[Treatment of postoperative complications after surgery for esophageal cancer and cancer of the cardioesophageal junction]. / Lechenie khirurgicheskikh oslozhnenii posle operatsii pri rake pishchevoda i kardioézophagealnogo perekhoda.

Out of 108 patients with gastric and cardiac cancer and surgical complications, 49 were treated in the routine manner and 59 operatively. The immediate results were equal in either cases: 17 (34.7 +/- 6.8%) of 49 patients and 23 (39.0 +/- 6.35%) of 59 patients died (r = 0.46). However, to compare the results of two therapeutical policies is impossible: the magnitude of pathological changes and the severity of the patients' condition is too incomparable before a decision is made which therapeutical policy is chosen. The largest number of repeated emergency operations (22 patients) was associated with impaired hermiticity of the gastrointestinal tract. The major causes of this abnormality is esophageal anastomotic suture incompetence (2.7%) and graft necrosis (1.0%). Impaired patency in various parts of the gastrointestinal tract occupies the second place in its incidence (20 patients) for which 19 repeated emergency surgical interventions were made. Postoperative bleeding requiring repeated emergency surgical intervention occurred in 0.5%; in all cases, the bleeding was intrathoracic, chylothorax was detected in 1 patient, mediastinitis without disintegrity of the digestive tube was also noted in 1 patient, pancreonecrosis was recorded in 2 cases. Due to the introduction of extensive lymph dissection into these operations in 1990, the frequency of complications increased up to 2.1%.

[Comparative study of the quality of domestic albumin solution and foreign analogs]. / Sravnitel'noe izuchenie kachestva otechestvennogo rastvora al'bumina i zarubezhnykh analogov.

The quality and standards of albumin solutions (5, 10 and 20%) made in this country meet the requirements of national specification documentation. This, however, lacks some standards included into European Pharmacopoeia and mandatory for foreign manufacturers (Na and K ions, hemipigments, polymers, thermostability). The comparative tests of the albumin solutions made in Russia and abroad by conventional European standards showed that Russian solutions by some parameters are inferior to foreign samples. This urges improvement of the solution production technology as well as updating technical documents regulating the product quality.