[The preoperative preparation of patients with obstructive jaundice of cholelithic origin after the performance of cholecystectomy]. / Predoperatsionnaia podgotovka bol'nykh s obturatsionnoi zheltukhoi zhelchnokamennogo geneza posle vypolneniia kholetsistéktomii.

The method and the results of preoperative schedule (PS) in 128 patients with obstructive jaundice (OJ) of cholelithic genesis after conduction of cholecystectomy (CE) were analyzed. The risk scale (4 degrees) and an optimal scheme of antioxidant-sorption treatment was elaborated. Radical operation on biliary ducts is conducted while the I-III degree risk presence and palliative one--while the IV degree. The PS application have promoted the mortality lowering from 5.7 to 0.9%.

[Injuries of the ducts in surgery of the biliary tract]. / Povrezhdenie protokov v khirurgii zhelchnykh putei.

The authors analysed 92 reconstructive and restorative operations on the biliary tract injured at a high level during emergency operations. Such complications occur most frequently when the surgeon is insufficiently experienced or due to unavailability or incomplete use of the radiological method of intraoperative diagnostics. The expediency of reinfusion of the lost bile into the gastrointestinal tract in the diagnosis of injury to the biliary tract is pointed out. It is emphasized that patients must be transferred early to a specialized medical establishment for a reconstructive operation. The creation of hepato-digestive anastomoses on a transhepatic drain produces better results than the other drainage methods. In the group of 92 patients 77 recovered and 15 died in different periods after the operation.

[Methods for the prevention and treatment of acholia]. / Sposoby profilaktiki i lecheniia akholicheskoi bolezni.

In the clinic, the special appliances and apparatus for collection of the bile, its filtration, sterilization and introduction into the stomach of a patient were developed and used in patients with external biliary fistula. Since 1987, the original method for treatment of the alcoholic disease has been introduced. It was used in 40 patients.

[Causes and prevention of bile duct injuries during surgery]. / Prichiny i profilaktika povrezhdenii zhelchnykh protokov vo vremia vypolneniia operatsii.

From 1977 till 1993 in the clinic 108 patients were treated for the injury of extrahepatic biliary ducts occurred during cholecystectomy or gastric resection, performed mainly in the other medical departments. Injury of the ducts was diagnosed while operation performance in 68 patients. In 58 (54,6%) observations the reason of injury was the lack of surgeon's qualification and in 22 (20,3%)--nonadequate conditions of operation performance.

[Computer prognostication in surgery of choledocholithiasis]. / Komp'iuternoe prognozirovanie v khirurgii kholedokholitiaza.

The automatized value of treatment results and postoperative period course was done according to special programs in 218 patients with choledocholithiasis using the united computer system. Integral risk factors and four regressional patterns of postoperative period course were obtained using the factor analysis. Prognosis was quite right in 87,5-97,5% of patients.

[The late results after rehabilitative and reconstructive operations on the bile ducts]. / Otdalennye rezul'taty posle vypolneniia vosstanovitel'nykh i rekonstruktivnykh operatsii na zhelchnykh protokakh.

Of 7000 patients operated on biliary ducts in 622 the recovering and reconstructive interventions were conducted. Late follow-up result was studied in 313 (51%) patients. Good result was noted in 179 (57.7%) patients, fair--in 99 (32.2%), poor--in 35 (10.1%) in terms from 3 months till 17 years. In patients operated on for the "forgotten" biliary ducts concrements, frequently combined with stenosis of common biliary duct terminal portion, most frequently good and fair result was noted. Late follow-up result of reconstructive operations using external transhepatic carcass drainage was significantly better than after application of other methods of correction for high stricture and injury of biliary ducts.

[The importance of ultrasonic and morphological studies in the differential diagnosis of tumor, dyshormonal and inflammatory diseases of the breast]. / Znachenie ul'trazvukovogo i morfologicheskogo issledovanii v differentsial'noi diagnostike opukholevykh, disgormonal'nykh i vospalitel'nykh zabolevanii molochnoi zhelezy.

The ultrasonic examination results of mammary gland and regional lymph outflow zones were studied in 16,542 patients, including 415 with punction biopsy performance. The mammary gland cancer diagnosis was verified at the cytological examination of bioptic materials in 108 patients.

[Methods of designing a prognostic system, regression models and risk scale in the surgical treatment of cholelithiasis]. / Metodika postroeniia prognosticheskoi sistemy, regressionnykh modelei i shkaly riska v khirurgichedskom lechenii zhelchnokamennoi bolezni.

An automated assessment of the results of treatment and prediction of a course of the postoperative period was performed in 218 patients with cholelithiasis by means of ES computer according to 100 parameters. Five statistic packs of the application programs (VMDR-75 version) were used. Cluster-analysis, factor analysis and a method of the main components were employed. Four most essential risk factors were distinguished, the regressive models of a postoperative period obtained. This permitted to choose the most rational method for treatment.

[The surgical correction of iatrogenic damage to and cicatricial stricture of the extrahepatic bile ducts]. / Khirurgicheskaia korrektsiia iatrogennogo povrezhdeniia i rubtsovoi striktury vnepechenochnykh zhelchnykh protokov.

In treatment of 86 patients with a iatrogenic injury, or cicatricial stricture of the extrahepatic bile ducts, the Prader-Smith, Saypole-Kurian transhepatic drainage of hepatico-digestive anastomosis and that with the use of the method suggested by the authors have been used. The technique for performance of the operations is described, the special instruments are offered. After the operation, only one female patient has developed a subphrenic abscess.

[Chronic gastritis in patients following cholecystectomy]. / O khronicheskom gastrite u bol'nykh posle kholetsistéktomii.

A study of 198 patients with chronic gastritis after cholecystectomy revealed that chronic gastritis occurred in 2.6-4.5% of patients with benign diseases of the biliary tract and postcholecystectomy syndrome that were not diagnosed before surgery. Gastric disorders should be considered in the complex of rehabilitation measures after cholecystectomy. Treatment in a gastroenterological department and at health resort will improve long-term results.