[The effect of immune system disorders on the incidence of inflammatory complications in surgeries on the liver].
Inflammatory complications in the abdominal cavity are the most frequent complications after operations on the liver. Immunological studies were conducted in 71 patients with local lesions of the liver who had undergone various surgical interventions. Cellular and humoral immunity factors were studied. The absolute and percentage content of T- and B-lymphocytes and the level of the main three classes of immunoglobulins-A, M and G were determined. The authors noted a definite correlation between the degree of disturbance of the immune system and preoperative complications, preoperative complications of the principal disease (purulent complications--suppuration of the cavity of disintegration of the alveococcus, abscesses of the liver), functional condition of the liver, and postoperative purulent complications. The treatment of inflammatory complications in the postoperative period (suppuration of residual cavities after resection of the liver and echinococcotomy, subdiaphragmatic and subhepatic abscesses) was more effective in patients with mild changes in immunological parameters.
Al'perovich
B I
BI
Department of Surgical Diseases No 2 of Siberian Medical University, Tomsk.
Kazantsev
N I
NI
Smol'ianinov
E S
ES
Dizer
I A
IA
D000293:Adolescent; D000328:Adult; D001424:Bacterial Infections / Q000150:complications / Q000453:epidemiology* / Q000276:immunology; D005260:Female; D006801:Humans; D007109:Immunity / Q000276:immunology; D015994:Incidence; D008107:Liver Diseases / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000453:epidemiology* / Q000209:etiology / Q000276:immunology; D011183:Postoperative Complications