[Computer--tomographic resecability criteria at cancer head of the pancreas].

Unlabelled: The aim of the study was to explore the possibilities of CT in evaluating resectability of pancreatic head adenocarcinoma, depending on the tumor.

Materials: The results of CT and intraoperative findings in 62 patients with cancer of the head of the pancreas.

Results: It was shown that the tumor localized in caudal glands, had higher resectability when compared with tumors of the cranial localization at tumor sizes of 3-4 cm in size tumor less than 3 cm, the probability that radical surgery was highest in patients with central localization of the tumor.

[Diagnosis and treatment of cystic forms of duodenal dystrophia].

Cystic dystrophy of duodenal wall and duodenal dystrophy (DD)--is a rare disease which is based on chronic inflammation of the pancreas tissue (PT), malrelated in the wall of the duodenum (DU). The principal method of surgical treatment of this disease is Pancreaticoduodenectomy (PRD), although it was presented several reports of successful use sandostatin or endoscopic treatment in some patients. Analysis of demographic, clinical and instrumental data, methods of surgical treatment of DD showed that all patients with persistent or recurrent abdominal pain was noted in all patients, weight loss--51%, vomiting--at 26%, jaundice--in 20% of patients.

[The distal pancreatic resection with spleen preservation: which collaterals can we rely on?].

The spleen preservation by distal pancreatic resection can be performed either with spleen vessels preservation or with the ligation of the least. The experiment evolved ligation of all gastric arteries but the short gastric arteries in 20 cadaveric organocomplexes, followed by ink perfusion through the left gastric and left gastro-epiploic arteries. The study was amplified with the intraoperative dopplerography of portal arteries of the spleen after crossclamping of the left gastro-epiploic and short gastric arteries.

[Cardiac electrode as a cause of the chronic sternal ostheomyelitis].

Results of the diagnostic concept and treatment of 5 patients with the chronic sternal ostheomyelitis after the open cardiac surgery caused by the "forgotten" cardiac electrodes were analyzed in the article. The radiologic diagnostic criteria and necessity of the computed tomography, in particular, were stated.

[Duodenal pancreatic-preserving resections with common bile and pancreatic ducts replantation by cystic form of duodenal dystrophy].

Two patients with cystic dystrophy of duodenum and chronic inflammation of duodenally ectopic pancreatic tissue were successfully operated on. Both cases clinically demonstrated abdominal pain and duodenal obstruction. Absence of substantial tissue changes in "main" pancreas allowed execution of pancreas-preserving operation.

[Features of chronic pancreatitis in the elderly patients].

The aim of this study was to determine the severity of the exocrine and endocrine insufficiency of the pancreas, HC composition and state of homeostasis in the elderly patients. Was obsercved 76 patients with CP (46 females, 30 males), of whom 20 patients diagnosed alcoholic pancreatitis (AP) aged 30 to 55 years. At 26 patients was marked biliary pancreatitis (BP), age of patients was 35-60 years and at 30 was found involutional pancreatitis (IP) from 60 to 74 years, 15 people (with no signs of lesions of the gastrointestinal tract) consisted the control group.

[Arterial celiac-mesenterial aberrations: comparative analysis of intraoperative data and CT-angiography].

137 CT-angiograms of arterial celiac-mesenterial vessels were pro- and retrospectively analyzed in 120 patients. Radiological data was compared with intraoperative anatomy during standard and extended pancreatoduodenal resections. The analysis showed a considerable variability in architecture of celiac and superior mesenteric artery branches: hereby, a classical arterial anatomy was found only on 55% of the analyzed CT-scans.

[Autoimmune pancreatitis associated with Shegren syndrome].

In the article presented a clinical case of autoimmune pancreatitis in association with Shegren syndrome.

[The role of neuromediators and cytokines in pathogenesis of chronic pancreatitis of alcohol etiology].

Aim: To determine the role of acetylcholine (AC), serotonine (5-HT) and cytokines in progression and complications of chronic alcohol pancreatitis (CAP).

Material And Methods: 50 CAP patients were examined in the exacerbation, remission and complications of CAP (48 males, 2 females) aged 30-50 years. Control group consisted of 15 healthy subjects.

[Substantiation of the selection of tactics for the surgical treatment of chronic pancreatitis].

177 patients with chronic pancreatitis and the pancreas head affection (CPPHA) were examined and these results were discussed. Option of the pancreatoduodenal resection (PDR) method was performed with due regard the greatest physiology of the operation and rare happening of the poor postoperative results. There are two methods operations of these patients--PDR or isolated resection of pancreas head (IRPH).

[Impairment of humoral regulation of exocrine pancreatic function in chronic pancreatitis].

Aim: To elicit the role of cholecistokinin (CCK), biogenic amines, bile acids (BA) in development of functional pancreatic insufficiency (PI) in chronic pancreatitis (CP).

Material And Methods: Blood concentrations of CCK, serotonin and acetylcholin, fecal concentration of elastase (E-1), BA spectrum in the blood and duodenal content were studied in 46 CP patients (20 patients with alcoholic pancreatitis--AP and 26 patients with biliary pancreatitis--BP) and 15 healthy controls.

Results: In AP patients E-1 fell to 78.

[Detection of anti-Leptospira antibodies in sera of patients in the latex agglutination test].

The results of the preliminary evaluation of the sensitivity and specificity of the newly developed diagnostic test based on the determination of genus-specific antibodies to leptospires in the latex agglutination test, are presented. This test makes it possible to detect anti-Leptospira antibodies of any serogroup. The advantages of the developed test have been determined.