[Roentgen-surgical interventions in combined treatment of patients, suffering hepatic metastases of noncolorectal cancer].

Results of combined treatment, using roentgen-surgical interventions, of 58 patients, suffering noncolorectal metastatic affection of the liver, complicated in 20 (34.5%) of them by obturation jaundice, were analyzed. While resectability of the metastases, preoperatively chemotherapy (CHT) or chemoembolization of hepatic artery (CHEHA) in 1 - 2 courses were performed, and then - hepatic resection of various volume, adjuvant regional CHEHA or systemic CHT.

[Roentgensurgical interventions in combined treatment of patients for hepatic metastases of colorectal cancer].

The results of combined treatment in 82 patients for hepatic metastases of colorectal cancer, complicated in 14 (17.1%) of them by obturation jaundice, using roentgensurgical interventions, were analyzed. In case of resectable metastases, preoperative chemotherapy and chemoembolization of hepatic artery was conducted, using 1 - 2 courses of oxaliplatin, and further--hepatic resection in various volume (in 23 patients), adjuvant regional chemoembolization or systemic chemotherapy.

[The results of extended and combined operations for locally-spread colon cancer].

The results of combined treatment of 385 cancer recti patients, of whom 202 -- using the staged tactics and chemotherapy, using modified methods of pelvic evisceration and reconstructive-restoration operations with extended lymph node dissection, were analyzed. The main syndromes, characteristic for locally-spread cancer recti are delineated, the surgical treatment concept for this pathology was formulated. The combined approach application had promoted the radical and cytoreductive operations performance rate enhancement, the reduction of palliative operations performance rate, as well as severe complications (hemorrhage and anastomotic sutures insufficiency) occurrence rate, total complications rate -- by 3.

[Regional vasotropic and hepatotropic therapy in the complex treatment of postoperative purulent peritonitis].

In 8 patients, operated for postoperative spreaded purulent peritonitis, umbilical vein was catheterized, postoperatively angiographic investigation was performed, leaving catheter in tr. coeliacus or a. mesenterica superior, through which regionary hemodilution, using drop infusion of 20 mcg of alprostan during 3-4 days.