New way of laparoscopic intracorporeal term-terminal invagination ileotransverse anastomosis

Background. Laparoscopic surgery becomes a standard treatment for many surgical diseases. Defects of a stapler laparoscopic mechanical suture during the formation of an anastomosis after hemicolectomy are detected in 18% of observed cases.Objective. Development, substantiate reproducibility and safety of a manual intracorporeal term-terminal invagination ileotransverse anastomosis method after performing the right laparoscopic hemicolectomy.Material and Methods. Authors presented a description of the technique and their own experience of performing laparoscopic hemicolectomy on the right with the formation of a manual original anastomosis in 10 patients with pathology of the right half of the colon. Eight patients (80.0%) had a malignant tumor of the right half of the colon, 1 patient (10.0%) showed multiple polyps of the cecum and the ascending part of the colon, 1 patient (10.0%) developed a cystic-solid submucosa tumor of the ileocecal angle. One patient had metastatic lung disease at the time of establishing diagnosis. The postoperative follow-up period was 7–18 months.Results. There were no conversions to open surgery. All operations (n = 10) were ended completely laparoscopically – right hemicolectomy with standard D2 lymph node dissection. In one patient, we revealed intraoperatively the spread of the tumor to the gallbladder, which required additional cholecystectomy. The duration of the operation was 122.5 ± 10.7 min.; median blood loss was 107 ± 5.2 ml. At the time of follow-up all patients are alive.Conclusion. The technique is universal in the surgical treatment of patients with various pathologies of the right half of the colon

ПРОБЛЕМИ, ЩО ВИКЛИКАЮТЬ НЕОБХІДНІСТЬ ЗАМІНИ НОРМАТИВНИХ ТИМЧАСОВИХ НАВАНТАЖЕНЬ АК ДЛЯ АВТОДОРОЖНІХ МОСТОВИХ СПОРУД

The article is devoted to the analysis of new temporal normative loads of high-way bridges, the determination of dynamic coefficient and the problems of the using these loads in calculation of endurance and determination of remaining resource of elements of bridge structures.Статья посвящена анализу новых временных нормативных нагрузок автодорожных мостов, определению динамического коэффициента и проблемам использования этих загрузок при расчете выносливости и определение остаточного ресурса элементов мостовых сооружений.Стаття присвячена аналізу нових тимчасових нормативних навантажень автодорожніх мостів, визначенню динамічного коефіцієнту та проблемам використання цих навантажень для розрахунку витривалості і визначення залишкового ресурсу елементів мостових споруд

PROBLEMS ARE CAUSED TO CHANGE TYPICAL TEMPORARY LOADS AC FOR BRIDGES CONSTRUCTIONS

The article is devoted to the analysis of new temporal normative loads of high-way bridges, the determination of dynamic coefficient and the problems of the using these loads in calculation of endurance and determination of remaining resource of elements of bridge structures

TO THE BEST WAY OF TAKING INTO ACCOUNT THE ADDITIONAL STRESSES, ARISING IN WOODEN SPANS WITH REINFORCED CONCRETE SLAB ROADWAY OF HIGHWAY BRIDGES DURING THE REDUCTION OF AMBIENT TEMPERATURE

The article presents the best possible way of accounting the additional shear stresses, caused by the contact of wood and concrete during the reduction of ambient temperature, when designing wooden spans with reinforced concrete slab roadway of highway bridge

DETERMINATION OF ALLOWABLE DISTANCE BETWEEN THE VERY HEAVY TRUCKS PASSED THROUGH THE RUSSIAN PMP FLOATING BRIDGE

The paper based on the known theory of beams on elastic foundation develops a methodology determining the permissible distance between very heavy trucks passing through the Russian PMP floating bridge and gives an example of its using in solving practical problems for the conditions of the Socialist Republic of Vietnam