Matches in SemOpenAlex for { <https://semopenalex.org/work/W2736691122> ?p ?o ?g. }
Showing items 1 to 61 of
61
with 100 items per page.
- W2736691122 endingPage "2502" @default.
- W2736691122 startingPage "2502" @default.
- W2736691122 abstract "Background: Recent experimental and clinical researches improves our understanding of natural course of acute necrotizing pancreatitis and mechanisms of its complications development. Today there are no disagreements on the issue of timing and main indications for surgery of ANP, but different surgical approaches still exist.Methods: The analysis of treatment of 226 patients with acute necrotizing pancreatitis has been performed. The study group included 116 patients in whom consequently diapeutic methods, endoscopic and lumbotomic video-controlled pancreatic necrsequesterectomy, minilaparo and lumbotomy, in case of their insufficiency- “open” interventions on pancreas were applied. In 110 persons of the control group traditional surgical tactic with application of laparotomic procedures was used.Results: Sequential (step-up) implementation of mini-invasive surgery allowed to reduce the number of open wide operations by 3.4 times (p <0,05) and to postpone their performance: 85% of operations in the study group were performed after 4 weeks of the disease onset, in the control group only 33% (p <0,05). Compared with the control group the level of the first diagnosed OF after the surgery was significantly lower in patients undergoing preliminary mini-invasive surgery (12.5% versus 28.2%, p <0.05), the number of patients requiring prolonged intensive care after the surgery was significantly lower (17.5% versus. 38.2%, p <0.05). 4 patients of the study group died (versus 26 in the control group р<0,05).Conclusions: Application of step-up individualized approach in patients with acute necrotizing pancreatitis ensures a decrease in the number of laparotomic pancreatic necrosectomies and allows to postpone open operations for the period after the 4th week of disease onset which is accompanied by reduction of the incidence of postoperative organ failure and mortality." @default.
- W2736691122 created "2017-07-31" @default.
- W2736691122 creator A5003174176 @default.
- W2736691122 creator A5011871840 @default.
- W2736691122 creator A5012051484 @default.
- W2736691122 creator A5065133014 @default.
- W2736691122 creator A5076845593 @default.
- W2736691122 creator A5088097483 @default.
- W2736691122 date "2017-07-24" @default.
- W2736691122 modified "2023-10-14" @default.
- W2736691122 title "Comparison of open pancreatic necrosectomy with step-up minimally invasive approach as surgical treatment of patients with acute necrotizing pancreatitis" @default.
- W2736691122 doi "https://doi.org/10.18203/2349-2902.isj20173383" @default.
- W2736691122 hasPublicationYear "2017" @default.
- W2736691122 type Work @default.
- W2736691122 sameAs 2736691122 @default.
- W2736691122 citedByCount "0" @default.
- W2736691122 crossrefType "journal-article" @default.
- W2736691122 hasAuthorship W2736691122A5003174176 @default.
- W2736691122 hasAuthorship W2736691122A5011871840 @default.
- W2736691122 hasAuthorship W2736691122A5012051484 @default.
- W2736691122 hasAuthorship W2736691122A5065133014 @default.
- W2736691122 hasAuthorship W2736691122A5076845593 @default.
- W2736691122 hasAuthorship W2736691122A5088097483 @default.
- W2736691122 hasBestOaLocation W27366911221 @default.
- W2736691122 hasConcept C126322002 @default.
- W2736691122 hasConcept C141071460 @default.
- W2736691122 hasConcept C2775967933 @default.
- W2736691122 hasConcept C2776670229 @default.
- W2736691122 hasConcept C2778764654 @default.
- W2736691122 hasConcept C2910062394 @default.
- W2736691122 hasConcept C3018900477 @default.
- W2736691122 hasConcept C71924100 @default.
- W2736691122 hasConceptScore W2736691122C126322002 @default.
- W2736691122 hasConceptScore W2736691122C141071460 @default.
- W2736691122 hasConceptScore W2736691122C2775967933 @default.
- W2736691122 hasConceptScore W2736691122C2776670229 @default.
- W2736691122 hasConceptScore W2736691122C2778764654 @default.
- W2736691122 hasConceptScore W2736691122C2910062394 @default.
- W2736691122 hasConceptScore W2736691122C3018900477 @default.
- W2736691122 hasConceptScore W2736691122C71924100 @default.
- W2736691122 hasIssue "8" @default.
- W2736691122 hasLocation W27366911221 @default.
- W2736691122 hasOpenAccess W2736691122 @default.
- W2736691122 hasPrimaryLocation W27366911221 @default.
- W2736691122 hasRelatedWork W1524565530 @default.
- W2736691122 hasRelatedWork W2008878688 @default.
- W2736691122 hasRelatedWork W2016083493 @default.
- W2736691122 hasRelatedWork W2062736287 @default.
- W2736691122 hasRelatedWork W2347874502 @default.
- W2736691122 hasRelatedWork W2416651159 @default.
- W2736691122 hasRelatedWork W2427697561 @default.
- W2736691122 hasRelatedWork W26755721 @default.
- W2736691122 hasRelatedWork W2904695648 @default.
- W2736691122 hasRelatedWork W2914151921 @default.
- W2736691122 hasVolume "4" @default.
- W2736691122 isParatext "false" @default.
- W2736691122 isRetracted "false" @default.
- W2736691122 magId "2736691122" @default.
- W2736691122 workType "article" @default.