[Treatment-diagnostic possibilities of interventional ultrasound investigation of hepatic pathology in conditions of a specialized surgical center].

Possibilities of the intervention ultrasonographic investigation application in a work of a specialized Department of the liver, biliary ducts and pancreatic gland pathology both for diagnosis (in diffuse and focal hepatic affection) and treatment of the hepatobiliary zone diseases, were analyzed. In 1324 patients overall 1413 treatment-diagnostic interventions were performed. Morphological, cytological, virusological investigations of material, obtained in a trepan-biopsy (in 796 patients), had permitted to verify a diffuse hepatic diseases, benign and malignant processes.

[Application of somatulin in the treatment of complications after operations on the pancreatic gland].

The results of treatment of 32 patients with complications, occurring after operations on pancreatic gland, ended by the external pancreatic fistula formation, in the complex of their treatment Somatulin, somatostatin analogue of prolonged action, were studied. Application of the treatment tactics proposed have permitted to achieve the fistula closure in all the patients without the operative intervention. The terms of the pancreatic fistula closure after Somatulin injection had constituted 5-20 days, (11.

[Using ultrasonography in the diagnosis and treatment of pancreatic cancer].

The results of miniinvasive interventions under the ultrasonographic control, performed in 125 patients suffering pancreatic cancer, were analyzed. Trepan-biopsy of pancreatic gland was applied in preoperative examination algorhythm. The biliary ducts transcutaneous transhepatic decompression application had permitted to increase the frequency of the elective radical operations performance, to lower the general and postoperative mortality rate (from 23.

[Computer tomography from the point of view of standards in diagnosis and treatment of an acute pancreatitis].

Results of pancreatic computer tomography (CT) were studied in 162 patients, suffering an acute pancreatitis (AP). There were conducted 293 investigations in total. Basing on the obtained results analysis there were established the optimal terms of the CT conduction, the indications were-substantiated for performance of the investigation in dynamics in patients, who were or were not operated on.

[Principles of diagnosis and surgical treatment of massive hepatic neoplasm].

The experience of surgical treatment of 67 patients with benign and malignant sizable hepatic neoplasms was studied. Laparoscopic intervention was performed in 56 patients, one of whom died. The complications were observed in 19.

[The diagnosis of acute cholangitis in a complicated course of cholelithiasis].

Basing on the examination results of 68 patients with complicated cholelithic disease the diagnosis value of the bile biochemical contents changes was established for the inflammation course prognosis.

[Biliodigestive anastomoses using mechanical sutures].

The authors provide information concerning an experimental model of a suturing instrument for the formation of linear biliodigestive anastomoses, by means off which the communications are created in different parts of the ducts, even the intrahepatic ducts, 5 mm or more in diameter. The instrument was used in operations on 29 patients who had cicatricial stenosis of the major duodenal papilla, carcinoma of the pancreas or ducts in the region of the porta hepatis. The instrument is universal in range and can be used for the creation of various types of biliodigestive anastomoses, it makes the operative techniques simpler and more reliable.