[Selective proximal vagotomy with excision of duodenal ulcer].

257 patients with duodenal ulcer and its complications underwent selective proximal vagotomy in combination with excision of duodenal ulcer without pyloric injury. Lethality rate was 0.78%.

[The use of pylorus-sparing operations in treating duodenal peptic ulcer complicated by stenosis].

Based on an analysis of immediate (388 patients) and long-term (259 patients) results of surgical treatment of ulcer disease of the duodenum complicated by stenosis the authors made a conclusion that selective proximal vagotomy in combination with dissection of the ulcer substrate (the stenosis area) without injuries of the pyloric constrictor is the operation of choice in treatment of ulcerous duodenal stenosis resulting in less lethality (0.52%), in practical exclusion of the development of functional disorders and impaired nutrition of the patients.

[Draining surgery of the main biliary tract in the surgical treatment of chronic and acute pancreatitis].

The authors studied the site of draining operations on the biliary tract in 160 patients with biliary pancreatitis. Among 64 patients with chronic pancreatitis 41 (64.1%) were subjected to various draining operations on the biliary system, one patient died.

[Terminolateral choledochoduodenal anastomosis].

A technique of the terminolateral choledochoduodenal anastomosis formation in 37 patients with impaired patency of bile ducts and indurative pancreatitis in presence of the common ampulla of the bile duct and pancreatic duct is presented. After the operation, the complications developed in 5 patients, 2 died. The result of treatment in observation of up to 4 years in 28 patients is good, in 2--satisfactory, in 2--bad (reoperated).