[Collis gastroplasty in surgical treatment of hiatal hernia].

Objective: To analyze the early and long-term postoperative outcomes after Collis gastroplasty in the treatment of patients with hiatal hernia complicated by gastroesophageal reflux disease and shortening of the esophagus.

Material And Methods: Postoperative outcomes after Collis gastroplasty were analyzed in 22 patients with hiatal hernia and shortening of the esophagus. The control group consisted of 166 patients after simple repair of hiatal hernia without Collis procedure.

[Cancer of terminal part of common bile duct in a patient with heterotaxy syndrome].

Case report is devoted to successful pancreatectomy for cancer of terminal part of common bile duct in a patient with heterotaxy syndrome. The main difficulties during dissection of pancreaticoduodenal complex arose due to anatomical disorientation and the lack of standard topographic and anatomical landmarks. Preoperative computed tomography with assessment of visceral vessel anatomy is essential in all patients with biliopancreaticoduodenal tumors.

[Anatomic variants of hepatic artery in metastatic affection of the liver].

On 39 nonfixed cadavers of patients, in whom hepatic metastatic affection was diagnosed in abdominal cavity tumors, there were studied up a hepatic artery anatomic variants and possible accesses. In 22 observations there was noted a typical variant of hepatic artery branching from a. hepatis communis, in 9--isolated blood supply of the left and right hepatic lobes, in 4--additional branches of various diameter from a.

[The results of palliative locoregional chemotherapy of primary and metastatic hepatic cancer].

There was elaborated and introduced into the practice the method of locoregional intrahepatic chemotherapy conduction with the objective to enhance the efficacy of palliative treatment of nonresectable primary and metastatic hepatic cancer. The immediate and late results of treatment are presented in 173 patients. Application of the method elaborated have had permitted in the main group of patients to reduce the systemic toxic reactions severity, to achieve partial response and the process stabilization in (71.

[Prophylaxis of complications of intra-arterial polychemotherapy in patients with metastases of colorectal cancer].

Selective intraarterial polychemotherapy is one of the most important components of treatment in patients, suffering colorectal cancer metastases. With the objective to enhance its efficacy and to lower toxicity there was elaborated the prophylactic measures scheme, permitting to lower essentially the risk of undesirable consequences occurrence while application of cytostatic preparation in high concentration towards regional organs and tissues, incorrect procedure of infusion and general systemic influence of the preparation on the patient's organism.