[Pancreatic pseudocysts in recurrent pancreatitis: traditional and mini-invasive surgery/endotherapy. Problems in the treatment strategy choice].

Introduction of methods of miniinvasive surgery/endotherapy have permitted to widen essentially the possibilities of treatment of complicated recurrent pancreatitis. Miniinvasive interventions on pancreatic gland and neighbor organs, as well as laparotomic interventions, must be regarded not as an alternative, but like interchangeable methods, permitting to improve significantly the treatment outcome in an acute destructive and chronic pancreatitis, including those, which is complicated by a pancreatic pseudocysts formation.

[Complex ultrasonic diagnosis of large and gigantic non-parasitic cysts of liver].

The results of clinical and complex ultrasonic examination of 95 patients with large and gigantic liver non-parasitic cysts (LNC) are analyzed. The morphological examination was performed in all the cases. The mean diameter of large LNC was 105+/-7 mm, of gigantic cysts -- 149+/-33 mm (p<0,05), cyst volume was respectively 600+/-142 and 1721+/-954 ml (p<0,05).

[Radio-frequency ablation appliance in resection of the liver].

Pilot experience with "Radionics Cool-Tip RF System" appliance for radio-frequency ablation (RFA) in hepatic resection in the patients with focal lesions of the liver is presented. Advantages of RFA as an alternative method for hemostasis are demonstrated. With this technique bisegmentectomy (II - III) was performed in 4 patients, right-sided hemihepatectomy - in 2 patients.

[Recurrent pancreatitis as a surgical problem].

Experience in the treatment of 1498 patients with alcoholic pancreatitis treated with laparotomic and mini-invasive surgeries both in acute and chronic phases of the disease is presented. In 742 patients surgical treatment was multistaged. Re-operations in 17 patients with "chronic purulent pancreatitis", reconstructive surgeries on the pancreas, pancreatic and bile ducts in 84 patients with "head" pancreatitis were most difficult.

[Ultrasound-assisted puncture method of treatment of hepatic hydatid cysts].

Results of treatment of 31 hepatic hydatid cysts in 28 patients were analyzed. The size of the s ranged from 3 to 25 cm. In 26 cases the cysts contained flive es, in 2 cases they were suppurated after US-assisted intraoperative puncture.