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616.36-089:576.895 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1789) |
Biologie celulară și subcelulară. Citologie (135) |
SM ISO690:2012 PAVLIUC, Galina, BUJOR, Petru, CRUDU, Oleg, MORARU, Viorel, CEAUŞ, Vasile, BUJOR, Sergiu, DANU, Maria. Complicaţiile postoperatorii timpurii ale echinococozei hepatice şi metode de corectare a acestora. In: Sănătate Publică, Economie şi Management în Medicină , 2016, nr. 2(66), pp. 127-130. ISSN 1729-8687. |
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Sănătate Publică, Economie şi Management în Medicină | ||||||
Numărul 2(66) / 2016 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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CZU: 616.36-089:576.895 | ||||||
Pag. 127-130 | ||||||
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Despite advances in liver surgery, the percentage of postoperative complications remains high. This is due to late referral for medical care already in the stage of complications, and a number of diagnostic and tactical mistakes made in the course of treatment. Of the 238 patients with liver echinococcosis operated in the clinic from 1996 to 2016 the most frequently identified types of complications in the early postoperative period were: the formation of bile and external bile-festering fistula – 21 (8.8%); suppuration of residual fibrous cavity – 8 (3.4%); acute liver-kidney failure – 12 (5%); and bleeding and bile efflux from the liver stump – 7 (2.9%). Cysto-biliary communication, sparing resection of the fibrous capsule and inadequate drainage in the postoperative period were the reason for the formation of biliary fistula and suppuration of fibrous residual cavity. Patients in the age category of 70-80 years with complicated giant cysts are predisposed for the development of acute liver failure in the postoperative period. |
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Cuvinte-cheie echinococcosis, liver, surgery, complications |
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