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5 results on '"Kostiuk IP"'

1. [Completion technology of pelvic surgery accompanying with cystectomy in elderly and senile patients].

Author

Krest'ianinov SS, Kostiuk IP, Shestaev AIu, Shostka KG, Vasil'ev LA, Kheĭfets VKh, Pavlenko AN, and Kagan OF

Subjects
Aged, Aged, 80 and over, Colorectal Neoplasms surgery, Comparative Effectiveness Research, Female, Humans, Lymph Node Excision, Male, Middle Aged, Postoperative Period, Treatment Outcome, Urinary Bladder Neoplasms surgery, Urogenital Neoplasms surgery, Cystectomy adverse effects, Cystectomy methods, Drainage adverse effects, Drainage methods, Pelvic Exenteration adverse effects, Pelvic Exenteration methods, Postoperative Complications diagnosis, Postoperative Complications prevention & control
Abstract

Results of treatment of 204 elderly and senile patients who underwent cystprostatectomy or anterior pelvic exenteration are analyzed. A comparative analysis of two groups of patients whose operation ended with the traditional drainage through the anterior abdominal wall (n = 100), and bilateral perineal drainage (n = 104) is presented. Bilateral perineal drainage after operations on the pelvic organs, accompanied by cystectomy and extended lymphadenectomy in conjunction with the restoration of the peritoneum lateral pelvic walls, improves postoperative recovery of intestinal peristalsis, promotes an earlier reduction in the intensity of pain and morbidity in the early postoperative period. Perineal installation of drains is a simple in design and safe procedure. We recommend bilateral perineal drainage after operations on the pelvic organs, accompanied by cystectomy and extended lymphadenectomy.

Published
2014

2. [Pelvic exenteration in surgery for colorectal cancer].

Author

Roman LD, Kostiuk IP, Shostka KG, Pavlenko AN, Krest'ianinov SS, and Vasil'ev LA

Subjects
Adult, Aged, Aged, 80 and over, Anastomosis, Surgical, Colorectal Neoplasms mortality, Female, Humans, Male, Middle Aged, Survival Analysis, Treatment Outcome, Urinary Incontinence etiology, Colon surgery, Colorectal Neoplasms surgery, Colostomy, Pelvic Exenteration adverse effects, Pelvic Exenteration methods, Pelvic Exenteration statistics & numerical data, Urinary Diversion
Abstract

A total of 1436 patients with colorectal cancer underwent resective surgery: 244 (15.6%) received combined interventions, 94 (41.9%) pelvic exenteration (PE), 38 (40.4%) complete PE, 9 (9.6%) of which were infralevator and 29 (30.8%) supralevator. In 56 (59.6%) patients posterior PE was performed, supralevator was performed in 17 (18.1%) cases and infralevator in 39 (41.5%) cases. In 47 (69.1%) of 68 supralevator PE recipients colonic anastomosis was formed. In 21 (38.9%) patients a terminal colostoma was formed, in 29 (76.3%) of 38 patients incontinent urinary diversion was formed. Continent urinary diversion was performed in 9 (23.7%) patients. Twenty six (27.6%) patients had 43 post-operative complications which were lethal in 7 (26.9%) cases.

Published
2012

3. [Ways to improve the quality of life of elderly and senile patients after the operation by Brikker].

Author

Roman LD, Vasil'ev LA, Shestaev AIu, Kheĭfets VKh, Kostiuk IP, Shostka KG, Pavlenko AN, Krest'ianinov SS, and Kagan OF

Subjects
Age Factors, Aged, Cystectomy methods, Female, Geriatric Assessment, Humans, Male, Mental Competency, Sex Factors, Urinary Bladder surgery, Anastomosis, Surgical adverse effects, Anastomosis, Surgical methods, Anastomosis, Surgical psychology, Anastomotic Leak etiology, Anastomotic Leak psychology, Ileum surgery, Postoperative Complications epidemiology, Postoperative Complications physiopathology, Postoperative Complications psychology, Quality of Life, Ureter surgery, Urinary Diversion adverse effects, Urinary Diversion methods, Urinary Diversion psychology
Abstract

The present study is devoted to improving quality of life of patients in elderly and senile age after operation of Bricker by finding the optimal method of forming ureterointestinal anastomosis. From 2007 to 2009 103 patients of elderly and senile age with diseases requiring removal of the bladder were treated in the Lenigrad Regional Oncology Centre. All the patients were made cystectomy. Patients were divided into two groups: In 1st group, the ureterointestinal anastomosis was formed a classical way "end to side" described Bricker, in the 2nd group ureterointestinal anastomosis was performed by the method of Wallace - "common area". Pathological conditions developed in patients in late postoperative period were as follows: hydronephrosis in early and later stages, obstructive pyelonephritis, frequent attacks of chronic pyelonephritis, chronic renal failure, urinary fistula. Formation of ureterointestinal anastomosis by Wallace during surgery reduces the amount of later postoperative complications. Quality of life was better after the formation of ureterointestinal anastomosis by Wallace.

Published
2011

4. [Palliative resection in esophageal cancer].

Author

Roman LD, Kotiv BN, Bisenkov LN, Shostka KG, and Kostiuk IP

Subjects
Adult, Aged, Aged, 80 and over, Esophageal Neoplasms mortality, Female, Humans, Male, Middle Aged, Quality of Life, Retrospective Studies, Survival Analysis, Treatment Outcome, Esophageal Neoplasms surgery, Esophagectomy methods, Palliative Care methods
Abstract

A 20-year experience of treatment of 633 patients with cancer of the thoracic esophagus has been evaluated. Far advanced disease was diagnosed in 384 (60.7%). Radical, palliative and symptomatic surgery was performed in 421 (66.5%), 44. (6.9%) and 168 (26.6%), respectively. No significant differences were reported between the immediate results of radical and palliative treatment. Since survival and quality of life after palliative resection appeared to be better than after symptomatic surgery, the former should be recommended for use in clinic.

Published
2009

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