Novosti
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This journal is indexed in Scopus |
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Year 2011 Vol. 19 No 6
TRAUMATOLOGY AND ORTHOPEDICS
V.T. MALKEVICH, E.V. BOGUSHEVICH, L.I. OSITROVA, T.N. SEROVA, I.A. ILYIN
RADIOLOGY DIAGNOSTICS OF INTRAPLEURAL COMPLICATIONS AFTER SURGERY FOR CANCER OF THE ESOPHAGUS AND CARDIA
Objectives. Determination of radiology diagnostics possibilities of intrapleural surgical complications in patients operated on for esophageal cancer and cardia.
Methods. The investigation included 1026 patients who were treated in the RNPC of oncology and medical radiology named after N.N. Alexandrov and were performed subtotal resection of the esophagus with the formation of intrapleural esophageal anastomoses, including cancer of the esophagus – 429, cancer of esophagogastric junction – 597 during the period from 1990 up to 2010.
Results. 84 patients composing 8,2% from the total number dhad surgical complications. X-ray examination proved to be the most effective in early diagnosis of intrapleural esophageal anastomosis leaks and esophagotransplantat necrosis. The diagnostic value of this method was 88%.
Conclusions. Timely diagnosis of the intrapleural complications permitted to determine the surgical tactics and to select the optimal time to perform emergency surgery.
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