[Performance of laparoscopic cholecystectomy for cholelithiasis. Analysis of immediate results].

The results of laparoscopic cholecystectomy (LCHE) performance in 142 patients in 2004 - 2008 yrs were analyzed. The operation duration had constituted 25-95 min, 25 min at average, depending on severity of the gallbladder and surrounding tissues morphological changes. Uncomplicated postoperative course was noted in 135 patients. Early postoperative complications had occurred in 7 (4.9%) patients, including the liquid pooling in subhepatic recessus--in 2 (1.4%). The conduction of a detailed analysis of any complications and mistakes, occurring intraoperatively, permits to omit them. The studying and analysis of complications, in a frame of specificity of intraoperative faults committed during LCHE performance, would make possible to improve the quality and the results of operative treatment of cholelithic disease.

[Surgical treatment of perforative gastroduodenal ulcer in patients living in a catastrophic flood zone].

In a period of catastrophic flood in 1998 and 2001 yrs there was noted the enhancement of general quantity of patients with gastroduodenal ulcer disease as well as with complicated course, including gastroduodenal ulcer perforation. In the period of flood in Zakarpattya in 2001 the quantity of patients, who were admitted to hospital, to Tyachiv and Vinogradiv central district hospitals in particular, too late, was enhanced as twice. In conditions of extreme situation it is expedient to conduct prophylactic treatment of patients, who are staying under the dispensary observation for gastroduodenal ulcer disease. Improvement of the surgical treatment results in patients with gastroduodenal ulcer disease complications in the disaster zone may be achieved due to accurate organization and coordination on all the stages of medical care to population, application of modern endoscopic technologies.

[Mathematical algorithm for the determination of admissible volume of surgical intervention for portal hypertension in patients with liver cirrhosis]. / Matematychnyi alhorytm vyznachennia dopustymoho obsiahu khirurhichnoho vtruchannia z pryvodu portal'noï hipertenziï u khvorykh na tsyroz pechinky.

Basing on analysis of the weighted prognostical criteria the algorithm a determination of the surgical intervention admissible range in patients with liver cirrhosis and portal hypertension, in dependence of state severity, of the diseases degree compensation of were proposed.

[The use of nitroglycerin in integral treatment of hemorrhage with portal hypertension]. / Zastosuvannia nitrohlitserynu v kompleksi likuvannia krovotechi z portal'noiu hipertenziéiu.

The pressure in portal vein had lowered by 28.2% in 36 patients with hepatic cirrhosis and portal hypertension influenced by nitroglycerin, applied in the dose 0.43 ml/kg in the course of the day. Under such conditions the central hemodynamics indexes did not change substantially, no hepatic functional state occurred. Nitroglycerin application in complex of therapy showed its efficacy in 32 patients.