@article{Bayramov1999, abstract = {The study was aimed at comparative assessment of three methods of hepatic resection for hepatocellular cancer in patients with concomitant cirrhosis: clamp-crashing (CC), ultrasonic knife-aspirator (UNA), and combined application of UNA and argon coagulator (UNA+ AC). 69 patients with hepatocirrhosis underwent liver resection for hepatocel lular cancer ( of these, lobectomy was performed in 37, and segmentectomy - in 32 patients). Concomitant class A cirrhosis was noted in 53 subjects, and class B - in 16 cases. The mean age of the operated on patients amounted to 52.1 years. The CC method was applied in 19 patients, UNA-in 21, and UNA + AC - in 29 cases. The patient groups were compared along the following criteria: the blood loss degree, duration of the operation, time of squeezing the portal triad, degree of lesion to the hepatic parenchyma, incidence of complications and lethal outcomes. Comparing the CC and UNA methods showed that UNA led to a significant decrease in blood loss, while the duration of the operation, portal triad squeezing time, hepatic parenchyma lesion degree, as well as the rate of complications and lethal outcomes did not differ significantly. As compared to the CC and UNA methods, combined application of UNA and CC resulted in a considerable reduction of blood loss, decreasing the time of operation and length of portal triad squeezing, and leading to lower incidence of postoperative complications. No significant differences were noted between these groups along the biochemical indices of and pathohistological criteria for hepatic lesions. Hence, in resecting the liver with accompanying hepatocirrhosis, the UNA method turned out to have no advantages over the classical method of CC in terms of the operation's duration and portal triad squeezing. Among the hepatic resection methods studied, combined application of UNA and AC proved to be most effective.}, annote = {QaraciyÉ™r sirrozu olan 69 xÉ™stÉ™dÉ™ parenximanı kÉ™smÉ™ {\"{u}}sullarının m{\"{u}}qayisÉ™si g{\"{o}}stÉ™rmiÅŸdir ki, klemlÉ™ É™zmÉ™ vÉ™ CUSA arasında ciddi fÉ™rq yoxdur, lakin CUSA vÉ™ arqonlu koaqulyatorun birlikdÉ™ istifadÉ™si qanaxmanı, É™mÉ™liyyat m{\"{u}}ddÉ™tini vÉ™ ağırlaÅŸmaları azaldır.}, author = {Bayramov, N.Y}, file = {:C\:/Users/nurub/Documents/NuruBay 2017/MÉ™qalÉ™rÉ™r vÉ™ tezislÉ™r/{\c{C}}ap olunmuÅŸ mÉ™qalÉ™lÉ™r/MendeleydÉ™ olanlar/m-1999-sravnitelnaya-xarakteristika-metodov-rezeksii-peceni.pdf:pdf;:C\:/Users/nurub/Documents/NuruBay 2017/MÉ™qalÉ™rÉ™r vÉ™ tezislÉ™r/{\c{C}}ap olunmuÅŸ mÉ™qalÉ™lÉ™r/MendeleydÉ™ olanlar/m-1999-sravnitelnaya-xarakteristika-metodov-rezeksii-peceni.doc:doc}, journal = {Ğнналы хирургичеÑкой гепатологии}, keywords = {CUSA,HSK,MÉ™n mÉ™qalÉ™,Qc rez,cirrhosis,liver resection,rezeksiya {\"{u}}sulları,sirroz}, mendeley-tags = {CUSA,HSK,MÉ™n mÉ™qalÉ™,Qc rez,rezeksiya {\"{u}}sulları,sirroz}, number = {1}, pages = {22--28}, title = {{Ğ¡Ñ€Ğ°Ğ²Ğ½Ğ¸Ñ‚ĞµĞ»ÑŒĞ½Ğ°Ñ Ñ…Ğ°Ñ€Ğ°ĞºÑ‚ĞµÑ€Ğ¸Ñтика методов резекции печени по поводу гепатоцеллÑĞ»Ñрного рака при ÑопутÑтвуÑщем циррозе}}, url = {https://rusmed.rucml.ru/ffind?iddb=17&ID=RUCML-BIBL-0000674840 http://bck.az/elm-ve-tedqiqat/meqaleler/m-1999-sravnitelnaya-xarakteristika-metodov-rezeksii-peceni}, volume = {4}, year = {1999} }