SURGICAL TREATMENT OF COMPLICATED GASTRIC CANCER IN YOUNG AND MIDDLE-AGED PATIENTS.

The high frequency of complicated forms of gastric cancer in young and middle-aged patients is associated with faster and more biologically aggressive tumor growth, as well as with a delay in diagnosis. The study aimed to evaluate the efficacy, safety, and technical feasibility of surgical interventions for complicated forms of gastric cancer in young and middle-aged patients. We studied 98 patients with complicated forms of gastric cancer from IIB to stage IV according to the TNM8 classification with a predominant lesion of the antrum and body of the stomach.

[ARRHYTHMIAS IN PATIENTS OPERATED ON FOR HIATAL HERNIA].

The purpose of this publication is to identify the prevalence of arrhythmia as one of the manifestations of gastrocardial syndrome in patients with hernias of the esophageal orifice of the diaphragm and reflux esophagitis. To evaluate the results of antireflux surgery in the dynamics of arrhythmia regression. Materials and methods: the study included 101 patients with hiatal hernias who were undergoing inpatient examination and treatment.

[Management of surgical complications following prolonged warfarin therapy in a general surgical hospital].

Objective: To analyze an effectiveness of algorithm for complex treatment of patients with surgical complications of prolonged warfarin therapy in a general surgical hospital.

Material And Methods: The study included 138 patients with surgical complications of prolonged warfarin therapy. All patients received warfarin for at least 6 months (49.

[Optical sonography in differential diagnosis of thyroid nodes].

Objective: To develop a non-invasive method for differential diagnosis of thyroid nodes.

Material And Methods: Optical sonography was made in 623 patients with thyroid nodes including 374 women (60%) and 249 men (40%) aged 19-79 years (mean 64±15 years). All patients underwent ultrasound-assisted fine-needle aspiration biopsy.

[Ultrasound assessment of vocal cords function after thyroid surgery].

Objective: To analyze vocal cords function after thyroid surgery by using of ultrasound examination.

Material And Methods: Assessment of voice quality according to GRBAS scale, ultrasound examination of vocal cords and indirect laryngoscopy were performed in 57 patients after thyroid surgery.

Results: Postoperative indirect laryngoscopy and ultrasound revealed normal mobility of vocal cords in all patients.

Evaluation Criteria and Surgical Technique for Transoral Access to the Thyroid Gland: Experimental Study.

: The development of endoscopic techniques motivated surgeons to search for alternative and more cosmetic approaches for thyroid and parathyroid surgery. Several variations of transoral access to the anterior neck areas were applied in recent years. One of them is a premandibular access proposed by Nakajo et al, it is performed through the oral vestibule by creating the working space by means of the lifting method.

[Transoral approach to thyroid gland in the experiment].

Aim: To develop minimally invasive and safe endoscopic access to thyroid gland.

Material And Methods: Transoral pre-mandibular video-assisted gas-free access to thyroid gland was developed in experimental study that included 19 human cadavers. Stereometric modeling defined the evaluation criteria including the form of basal arch of lower jaw and its height.

[Risk of hypocalcemia after thyroid surgery].

Aim: To reveal calcium metabolism disorders that frequently occur after thyroid surgery.

Material And Methods: The study included 202 patients who underwent thyroid surgery for different diseases and had normal calcium level in peripheral blood at baseline.

Results: Based on laboratory data postoperative hypocalcemia was diagnosed in 57 (28.

[Ultrasonic method of study and puncture biopsy in diagnosing thyroid nodules].

Results of diagnosis of thyroid nodes in 404 patients are analyzed. Ultrasonic examination and US-assisted puncture biopsy were carried out before operations. Their results were compared with ones of morphologic study performed after surgery.