операции при остром лейкозе

Preservation ареолы and иссечение the dummy by a technique "nipple-coring" [26], in opinion of authors does not represent danger how, in their opinion, channels settle down only in a dummy. However the special research which has been lead{which has been carried out} in 1993 Schnitt et al. [27], where was investigated presence of channels in ареолярной to a zone in постмастэктомических preparations, has shown, that эпителий channels settles down practically on all surface ареолы, including its{her} peripheral departments. Thus, for decrease{reduction} in risk of development of a cancer in this area it is necessary to delete completely also сосково-ареолярный a complex with his{its} subsequent reconstruction. Подробнее...

The sizes of tumoral formations{educations} after циторедуктивной operations essentially influence results of the subsequent therapy and the forecast of the patient. So, average life expectancy of patients with the sizes of residual tumoral units less than 0,5 sm make 40 months, and at the sizes of 18 and 6 months of 0,5-2 and more 2 sm accordingly [2]. For this reason optimum executed циторедуктивной operation considers at what the maximal sizes of the staying tumoral formations{educations} do not exceed 2 see. In some centers under optimum циторедукцией accept the sizes of the staying tumoral formations{educations} less than 1 see. For achievement similar циторедукции the surgeon sometimes should carry out plural resections of a gut, a liver, a spleen, a bladder, a diaphragm, to use ultrasonic аспиратор and laser коагулятор for removal{distance} fine диссеминатов. Clearly, that циторедуктивные operations are considered technically complex{difficult} and demand high qualification of the surgeon specializing in онкогинекологии. Despite of all this, frequency of performance optimum циторедукции in conducting{leading} clinics of the world makes 23-54 %, and only separate authors achieve it at 75-90 % of patients. Подробнее...