Vol 5, No 2 (2011)

Articles
From editorial board
Kuznetsov N.S.

Abstract

Дорогие коллеги! Завершается 2011 год. Нам хочется подвести некоторые итоги и рассказать о перспективах года наступающего. Следуя тенденциям предыдущих лет, журнал продолжает расширять тематический диапазон публикаций, акцентируя внимание как на научных, так и на методических и практических аспектах эндокринной хирургии. Мы стали больше уделять внимания различным аспектам лечения осложнений сахарного диабета и нейрохирургического лечения опухолей гипофиза. Со следующего года журнал будет выходить ежеквартально, и в связи с этим мы рассчитываем на активность молодежи, опыт ведущих клиницистов и взвешенный взгляд представителей научных школ в составлении материалов будущих номеров. Надеемся, что в ближайшем будущем благодаря нашим совместным усилиям журнал “Эндокринная хирургия” будет внесен ВАК в перечень ведущих рецензируемых научных журналов и изданий, в которых должны публиковаться основные научные результаты диссертаций на соискание ученой степени доктора и кандидата медицинских наук.От имени редакционной коллегии поздравляем всех наших читателей с наступающим Новым 2012 годом. Мы желаем вам здоровья и благополучия, творческого вдохновения и успешного исполнения задуманного. Несмотря ни на какую турбулентность кризисов и стагнаций, успешно преодолевать трудности и стремиться к достижению стоящей перед нами светлой цели – нести здоровье людям. Благодарим вас за поддержку и доверие. Главный редактор профессорН.С. Кузнецов
Endocrine Surgery. 2011;5(2):4-4
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Management of patients with differentiated neuroendocrine tumors of jejunum and ileum (according to international guidelines)
Beltsevich D.G., Melnichenko G.A.

Abstract

Клинические рекомендации по ведению больных с нейроэндокринными опухолями дистальной части тонкой (тощей и подвздошной) кишки выработаны группой международных экспертов и освещают обновление эпидемиологических данных, пересмотр различных параметров классификации опухолей (ВОЗ, гистологические критерии, TNM), а также мультидисциплинарные проблемы, связанные с различными вопросами диагностики, стадирования и выбора оптимальных методов лечения больных с нейроэндокринными опухолями указанной локализации. Полный текст рекомендаций: B. Eriksson, G. Kloppel, E. Krennin, H. Ahlman, U. Plоckinger, B. Wiedenmann, R. Arnold, C. Auernhammer, M. Kоrner, G. Rindi, S. Wildi et al. Neuroendocrinology. 2008;87:8–19.
Endocrine Surgery. 2011;5(2):5-17
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Intraoperative parathyroid hormone in strategy of surgical treatment of a primary hyperparathyreosis
Kuznetsov N.S., Kim I.V., Kuznetsov S.N.

Abstract

Problem of surgical treatment of patients with a primary hyperparathyreosis – normalisation of level of a parathyroid hormone and calcium after operation. Any of diagnostics methods before operation does not allow to prognosticate authentically necessary volume of an operative measure in each specific case in this connection, was considered obligatory bilateral intraoperative revision of regions of a typical locating of parathyroids. Appearance of a method of definition of an quick parathyroid hormone during operation has allowed to estimate adequacy of a surgical intervention already on an operating table. Besides, it is a method allows to minimise an operational trauma and duration of a surgical intervention, and also widely to use the video-assisted operative measures in treatment of a primary hyperparathyreosis. We make the retrospective analysis of results of definition intraoperative parathyroid hormone at 230 patients with the primary hyperparathyreosis, operated in Endocrinologic centre of science in Moscow (Russia) from 2006 for 2009. Depending on success of the operative measure, all patients are parted on 4 bunches, according to the received results of concordance and research discordance. The analysed results have shown high sensitivity (93.3%), high specificity (85.7%), and also high predictive value of a positive take (99.5%) definitions intraoperative parathyroid hormone that allows to be oriented on its indexes at a choice of operational strategy in surgical treatment of a primary hyperparathyreosis.
Endocrine Surgery. 2011;5(2):18-25
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Choice of surgery extension in medullary thyroid cancer
Rumyantsev P.O., Ilyin A.A., Rumyantseva U.V.

Abstract

Medullary thyroid cancer (MTC) has high level of clinical aggressiveness as well as high recurrence rate par& ticularly metastases in regional lymph nodes. Surgery is single curative treatment method thus only initial appropriate operation volume could improve disease&free and overall survival. In our study the experience of surgical treatment of 125 MTC patients is analyzing. In 25% of cases there were familial MTC (germline RET/MTC mutation verified) disease and in 75% – sporadic tumors. Comparison of ten&years disease&free sur& vival in two groups with various initial surgery extensions revealed that thyroidectomy associated with central neck dissection as a minimal operation volume has significantly improved long&term disease&free survival as against to lesser initial surgery extension.
Endocrine Surgery. 2011;5(2):26-31
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World endocrine surgery news
Karseladze E.A.

Abstract

Endocrine Surgery. 2011;5(2):32-38
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Availability and efficacy of revascularization in outpatients with neuroischemic diabetic foot
Udovichenko O.V., Korotkov I.N., Gerasimenko O.A.

Abstract

Aim: to analyze treatment results in patients with neuroischemic diabetic foot referred to vascular clinics for revascularization.Methods: Follow-up data of 88 consecutive outpatients with neuroischemic diabetic foot ulcers or postsurgery wounds were analyzed. Initially the patients received treatment in one outpatient diabetic foot clinic form 1st March to 30th June 2010. As conservative ulcer / wound treatment during 3–4 weeks was not effective, all they were referred to vascular surgeon / endovascular specialist consultation in several Moscow hospitals. Data were collected on follow-up visits to the foot clinic or by phone. Median follow-up time was 16 months (3 mo – 2.5 yrs).Results: Of 88 referred, revascularization procedures were performed in 38 patients (21 – endovascular, 17 – bypass surgery). 18 patients were considered as inoperable and 24 refused of vascular specialist consultation or treatment. Ulcer treatment results were satisfactory (primary healing or healing after minor amputation) in59% of revascularized patients, in 33% of inoperable ones and in 32% of those who refused of revascularization. Patients’ refusal rate of vascular intervention was higher in a period of time when treatment appeared to be less successful due to several reasons. Later treatment results were improved and refusal rate decreased. Conclusions: (1) nowadays revascularization is relatively available for diabetic foot patients in Moscow; (2) more than 2/3 of non-revascularized patients have unsuccessful results of ulcer treatment, vascular intervention improves results significantly; (3) revascularization does not increase mortality in elderly patients with neuroischemic diabetic foot; (4) following is necessary for improvement of revascularization efficacy: active combination of bypass surgery and endovascular interventions, considering of pulsatile blood flow in all vascular bed segments as an aim of intervention and close interdisciplinary collaboration
Endocrine Surgery. 2011;5(2):39-48
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