[Rare complication of cholecystectomy operation].

Rare complication of cholecystectomy is presented in the article. Ligation and hepatic-ductectomy at the level 10 mm below of a duct fork resulted in the development of parenchymatous bile fistula opening in supradiaphragmatic space, which clinically presents as recurrent supradiaphragmatic abscess, intermittent jaundice and purulent cholangitis.

[The influence of clexane on the fibronectin content in the blood plasma in patients with destructive pancreatitis].

The fibronectin content dynamics in the blood serum was estimated in patients with various clinical forms of an acute pancreatitis. The fibronectin level lowering may be a predictor of occurrence and diagnostical criterion for infective complications in patients with destructive pancreatitis. Application of clexane had promoted the fibronectin level raising in the blood serum in patients with sterile and infected pancreatic necrosis.

[Choice of surgical strategies in the treatment of multiple postnecrotic pancreatic pseudocysts].

The results of treatment of patients with multiple pancreatic pseudocysts are presented. The surgical tactics choice, depending on size, localization of pseudocysts, the state of their wall and connection with pancreatic duct, was substantiated.

[The combined treatment of acute destructive pancreatitis].

Extensive resection of the pancreas is shown to be accompanied by a high case-fatality rate and unsatisfactory late results such as formation of postpancreatectomy syndrome. Expediency is proved of employment of conservative treatment (pancreatic secretion blockers, antioxidants, antibiotics, different kinds of extracorporal and intracorporal detoxication etc.).

[The changes of bile lithogenecity in late postoperative stages after gastric resection].

The bile lithogenicity change in late period after the gastric resection performance had witnessed the presence of heightened risk of pigmental cholelithiasis occurrence.