[Diagnosis and surgical policy in benign lesions of liver].
The results of the treatment of 430 patients with benign tumors of the liver (BTL), including hemangiomas (41), nonparasitic solitary cysts (49), polycystosis (65) and parasitic hepatic lesions (alveococcosis-91, echinococcosis-184). To determine the character of a volume structure the accuracy of ultrasound and duplex sonography was tested (87.1-91.7%), as well as the accuracy of computer tomography (91.4-96.8%), angiography (90.6-96.3%), serological and radioimmunoassays. The use of these methods has increased the accuracy of diagnosis 2.2 times (in hemangiomas), nonparasitic cysts-to 1.2 times. The proposed methods of differential diagnosis and choosing of a proper treatment policy in patients with BTL made it possible to formulate indications and contraindications for the surgery, work out an optimal treating policy, depending on a character, location of BTL. The improvement of the surgical technique has decreased the rate of morbidity and mortality (2.5 and 1.5 times respectively).
Malinovskii
N N
NN
Sientific Center of Surgery, Moscow.
Movchun
A A
AA
Gabdulaev
A G
AG
Shatverian
G A
GA
Van San'
L
L
D000792:Angiography / Q000379:methods; D003560:Cysts / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D004444:Echinococcosis, Hepatic / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006391:Hemangioma / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012698:Serologic Tests / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D018616:Ultrasonography, Doppler, Duplex / Q000379:methods
Diagnostika i khirurgicheskaia taktika pri dobrokachestvennykh ob''emnykh obrazovaniiakh pecheni.