Biomedical subjects
Publications and source records attributed to P P Shipulin.
The experience in 102 cases of esophagogastroplasty is analyzed, different methods of formation of gastric transplant both in tumors and cicatricial stenosis of the esophagus and stomach are described. Advantages and disadvantages of 57 intrathoracic and 45 cervical esophago-gastric anastomoses with different methods of gastric tube formation are also described in detail. Overall lethality was 5.9%.
The experience of the laser and electrocoagulational recanalization conduction of the respiratory ways stenosis portions in 118 patients with respiratory organs tumors was summarized. There was established the probability of the recanalization application for tumoral and cicatricial tracheobronchial stenosis. The advantages of various bronchoplastic operations application after performance of endoscopic recanalization of tracheobronchial tree were noted. After performance of endoscopic recanalization of respiratory ways all the patients are alive.
More than twenty-year experience of performance of endoscopic laser operation (ELO) on trachea and bronchi in patients with malignant and benign tumors was summarized. Cancer of trachea and bronchi of I-II stages was noted in 3, of III stage--in 384, of IV stage--in 205 patients, adenoma of bronchus--in 13. Technical possibilities of Nd-YAG laser were demonstrated. The immediate and follow-up results of operative intervention, subsequent possibilities of combined treatment of patients using, after ELO conduction, the extended intervention in combination with radiation therapy and chemotherapy.
The ten-year experience of the regional hospital thoracic department in treatment of 723 patients with spontaneous pneumothorax and 678 injured persons, suffering complicated thoracic trauma, was summarizd. The tactic and methods of treatment of such patients, using modern technologies and endoscopic operations, was depicted. Comparative analysis of the different methods efficacy, their results, advantages and faults estimation were conducted. Recommendations for application of every method of treatment in various clinical situations were adduced.
Experience in surgical treatment of 78 patients with cancer of the esophagus and 43 patients with scar strictures of the esophagus was analyzed. Surgical methods using produced in Russia and foreign staplers and laser technologies are described. Various surgeries performed in these diseases are presented: Lewis, Garlok, Torek, Akiyama, Mardwell-Vendel surgeries, gastrectomies, shunting esophagocoloplasties. These techniques were compared, their advantages, disadvantages and complications are described in detail.
Explore the source record for details and available documents.
For achalasia of esophagus (AE) 23 patients were operated, in 14 of them surgical intervention was performed using thoracotomy access, in 9--laparoscopic. Standard laparoscopic method was improved by the authors, allowing to achieve better visualization of the operation field, reduction of operation duration, decrease its traumatism in comparison with this data during performance of operation using thoracotomy access. Patients are enduring laparoscopic operation better, this operation is technically performable, according to most of indexes its exceeds thoracotomy method. There was established, that operative treatment of AE is expedient to conduct in early periods of the disease.
A 25-year experience of pulmonary and pleural surgery in 348 patients, reconstructive esophageal operations in 74 patients, bronchoscopic interventions using different laser techniques--in 925 patients, and thoracoscopic operations of traumatic and spontaneous pneumothorax--in 150 patients has been summarized. The methods of laser pulmonary resection, processing of bronchial stump, fibrous capsule, pleurodesis, stitching of esophagogastric, esophagointestinal and interintestinal anastomoses and of bronchoscopic photo destruction of tracheal and bronchial tumors have been described. Haemostatic, bactericidal and ablastic properties of laser have been described. Lasers were used in miniinvasive thoracic surgery for thoracoscopic and videothoracoscopic interventions.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The forty-years experience of treatment of 125 patients with thymic gland tumors was summarized, in 113 of them thymoma was revealed. In the disease of I-II stages the five-year survival index had constituted 75.6%, and in III-IV stages the method of choice is combined treatment, after which the five-years survival index does not exceed 31.2%. It is necessary to perform additional studying of factors, influencing the result of treatment of the thymic gland tumor.
Seven-year experience in the treatment of 21 patients with chronic osteomyelitis of the ribs and sternum is summarized. Great omentum was used as plastic and disinfecting material in combination with laser radiation. Indications, techniques, short- and long-term results are presented. There were no recurrences of purulent process in the bones. Omentoplasty is the method of choice in surgical treatment of purulent lesions of costal cartilage and sternum.
Results of treatment of 37 patients with advanced purulent mediastinitis are presented. The cause of mediastinitis in 27 patients was perforation of the esophagus, in 10--purulent diseases of head and neck. Lethal outcome was in 9 (24.3%) cases. Sepsis and progression of mediastinitis were the main causes of lethal outcomes.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.