[Splenic resection for the spleen cyst].

Tactics and results of surgical treatment of 5 patients for splenic cyst were analyzed. The original method of splenic cyst resection, using blood-preserving technologies (ultrasonic aspirator-destructor, the argon laser and hemostatics) was applied. The data obtained permit to consider the splenic resection performance an adequate procedure for the focal organ pathology treatment.

[The use of Sandostatin in the combined treatment of surgical diseases of the pancreas].

The paper analyzes experience gained with the use of Sandostatin in patients with a surgical operation-induced pathology of pancreas. Sandostatin is known to be capable of suppressing the exocrine activity of pancreas, which fact made for decline in the recordable postoperative complications and improvement of results of surgical treatment. The maiden experience gained with its use showed high efficacy of Sandostatin in a multimodality treatment of patients presenting with surgical pathology of pancreas.

[Prognostication of the course of pancreatogenic shock in a dynamic study of central hemodynamics indices in patients with pancreatic necrosis during enzymatic toxemia stage].

The investigation of central haemodynamics indexes dynamics with the use of the developed automatized system in 65 patients with pancreonecrosis was conducted for the aim of disease course prognostication and differentiated prescription of cardiotonics. Three stages of circulatory disorders were established. The possibility of patient's death significantly increases in the presence of prolonged depression of cardiac output when rapid effect of conservative therapy is absent.

[Modified strategy of the treatment of patients with necrotic pancreatitis].

New principle of choice of the surgical treatment method in patients with necrotic pancreatitis was proposed: different operative procedures don't compete one another but are applied in accordance with the disease stage in dynamics. Such tactics permits to choose an optimal surgical approach in every phase of pathologic process course. From 1989 till 1992 the surgical treatment for necrotic pancreatitis was conducted to 54 patients.

[State of stress-limiting and stress-responsive systems of the body in pancreatic necrosis during systemic-toxic phase].

Results of dynamic investigation of beta-endorphins and hormonal state were analysed in 34 patients with pancreonecrosis aged from 23 to 54 years. The dependency of this indexes on the severity of clinical course and presence of complications was determined. The correction ways of injurious action of stress-reaction in pancreonecrosis were proposed.

[Modification of the method of pancreatojejunal anastomosis in the performance of pancreatoduodenal resection].

The proposed methods of pancreatointestinal anastomosis construction are: with the artificially formed muscular sphincter, with postponed internal anastomosis construction between pancreatic duct and intestine, the anastomosis on screwable frame-work drain. Indication for the methods application, peculiarities of operative procedure and the results of treatment are adduced.

[Pancreatoduodenal reconstruction after previous palliative surgery].

The performing peculiarities of reconstructive stage of pancreatoduodenal resection after previously conducted palliative operation in 212 patients were analyzed. The drainage operation was previously conducted to 89 of them.

[Prognostication of the reversibility of changes in the bile ducts and choice of tactics in surgical treatment of patients with choledocholithiasis].

The reversibility of the changes in the common bile duct after elimination of mechanical obstruction and its adequate drainage in patients with choledocholithiasis was studied. A programmed system of prognostication permitting to choose the optimal type of operative intervention with regard for the sizes of the common bile duct after correction has been developed.

[Experience in xenografts of pancreatic islet cell cultures after surgical treatment of chronic pancreatitis].

Xenotransplantation of the pancreatic islet cells was performed in 8 patients with chronic pancreatitis and concomitant diabetes mellitus, operated on the pancreas. In 2 patients, the rejection of the cells transplanted occurred. The causes of failure and possibilities for improving the technique are analysed.

[A method of treating diffuse postoperative peritonitis].

The results of autopsy of 184 patients, who died in diffuse peritonitis, are analysed. The impaired leakproof state of the hollow abdominal organs was the most common cause of postoperative peritonitis. Eighty four relaparotomies were performed for peritonitis.

[New methods in the surgical treatment of patients with chronic pancreatitis].

The analysis of the 10-year experience with surgical treatment of 719 patients with chronic pancreatitis is presented. Of them in 461, the direct interventions on the pancreas were performed. Drainage operations were performed in 270 patients, the lethality was 3.