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Biomedical subjects

Iu N Levashev

Publications and source records attributed to Iu N Levashev.

At least 19 recordsLinked to original sources

[Exploratory thoracotomy: causes of inoperability of non-small-cell lung cancer].

The investigation is concerned with evaluation of different procedures of preoperative examination as well as reasons for carrying out explorative thoracotomy for lung cancer. The data on examination and surgical treatment of 81 patients who underwent explorative thoracotomy for primary non-small cell cancer of the lung were analyzed. The procedure was performed in 9.3% of surgical patients. Assessment of preoperative clinical and macro- and microscopic findings as well as resected material was carried out for each patient. The X-ray, bronchological, functional, angiographic and computed tomography evidence identified involvement of the mediastinal systems (pulmonary artery, vena cava superior, myocardium, aorta and trachea) and dissemination of tumor to the pleura as the most common cause of inoperability. Radical surgery was contraindicated in 65% because of the involvement of several organs and tissues. In certain situations, explorative thoracotomy should be resorted to as the last method of diagnosis of primary lung cancer.

Carcinoma, Non-Small-Cell Lung↗

[Results of surgical treatment of locally-disseminated non-small cell lung cancer].

An analysis of results of operative treatment of 390 patients in 1980-1999 has shown growth of incidence of adenocarcinomas, less frequency of exploratory thoracotomies and non-radical resections of the lung, postoperative complications and lethality, more cases of 5-year survival. Reliable factors of prognosis of long-term results of treatment are established.

Carcinoma, Non-Small-Cell Lung↗

[Effect of the operation and general anesthesia on transcapillary exchange of fluid in the lungs during thoracic surgery].

The influence of operation factors and general anesthesia on transcapillary exchange of liquid in the lungs was studied in 48 patients after thoracal interventions, and in 8 patients after general surgical treatment. It was found that operations on the lungs unlike general surgical procedures are characterized by the accumulation of liquid in the pulmonary interstitial tissue especially after extensive resections of lung tissue and during massive infusion-transfusion therapy. This process is influenced by the kind of general anesthesia: transcranial electroanalgesia is followed by less shifts of the transcapillary pulmonary exchange of liquid than fluoroxene narcosis.

Anesthesia, General↗

[Experimental evaluation of different methods of intraoperative aerostasis in surgery of the lungs].

The work deals with the results of comparative evaluation of different variants of intraoperative aerostasis by means of glue and bioplastic materials in experiments on 75 animals. The authors give in detail a clinicomorphological characteristics of each method for rendering the lung wound airtight. It is concluded from the obtained data that aerostasis by means of fibrin glue and collagenous film is highly effective.

Animals↗

[Role of hemosorption in the treatment of acute pneumonia and infectious destruction of the lungs].

Based on an analysis of results of treatment of 20 patients with critical pneumonias and acute infectious destructions of the lungs by the method of hemosorption the authors make a conclusion that use of hemosorption promoted a rapid control of state of intoxication, decrease of the level of middle molecule toxins and lowering of the laboratory and clinical estimates of severity. Results of the treatment have confirmed good effects of hemosorption.

Acute Disease↗

[Immunological tests in the prognostication of postoperative complications in patients with chronic diseases of the lungs].

The authors examined 50 patients with chronic diseases of the lungs in the pre- and post-operative period. Immunological indices, neutrophil phagocytic activity in the first place, in combination with the laboratory severity index make it possible to conduct effective control of preoperative management and the patients condition in the postoperative period.

Adolescent↗

[Hemosorption in the complex therapy of severe forms of acute pneumonia and infectious destruction of the lungs].

The article deals with the results of treatment of 60 patients with severe pneumonia and acute infectious destructions of the lungs. Hemosorption improved the results of treatment of patients with this pathological condition due to rapid recovery from the state of toxicosis, stimulation of immunity, and improvement of microcirculation. The dynamics of changes of the immunological values are discussed, the indications for conducting hemosorption in patients with severe pneumonia and infectious destructions of the lungs and the criteria of its efficacy are determined.

Acute Disease↗