[Synchronous operations in metastatic cancer of the liver].

The resection of the liver has been performed in 661 patients including 154 (23.3%) cases of synchronous metastatic cancer of the liver. Among the latter patients primary tumor was removed in one stage with liver resection in 56% cases.

[Surgical treatment of endocrine-cell tumors of hepato-pancreatic-duodenal zone (comment of the editor)].

Endocrine-cell tumors of hepatopancreatoduodenal zone are rare diseases. Their rate doesn't exceed 1-4% of all tumors of this location. 79 patients with endocrine-cell tumors of hepatopancreatoduodenal zone were treated, 67 of them underwent surgical treatment (operability was 67.

[Ultrastructural phenotypes of tumor cells of endocrine-cellular neoplasms of hepatopancreatoduodenal organs and their role in determining the degree of malignancy and prognosis of these diseases].

78 tumors of the hepatopancreoduodenal system were studied clinically, cytologically and ultrastructurally. Hormonal disturbances were observed in 36% of the patients. The 5-year survival after radical surgery did not depend on the tumor size, tumor cell atypia or metastases to the regional lymph nodes.

[Extended gastropancreatoduodenal resection (GPDR)].

The authors for the first time in Russia have begun serial performance of the extended GPDR. The operations were accompanied by careful morphological investigations of the removed organs and tissues. It was established that in all patients with exocrine cancer of head of the pancreas the tumor growth extended the region of the regional lymph nodes, i.

[Hepatopancreatoduodenal resection in locally advanced cancer of gallbladder].

A case of hepatopancreatoduodenectomy in advanced cancer of the gall bladder is presented as well as literature data on indications for this operation, technical peculiarities of its performance, postoperative complications, follow up results and advisability of carrying out such a complicated surgical intervention.

[Current approaches to surgical treatment of liver tumors].

Since 1990, 230 operations for focal pathologies in the liver have been carried out at the Center's clinics using such advanced procedures and equipment as radio-isotope examination of hepatic function, ultrasonography of the liver during surgery, ultrasound aspirator, water-flow scalpel, argon coagulator and adhesive dressing materials. The study included 75 resections for primary hepatic tumor (lethality-14.6%), 114 resections-disseminated tumor (lethality-5.