Konstantin Semash

Republican Specialized Scientific and Practical Medical Center of Surgery · Department of HPB surgery and liver transplant

Учебно-методическое пособие для практикующих врачей, клинических ординаторов, магистров и студентов 5-6 курсов высших медицинских учебных заведений.

Учебно-методическое пособие для практикующих врачей, клинических ординаторов, магистров и студентов 5-6 курсов высших медицинских учебных заведений.

Актуальность. При отсутствии возможности проведения трансплантации печени от посмертного донора, прижизненное донорство является единственно возможной альтернативой для лечения лечении тяжёлых диффузных и нерезектабельных очаго- вых болезней печени. Цель исследования - оценить результаты собственного опыта трансплантации печени от живого родственно...

Актуальность. Трансплантация печени от живого родственного донора является эффективным методом лечения пациентов с терминальными заболеваниями печени. Сосудистые осложнения наблюдается редко после трансплантации печени, однако могут приводить к необратимыми по- следствиям вплоть до потери трансплантата или реципиента. Цель исследования - оцениить р...

Цель исследования - анализ результатов хирургического лечения пациентов в декомпенсированной стадии печеночной недостаточности после родственной трансплантации печени от живого донора. Материалы и методы. Работа основана на анализе бли- жайших результатов 60 пациентов в декомпенисрованной ста- дии печеночной недостаточности, которым произведена род...

The selection, preparation and perioperative management of living related liver donors is a complex and responsi- ble type of medical care that requires maximum involvement from physicians at all stages. The selection and prepara- tion of a donor for liver resection, the basic principles of donor resection surgery, as well as postoperative manageme...

Introduction. Liver transplantation is a multi-component and complex type of operative treatment. Patients undergoing such a treatment sometimes are getting various complications. One of these complications is a portal hypertension associated with portal vein stenosis. Materials and methods. In 8 months after the right lobe transplantation from li...

Background. Liver transplantation from a living donor is an effective treatment option for patients with various types of end-stage liver disease. Unfortunately, patients undergoing such complex treatment sometimes experience various vascular complications. Splenic artery steal syndrome can cause graft ischemia in recipients and can lead to severe...

The selection, preparation, and perioperative management of the living liver donors is a complicated and responsible type of medical care, which requires the maximum of doctors' involvement at all stages. This article describes in detail donor selection and preparation for liver resection and the basic principles of donor resection surgery. Postope...

Objective: To demonstrate a clinical case of X-ray endovascular treatment of a patient with portal vein stenosis that occurred in the late period after liver transplantation. Material and methods: patient A., 48 years old, was observed at the RSNPMC named after V.I. acad. V. Vakhidov since January 2022 with a diagnosis of decompensated liver cirrh...

Living related liver transplantation has proved to be an effective, safe and radical method for treating end-stage liver diseases. In the last decade, a laparoscopic approach to donor hepatectomy has been gradually introduced into clinical practice. According to world literature, there are presently no uniform standards for performing laparoscopic...

Liver transplantation is the treatment of choice for patients with end-stage liver disease or acute liver failure. However, vascular complications, such as hepatic artery stenosis and/or thrombosis, graft portal vein stenosis and biliodigestive strictures following liver transplantation are still common despite improvements and innova- tions in sur...

Background The chronic shortage of organs makes the option of living liver donation particularly appealing, and living donor LLS transplantation remains the most common procedure for pediatric liver transplantation in Russia. Laparoscopic living donor left lateral sectionectomy (lapLDLLS) was recently established as a new standard practice. Purpos...

In pediatric practice, transplantation of liver fragments allows achieving high results [Bowring M.G., 2020] and, at the same time, fully guaranteeing the safety of related donors. At the same time, when performing an adult-child transplantation, there are practically no ethical issues, since, most often, one of the recipient's parents is the donor...

Many studies have shown that biliary complications after transplantation of the left lateral segment (LLS) of the liver reduce graft and recipient survival. Thus, timely correction of biliary complications, and strictures in particular, improves long-term outcomes in transplantation. Objective: to analyze our own experience in cor- recting biliar...

Background: During the last few years laparoscopic approach for living donor hepatectomy (LLDH) widely spread among high volume centers and proved its safety for donors and recipients. Our LLDH program was launched at 2016. Since this period the method established as routine for LLS donors. Analysis of own experience focused on LDLT in children was...

With the presence of organ shortage, living donors remain important sources of grafts, especially for pediatric recipients. Laparoscopic nephrectomy has become the gold standard for living donors. Additionally, laparoscopic partial liver procurement in living donors has proven its safety and feasibility in the latest studies. We have combined both...

Background : Split liver transplantation is used worldwide and allows for an increase of donor organ pool, especially for pediatric recipients. Donor selection, some aspects of surgical techniques and long-term results remain to be important issues of split liver transplantation. Aim : To analyze our own clinical results of split liver transplantat...

Background Laparoscopic living donor liver procurement for transplantation has increased in popularity over the past decade. The purpose of this study was to compare the laparoscopic and open approaches in living donor left lateral sectionectomy (LLS) and to assess the safety and feasibility of this laparoscopic approach. Methods A total of 103 li...

Introduction . Liver transplantation is a multi-component and complex type of operative treatment. Patients undergoing such a treatment sometimes are getting various complications. One of these complications is a portal hypertension associated with portal vein stenosis. Materials and methods . In 6 years after the left lateral section transplantati...