Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko130910.18499/2070-478X-2020-13-1-46-50ExperienceОпыт работы (архивный)UnknownEXPERIENCE OF A MINIMALLY-INVASIVE STAGE TREATMENT OF MULTIPLE ABSCESSES OF LIVERОпыт малоинвазивного этапного лечения множественных абсцессов печениhttps://orcid.org/0000-0001-8344-01562556-4085VinichenkoAnastasia AnatolievnaВиниченкоАнастасия Анатольевна
Russian Federation

surgeon, surgical department No. 3

врач-хирург хирургического отделения№3

Anastasia_30@live.ruhttps://orcid.org/0000-0002-6410-78576805235307-8443MelnikovVasily ValerievichМельниковВасилий Валериевич
Russian Federation

surgeon, surgical department No. 3

врач-хирург, хирургическое отделение №3

vasr85@gmail.comhttps://orcid.org/0000-0003-4126-28865887-3250KulikovDmitry ViktorovichКуликовДмитрий Викторович
Russian Federation

surgeon, surgical department No. 3

врач-хирург, хирургическое отделение №3

fomka123.91@gmail.comhttps://orcid.org/0000-0002-0670-26824095-8759Did-ZurabovaElena SergeevnaДид-ЗурабоваЕлена Сергеевна
Russian Federation

surgeon, surgical department No. 3

врач-хирург, хирургическое отделение №3

didelena@mail.ruhttps://orcid.org/0000-0001-5495-14593442-0521RebrovAnton AleksandrovichРебровАнтон Александрович

surgeon, surgical department No. 3

врач-хирург, хирургическое отделение №3

rebrovspb@mail.ruhttps://orcid.org/0000-0001-7824-7036276524BogdanovPetr IvanovichБогдановПетр Иванович

surgeon, surgical department No. 3

врач-хирург, хирургическое отделение №3

piterdoc@mail.ruhttps://orcid.org/0000-0003-2207-34142839-7241SemenovDmitry YuryevichСеменовДмитрий Юрьевич

M.D., Professor, Director of the MoscowRegional Research Clinical Institute. M.F. Vladimirsky

директор Московского областного научно-исследовательского клинического института им. М. Ф. Владимирского

semenov_du@mail.ruhttps://orcid.org/0000-0002-0815-70329429-7305VaganovAleksey AleksandrovichВагановАлексей Александрович

surgeon, surgical department No. 3

врач-хирург, хирургическое отделение №3

wellex07@gmail.ruFirst St. Petersburg State Medical University. I.P. PavlovaПервый Санкт-Петербургский Государственный Медицинский Университет им.И.П.ПавловаMoscow Regional Research Clinical Institute M.F. Vladimirsky, Moscow, Russian FederationМосковский областной научно-исследовательский клинический институт имени М.Ф. Владимирского25022020131465029032019Copyright ©; 2020, Voronezh N.N. Burdenko State Medical UniversityCopyright ©; 2020, ФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава России2020Voronezh N.N. Burdenko State Medical UniversityФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава Россииhttps://vestnik-surgery.com/journal/about/editorialPolicieshttps://vestnik-surgery.com/journal/article/view/1309

Relevance. Liver abscesses remain one of the most urgent problems in abdominal surgery, reaching 2-3 cases per 100,000 people. A wide range of causes, the complexity of diagnosis and the imperfection of treatment methods reaching a high mortality, from 2 to 31% according to different authors. The abscesses developing as a complication in the postoperative period are the greatest difficulty in diagnosis and treatment. The advantage of minimally invasive technologies at the present stage of development of surgery is indisputable. However, the question remains of the indications for their use, phasing and technology of implementation.

Purpose of the study. On the clinical example, to show the possibility, logic and sequence of minimally invasive treatment in a patient with multiple liver abscesses.

Materials and methods. Presented a clinical case of minimally invasive treatment of postoperative complications in a patient receiving primary treatment for multiple primary cancer - cholangiocarcinoma and kidney cancer with the development of multiple liver abscesses of the ambiguous nature (cholangiogenic, pyogenic, traumatic, ischemic).

Result. In the presented clinical case are presented the possibilities of a staged, minimally invasive treatment of multiple liver abscesses

Цель исследования. На клиническом примере показать возможность, логику и последовательность миниинвазивного лечения у пациентки с множественными абсцессами печени.

Материалы и методы. Представлен клинический случай миниинвазивного лечения послеоперационных осложнений у пациентки, получающей основное лечение по поводу первично множественного рака – холангиокарциномы и рака почки с развитием в послеоперационном периоде множественных абсцессов печени неоднозначной природы ( холангиогенный, пиогенный, травматический, ишемический).

Результат. В представленном клиническом случае представлены возможности этапного малоинвазивного лечения множественных абсцессов печени.

Вывод. На примере клинического наблюдения продемонстрирован рациональный подход к этапному лечению множественных абсцессов печени с применением различных малоинвазивных методик.

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