[Operability and resectability of esophageal cancer]. / Operabel'nost' i rezektabel'nost' pri rake pishchevoda.

An experience with treatment of 193 patients with carcinoma of the thoracic part of the esophagus during the recent 7 years is generalized. A characteristic of oncological and functional operability in patients of this group is given. More than half of them were elderly (41.9%) and senile (12.4%) patients. Radical operative interventions were thought to be possible in 161 patients (83.4%). Resections of the esophagus in combination with esophagogastro-or esophagoenteroplasty were performed in 146 of them. Resectability was 90.6%. Postoperative lethality was 9.9%. For the last 2 years resectability had increased up to 96%, while the postoperative lethality had decreased to 4%.

[Experience in 110 pancreatoduodenal resections]. / Opyt 110 pankreatoduodenal'nykh rezektsii.

An experience with 110 pancreatoduodenal resections is described. The possibility to fulfil the operation depended on the size of the tumor of the pancreas head (not more that 4 cm), on the width of the common bile duct (not more than 15 mm) and on the length of the not injured part of the hepatocoledochus (not less than 5 cm). The positive and negative features of ablation of the tumor in one or two steps are shown. It is thought to be expedient to save the gallbladder and the stomach with its pyloric sphincter. The restorative period after operations was performed by the Whipple method. Grounds for the expedience of transnasal drainage of the small intestine loop isolated after Roux are given. Postoperative lethality was 7.2%.

[The diagnosis and treatment of liver abscesses]. / Diagnostika i lechenie abstsessov pecheni.

An analysis of results of treatment of 15 patients with abscesses of the liver of different genesis is given in the article. The ultrasonic method of examination was shown to be highly efficient for diagnosis of liver abscesses. The authors stress the necessity of differential approach to treatment of such patients based on etiopathogenesis of the disease. In most cases the method of choice for treatment of liver abscesses was found to be the percutaneous puncture and drainage under control of echography.

[The determination of the level of resection of the esophagus taking into account its blood supply]. / Opredelenie urovnia rezektsii pishchevoda s uchetom ego krovosnabzheniia.

Inadequate blood supply is one of the major reasons of esophageal anastomosis incompetence. The authors have examined esophageal blood supply as regards of the operative technique. The esophageal vascular system was studied by the method of intraarterial impregnation in 40 cadavers. Two segments, crucial for esophageal anastomosis, have been determined: retropericardial segment in case of the lower esophageal artery ligation and the upper segment of the thoracic esophagus in case of its extreme mobilization in proximal direction and ligation of lower thyroid arteries. The results of 175 operations were analysed. The direct correlation between the frequency of anastomotic incompetence and the level of its formation was determined. In the zone with an inadequate blood supply the complication occurred in 4 patients of 25 (16%). In other cases the rate of incompetence was 3.2%. No cases of incompetence were observed in 61 patients after anastomosis was performed with due regard for esophageal blood supply.

[Resection of the esophagus with single-stage intrathoracic esophagogastroplasty]. / Rezektsiia pishchevoda s odnoétapnoi vnutrigrudnoi ézofagogastroplastikoi.

An experience with treatment of 152 patients with diseases of the esophagus who were subjected to resection of the esophagus with a one-step esophagoplasty is analyzed. A principally new approach is presented to the method of forming the gastric transplant, to choice of the level of the esophagus resection and to preoperative examination of the patients. Postoperative lethality was 9.9% with the complete absence of the esophageal anastomosis incompetence.

[The determination of the level of esophageal resection taking into account its blood supply]. / Opredelenie urovnia rezektsii pishchevoda s uchetom ego krovosnabzheniia.

The anatomical and polarographic investigations allowed the authors to establish two critical portions for forming the esophageal anastomoses. Risk of incompetence of the anastomoses in these portions is great because of an insufficient blood supply.

[A method of forming the gastric transplant for esophagoplasty]. / Metodika formirovaniia zheludochnogo transplantata dlia ézofagoplastiki.

A principally new method of forming the gastric transplant was developed on the basis of the anatomical investigation of the stomach blood supply, based on the intraorganic vascular way between 3 main collectors of the stomach--the right gastro-omental, left gastric and left gastro-omental arteries. The method was used in 65 patients operated upon with good results.

[Correction of microcirculatory disorders in the surgical treatment of late-stage mitral stenosis]. / Korrektsiia mikrotsirkuliatornykh narushenii v khirurgicheskom lechenii mitral'nogo stenoza pozdnikh stadii.

The article is concerned with an analysis of results of the aimed medicamental correction of microcirculatory disorders performed by an original scheme. It shortened the time of preoperative preparation, extended indications for surgery, reduced the amount of postoperative complications and gave good results of the surgical correction.

[Microcirculatory disorders in mitral stenosis surgery]. / Narusheniia mikrotsirkuliatsii v khirurgii mitral'nogo stenoza.

The clinical investigation of microcirculation in 100 patients with rheumatic mitral stenosis performed by clinico-morphological and laboratory methods has revealed changes of microcirculation in 100% of cases. Three degrees of disturbances of microcirculation are shown. The authors believe microcirculation disturbances to be responsible for severity of the patient's state and effectiveness of surgical treatment.

[Methodological aspects of studying microcirculation in cardiological surgery]. / Metodicheskie aspekty issledovaniia mikrotsirkuliatsii v kardiokhirurgii.

The authors propose a classification of symptoms of a disturbed microcirculation. Methodical recommendations for studying the microcirculation in patients in the cardiosurgical clinic are given.