The issues of the surgical treatment radicalism in surgical treatment of the heart malignancies


Keywords: malignant tumors of the heart; surgical treatment; radicalism

Abstract

Objective. To determine the methods of diagnosis and surgical treatment, directed on maximally radical extirpation of the heart malignancy.

Маterials and methods. The treatment of 912 patients, suffering tumors of the heart, was conducted in National Institute of Cardio-Vascular Surgery named after N. М. Аmosov NAMS of Ukraine in 1970 - 01.01.2018 yr, including 63 (6.9%) patients, suffering the heart malignancies of various kinds and localizations.

Results. The operations were performed in 62 patients, of them in 51 (82.3%) - using artificial blood circulation. Hospital lethality in surgical treatment of the heart malignancies have constituted 22.6% (14 patients died). In 20 (32.3%) patients, in whom a conditionally radical cardio-surgical interventions, using artificial blood circulation, was done a good hemodynamic effect was noted.

Conclusion. For achievement of a conditional radicalism of the operation and maximal hemodynamical effect in some observations the application of the extended procedures for the heart structures damaged in combination with active desintoxication therapy and urgent chemotherapy are mandatory.

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Author Biographies


R. M. Vitovsky, Аmosov National Institute of Cardio-Vascular Surgery, Kiev

Vitovskiy Rostislav M., MD, DSci (Med),Professor,

Senior cardiac surgeonоf department of multiple organ failure and obstetric cardiosurgery,

N.M. AmosovNational Institute of Cardio-Vascular surgery

06 Amosova Str., 02000, Kyiv, Ukraine

 +380 044 2775577

rostislavv1962@gmail.com

orcid.org/0000-0001-5318-6708


D. N. Dyadyun, Аmosov National Institute of Cardio-Vascular Surgery, Kiev

Dyadyun Dmytro N.,МD,

Cardiac surgeonоf department of multiple organ failure and obstetric cardiosurgery

N.M. AmosovNational Institute of Cardio-Vascular surgery

06 Amosova Str., 02000, Kyiv, Ukraine

+380 044 2775577

bloodshade55@gmail.com

orcid.org/0000-0002-3350-2758


V. V. Isaienko, Аmosov National Institute of Cardio-Vascular Surgery, Kiev

Isaienko Volodymyr V.,МD, PhD (Med), AssosiateProfessor,

Cardiac surgeonоf department of multiple organ failure and obstetric cardiosurgery

N.M. AmosovNational Institute of Cardio-Vascular surgery

06 Amosova Str., 02000, Kyiv, Ukraine

+380 044 2775577

vladvis6@gmail.com

orcid.org/0000-0002-7209-358X


V. F. Onishchenko, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Onishchenko Volodymyr.F., МD, PhD (Med), AssosiateProfessor,

Department of Cardiac Surgery

Shupik National Medical Academy of Postgraduate Education,

09, Dorogozhytska, 04112, Kyiv, Ukraine

 +380 044 2775577

 perfusion@ukr.net

orсid.org/0000-0002-9616-838X


A. A. Pishchurin, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Pishchurin Oleksandr A., МD, PhD (Med), AssosiateProfessor,

Department of Cardiac Surgery

Shupik National Medical Academy of Postgraduate Education,

09, Dorogozhytska, 04112, Kyiv, Ukraine

+380 044 2775577

sercecafedra@gmail.com

orсid.org/0000-0001-5931-9970


I. V. Martyshchenko, Аmosov National Institute of Cardio-Vascular Surgery, Kiev

Martyshchenko Igor V.,МD,

Cardiac surgeonоf department of multiple organ failure and obstetric cardiosurgery

Amosov National Institute of Cardio-Vascular surgery

06 Amosova Str., 02000, Kyiv, Ukraine

+380 044 2775577

martyshchenko.i.v@gmail.com

orсid.org/0000-0001-9071-0425

Published
2019-01-30
How to Cite
Vitovsky, R. M., Dyadyun, D. N., Isaienko, V. V., Onishchenko, V. F., Pishchurin, A. A., & Martyshchenko, I. V. (2019). The issues of the surgical treatment radicalism in surgical treatment of the heart malignancies. Klinicheskaia Khirurgiia, 86(1), 17-20. https://doi.org/10.26779/2522-1396.2019.01.17
Section
General Problems of Surgery