title: [Strategies in the surgery choice in patients with hepato-pancreatic-duodenal-biliary diseases involving cardiovascular and respiratory system diseases].
abstract: Results of treatment of 38 patients, suffering nontumoral and tumoral diseases of the hepatopancreatoduodenal zone organs and concurrent diseases of cardiovascular and respiratory systems were analyzed. Septic-purulent affections, caused by the principal disease, had constituted the leading complication in occlusion-stenotic affection of cardiac coronary vessels. Due to the alternative absence the majority of the patients were operated on with lethal outcome. Basing on analysis of morphometric investigations of cardiac vessels there was suggested the expedience of coronarographic investigation conduction and, basing on its results, to perform preoperatively the balloon dilatation or stenting of cardiac coronary vessels, independently of kind of the main disease present. In presence of haemodynamically significant stenosis of the cardiac coronary vessels trunk and main branches (more than 70% of their lumen) the lethal outcome risk after performance of operative intervention is very high.
authors.forename: M V
authors.initials: MV
authors.lastname: Bondarenko
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology*; D002761:Cholangitis / Q000150:complications / Q000601:surgery*; D002763:Cholecystectomy / Q000379:methods*; D002764:Cholecystitis / Q000453:epidemiology* / Q000601:surgery*; D002915:Chylous Ascites / Q000453:epidemiology* / Q000601:surgery*; D004382:Duodenitis / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000453:epidemiology* / Q000601:surgery*; D012140:Respiratory Tract Diseases / Q000453:epidemiology*