular carcinoma: a multivariate, single-center analysis // Anticancer Res. – 2014. – Vol. 34, №2. – P. 767-776. 27. Hwang S., Lee S.G., Ko G.Y. Sequential preoperative ipsilateral hepatic vein embolization after portal vein embolization to induce further liver regeneration in patients with hepatobiliary malignancy // Ann. Surg. – 2009. – Vol. 249, №4. – P. 608-616. 28. Iimuro Y., Kondo Y., Suzumura K. et al. Regional hepatic regeneration after liver resection correlates well with preceding changes in the regional portal circulation in humans // Dig. Dis. Sci. – 2013. – Vol. 58, №10. – P. 3001-3009. 29. Ishii M., Mizuguchi T., Harada K. et al. Comprehensive review of post-liver resection surgical complications and a new universal classification and grading system // Wld J. Hepatol. – 2014. – Vol. 27, №6 (10). – P. 745-751. 30. Jia C.K., Weng J., Chen Y.K., Fu Y. Anatomic resection of liver segments 6-8 for hepatocellular carcinoma // Wld J. Gastroenterol. – 2014. – Vol. 20 (15). – P. 4433-4439. 31. Kang C.M., Choi G.H., Kim D.H. et al. Revisiting the role of nonanatomic resection of small (

Share

COinS