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Рак шлунка, кровотеча - Онкологія - Форум лікарів
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Рак шлунка, кровотеча

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Аватар користувача
BISON
Повідомлень: 31
З нами з: 11 лютого 2017, 12:02
Спеціальність: хірург, онколог, проктолог, флеболог...
Звідки: центр госпітального округу
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Рак шлунка, кровотеча

Повідомлення#1 » 10 січня 2018, 12:31

Наступний випадок, колеги. Бабулька 88 років, але міцна. Недавно діагностований рак шлунку, виникла кровотеча, яку не вдалося зупинити консервативно. Взята на операцію з планом зробити паліативну гастректомію. Інтраопераційно маємо доволі невелике ураження (грубо 4-5 см) на передній стінці, але надто близько гастроезофагеального переходу (6 см) + поширення по очеревині.

Що робити?
По-перше, це неправильно було її оперувати?
Гастеректомія? А якщо все-таки помре?
Резекція? що ми і зробили, залишивши смішний кусочок шлунка.

Полиграф Полиграфыч
Повідомлень: 748
З нами з: 05 червня 2015, 20:17
Спеціальність: не врач
Звідки: фортеця Калаур
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Re: Рак шлунка, кровотеча

Повідомлення#2 » 10 січня 2018, 13:07

1. абсолютные показания к экстренной операции
2. в условиях нашей ЦРБ сделали бы клиновидное иссечение опухоли
3. какую резекцию сделали в вашей клинике?

Darmidon
Повідомлень: 1055
З нами з: 19 березня 2015, 19:29
Спеціальність: хipургiя
Звідки: Україна
Місце роботи: ЛПЗ
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Re: Рак шлунка, кровотеча

Повідомлення#3 » 10 січня 2018, 13:54


Полиграф Полиграфыч
Повідомлень: 748
З нами з: 05 червня 2015, 20:17
Спеціальність: не врач
Звідки: фортеця Калаур
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Re: Рак шлунка, кровотеча

Повідомлення#4 » 10 січня 2018, 20:29

обращаюсь к участникам конференции не по теме - есть ли среди присутствующих кто-то из Николаевской области?

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