Medical tactics for bleeding after oncological interventions on the pancreas

N. I. Glushkov, M. Kabanov, K. Sementsov, A. Skorodumov, T. E. Koshelev, D. K. Savchenkov, V. V. Alekseev, Maksim V. Vasilchenko, Vladimir A. Loginov, D. O. Vagner, Anastasia V. Andrusenko, Arina A. Romanova
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Abstract

About 60% of malignant tumors of the hepatopancreatoduodenal region are represented by neoplasms of the pancreas, accounting for 10% of the total number of malignant tumors of the gastrointestinal tract. Simultaneously with the accumulation of experience, the improvement of the instruments used and the improvement of the supply of medical institutions, the number of cases of surgical treatment of pancreatic neoplasms is growing. The geography of these interventions is expanding. Accordingly, the issues of prevention and treatment of postoperative complications during these interventions, including such a dangerous complication as bleeding, are becoming increasingly important. Postoperative bleeding is diagnosed in 22% of operated patients with a given localization of a malignant neoplasm. The review analyzes modern views on the etiology, diagnosis and treatment of bleeding after resection interventions for pancreatic tumors.
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胰腺肿瘤介入后出血的医疗策略
肝胰十二指肠区恶性肿瘤约60%以胰腺肿瘤为代表,占胃肠道恶性肿瘤总数的10%。随着经验的积累、所用器械的改进和医疗机构供应的改善,手术治疗胰腺肿瘤的病例数量正在增加。这些干预措施的地理范围正在扩大。因此,在这些干预中预防和治疗术后并发症的问题,包括出血等危险并发症,变得越来越重要。术后出血的诊断在22%的手术患者的恶性肿瘤的特定定位。本文就胰腺肿瘤切除术后出血的病因、诊断和治疗的现代观点作一综述。
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