[The role of silent hepatic insufficiency in pathogenesis of postoperative biliary peritonitis].

The results of clinico-morphologic and biochemical investigations of the liver were conducted in 58 patients, in whom postoperative biliary peritonitis (PBP) was revealed. There was established, that in the basement of hepatic insufficiency formation in PBP lie the hepatocytes damage and severe portal toxaemia, caused by damaging effect of the middle mass peptides and the lipids peroxidal oxidation products.

[Hepatic sequestration].

Various variants of hepatic resection, in 47 (94%)--atypical one and in 3--anatomic, was performed in 50 patients for surgical diseases of the liver. Hepatic sequestration was noted in 19 patients in early postoperative period, 11 of them died. Ultrasonographic investigation owes leading significance in early diagnosis of hepatic sequestration and in estimation of endogenic intoxication severity.