[Non-clostridial anaerobes in the etiopathogenesis of perivesical cholangiogenic abscesses of the liver].

The authors had under observation 318 patients who were subjected to operation and suffered from various inflammatory diseases of the bile tract; perivesical and cholangiogenic abscesses of the liver were found in 33 of them. Bacteriological tests of the contents of the abscesses demonstrated most frequently the presence of Bacteroides fragilis as a monoculture in cholangiogenic abscesses and associations of anaerobic and aerobic bacteria in perivesical abscesses. Early operation with obligatory consideration for the anaerobic component of the microflora is recommended.

[Surgical treatment of acalculous cholecystitis].

The results of surgical treatment of 91 patient with acalculous cholecystitis are analysed. The active surgical tactics is substantiated. It is shown that in thorough examination of a patient before and at the time of operation, correction of pathology of the gallbladder and bile ducts and other alimentary organs, it is possible to achieve good long-term results.

[The importance of the NBT test in the prognosis and assessment of treatment efficacy in complicated forms of cholelithiasis].

On the basis of examination of 34 patients, it was established that after the operations on the bile ducts in development of pancreonecrosis, peritonitis, purulent cholangitis, subhepatic abscess, suppuration of the postoperative wound, the indices of NBT test exceeded the norm 2 times and more. Significant decrease in the indices of NBT test--is a prognostic sign of the favourable postoperative course and effectiveness of the treatment performed.