Aigul Imanalieva

@rudn.ru

Department of hospital surgery with course of pediatric surgery
Peoples’ Friendship University of Russia (RUDN University)

Aigul Imanalieva


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https://researchid.co/imanalieva

RESEARCH INTERESTS

Surgery, pediatric surgery, pediatric urology
3

Scopus Publications

Scopus Publications

  • Laparoscopic reconstructive operations for malformations of the common bile duct in children
    I.V. Poddubnyi, V.O. Trunov, M.Yu. Kozlov, K.N. Tolstov, P.I. Manzhos, A.A. Imanalieva
    Endoscopic Surgery, 2025
    Objective. Presentation of experience in the use of laparoscopic reconstructive surgeries for common bile duct (CBD) cysts in children. Material and methods. During the period from 2011 to 2023, 22 children aged from 2 to 13 years (average age — 4.4 years) with choledochal cysts were operated on. All children were admitted to the hospital with abdominal pain syndrome. Screening ultrasound revealed a cystic dilatation of the common bile duct, which was subsequently confirmed by MRCP. After verification of the diagnosis, all children underwent laparoscopic cyst excision with hepaticojejunostomy on a Roux-en-Y loop. Results. The duration of the operation ranged from 150 to 190 minutes (average time — 170 minutes). No intraoperative complications were noted. Intraoperative blood loss did not exceed 100 ml. The duration of patients’ stay in the intensive care bed ranged from 2 to 7 days (average value — 3.2 days). In 1 (4.5%) patient, bleeding occurred 10 hours after surgery, which required relaparoscopy and sanitation of the abdominal cavity. In 3 (13.6%) cases, severe bile leakage was noted in the early postoperative period, due to partial failure of the hepatico-jejunal anastomosis. All children were discharged from the hospital 10-13 days after surgery. Follow-up observation was carried out from 3 to 12 years after surgical treatment. In 3 (13.6%) children, the recurrent cholangitis were noted after the first operation. The total number of early postoperative operations was 18%, late 13.6%. Conclusion. According to the literature and the results of our own observations, laparoscopic operations in children with choledochal cysts are safe and effective and have great prospects due to the minimal traumatic nature of these interventions.
  • Laparoscopic surgery for solid pseudopapillary tumors of the pancreas in children
    A.B. Ryabov, I.V. Poddubnyi, V.O. Trunov, M.Yu. Kozlov, A.V. Khizhnikov, A.A. Imanalieva, P.I. Manzhos
    Endoscopic Surgery, 2022
    <h3>ЦЕЛЬ ИССЛЕДОВАНИЯ</h3> Представить опыт применения лапароскопических операций у детей с солидной псевдопапиллярной опухолью (СПО) поджелудочной железы. <h3>МАТЕРИАЛ И МЕТОДЫ</h3> В Морозовской ДГКБ за период с 2012 г. по 2021 г. лапароскопические операции по поводу СПО поджелудочной железы были проведены 16 пациентам. У 12 пациентов опухоль располагалась в области хвоста поджелудочной железы, у 4 пациентов — в теле поджелудочной железы. Было выполнено 12 дистальных и 4 центральных резекций поджелудочной железы. <h3>РЕЗУЛЬТАТЫ</h3> Длительность операции варьировала от 80 до 200 мин (в среднем 95 мин). Во всех случаях интраоперационная кровопотеря не превышала 100 мл и не требовала гемотрансфузии ни в одном случае. У 1 (6,25%) пациента, которому выполнялась лапароскопическая центральная резекция поджелудочной железы, в ходе оперативного вмешательства была выполнена конверсия в лапаротомию. Общие сроки послеоперационного пребывания в стационаре составили 10—14 сут (в среднем 12 дней). Катамнез прослежен у всех пациентов в сроки от 3 мес до 5 лет. Во всех случаях проводили плановое циклическое обследование (ультразвуковой скрининг, компьютерная томография с внутривенным контрастированием), при котором ни в одном случае не выявлено рецидива заболевания. <h3>ЗАКЛЮЧЕНИЕ</h3> Лапароскопические операции у детей с СПО в области хвоста и тела поджелудочной железы выполнимы при условии наличия в клинике достаточного опыта малоинвазивной и панкреатической хирургии. В руках опытного хирурга лапароскопическая дистальная резекция поджелудочной железы может стать предпочтительным методом лечения СПО у детей.
  • Surgical treatment of retroperitoneal neurogenic tumors in children
    A.B. Ryabov, I.V. Poddubniy, V.O. Trunov, M.S. Kubirov, A.V. Khizhnikov, T.A. Milashchenko, P.I. Manzhos, A.A. Imanalieva
    Pirogov Russian Journal of Surgery, 2021
    OBJECTIVE To evaluate feasibility and advantages of laparoscopic access in children with retroperitoneal neurogenic tumors. MATERIAL AND METHODS A comparative analysis of postoperative results was performed in 2 groups of patients with retroperitoneal neurogenic tumors without IDRF risk factors. Different surgical approaches were applied. The main group (laparoscopic access) consisted of 18 patients. The control group included 22 patients after laparotomy. We compared the following variables: surgery time, blood loss, postoperative need for analgesics, intraoperative and postoperative complications, timing of postoperative enteral feeding, postoperative hospital-stay and regional recurrence rate. RESULTS Duration of laparoscopic and open surgery was similar (80.5 vs. 86.5 min, p>0.05). Intraoperative blood loss was significantly lower in the laparoscopy group (10 vs. 17 ml/kg, p<0.05). Two patients required conversion of laparoscopic approach. In laparotomy group, massive intraoperative bleeding occurred in 1 patient. Early postoperative period was more favorable in the main group compared to the control group. There were no local and metastatic recurrences in delayed postoperative period after laparoscopic surgery. One (4.5%) patient had metastatic recurrence after laparotomy. There were no regional recurrences in this group. CONCLUSION Laparoscopic resection of neurogenic retroperitoneal tumors in children is feasible if great vessels are not involved in neoplastic process. Open surgery is preferable in patients with invasion of great vessels.