[Splenic resection for the spleen cyst].

Tactics and results of surgical treatment of 5 patients for splenic cyst were analyzed. The original method of splenic cyst resection, using blood-preserving technologies (ultrasonic aspirator-destructor, the argon laser and hemostatics) was applied. The data obtained permit to consider the splenic resection performance an adequate procedure for the focal organ pathology treatment.

[The use of Sandostatin in the combined treatment of surgical diseases of the pancreas]. / Primenenie sandostatina v kompleksnom lechenii khirurgicheskikh zabolevanii podzheludochnoi zhelezy.

The paper analyzes experience gained with the use of Sandostatin in patients with a surgical operation-induced pathology of pancreas. Sandostatin is known to be capable of suppressing the exocrine activity of pancreas, which fact made for decline in the recordable postoperative complications and improvement of results of surgical treatment. The maiden experience gained with its use showed high efficacy of Sandostatin in a multimodality treatment of patients presenting with surgical pathology of pancreas.

[State of stress-limiting and stress-responsive systems of the body in pancreatic necrosis during systemic-toxic phase]. / Sostoianie stress-limitiruiushchikh i stress-realizuiushchikh sistem organizma pri pankreonekroze v sistemno-toksicheskoi faze.

Results of dynamic investigation of beta-endorphins and hormonal state were analysed in 34 patients with pancreonecrosis aged from 23 to 54 years. The dependency of this indexes on the severity of clinical course and presence of complications was determined. The correction ways of injurious action of stress-reaction in pancreonecrosis were proposed.

[Modified strategy of the treatment of patients with necrotic pancreatitis]. / Modifitsirovannaia taktika lecheniia bol'nykh s nekroticheskim pankreatitom.

New principle of choice of the surgical treatment method in patients with necrotic pancreatitis was proposed: different operative procedures don't compete one another but are applied in accordance with the disease stage in dynamics. Such tactics permits to choose an optimal surgical approach in every phase of pathologic process course. From 1989 till 1992 the surgical treatment for necrotic pancreatitis was conducted to 54 patients. Pancreatic resection was done to 14 (25.9%) of patients, 4 of whom died. In necrotic focus delimitation or pancreatic tissue sequestration, observed in terms of more than 2 weeks since the disease beginning, necrectomy was conducted in 40 (74.1%) of patients, 4 of whom died.

[Modification of the method of pancreatojejunal anastomosis in the performance of pancreatoduodenal resection]. / Modifikatsiia sposoba formirovaniia pankreatoeiunal'nogo anastomoza pri vypolnenii pankreatoduodenal'noi rezektsii.

The proposed methods of pancreatointestinal anastomosis construction are: with the artificially formed muscular sphincter, with postponed internal anastomosis construction between pancreatic duct and intestine, the anastomosis on screwable frame-work drain. Indication for the methods application, peculiarities of operative procedure and the results of treatment are adduced.

[Pancreatoduodenal reconstruction after previous palliative surgery]. / Vybor rekonstruktivnogo étapa pankreatoduodenalnoi rezektsii posle ranee vypolnennoi palliativnoi operatsii.

The performing peculiarities of reconstructive stage of pancreatoduodenal resection after previously conducted palliative operation in 212 patients were analyzed. The drainage operation was previously conducted to 89 of them.

[Prognostication of the course of pancreatogenic shock in a dynamic study of central hemodynamics indices in patients with pancreatic necrosis during enzymatic toxemia stage]. / Prognozirovanie techeniia pankreatogennogo shoka pri dinamicheskom issledovanii pokazatelei tsentral'noi gemodinamiki u bol'nykh s pankreonekrozom v fazeénzimnoi toksemii.

The investigation of central haemodynamics indexes dynamics with the use of the developed automatized system in 65 patients with pancreonecrosis was conducted for the aim of disease course prognostication and differentiated prescription of cardiotonics. Three stages of circulatory disorders were established. The possibility of patient's death significantly increases in the presence of prolonged depression of cardiac output when rapid effect of conservative therapy is absent.

[Experience in xenografts of pancreatic islet cell cultures after surgical treatment of chronic pancreatitis]. / Opyt ksenotransplantatsii kul'tur kletok pankreaticheskikh ostrovkov posle khirurgicheskogo lecheniia khronicheskogo pankreatita.

Xenotransplantation of the pancreatic islet cells was performed in 8 patients with chronic pancreatitis and concomitant diabetes mellitus, operated on the pancreas. In 2 patients, the rejection of the cells transplanted occurred. The causes of failure and possibilities for improving the technique are analysed.

[Prognostication of the reversibility of changes in the bile ducts and choice of tactics in surgical treatment of patients with choledocholithiasis]. / Prognozirovanie obratimosti izmenenii zhelchnykh protokov i vybor taktiki khirurgicheskogo lecheniia bol'nykh s kholedokholitiazom.

The reversibility of the changes in the common bile duct after elimination of mechanical obstruction and its adequate drainage in patients with choledocholithiasis was studied. A programmed system of prognostication permitting to choose the optimal type of operative intervention with regard for the sizes of the common bile duct after correction has been developed.