[Laparoscopic and NOTES endovideosurgical interventions for colonic diseases].

Peculiarities of learning period and results of endovideosurgical interventions in colonic diseases were analyzed. In 72 patients laparoscopic technology was applied, in 5-transanal endomicrosurgical (TEM) rectal resection for various colonic diseases, including 67 (87%)--for colorectal cancer. Complications have had occur in 9 (11.7%) patients. All the patients are alive. There was no need for formation of unloading or protective stoma. Performance of endovideosurgical operations in colon diseases is expedient because of their lesser traumaticity, reduction of a stationary treatment period and the need for diagnostic and treatment measures postoperatively.

[Multivariate analysis of risk factors of the anal functional disorders after abdominal-anal resection with delayed formation of colonic-anal anastomosis].

Multivariate analysis of clinical factors was conducted on the material histories of 195 patients treated between 2004 and 2006. In Donetsk regional antitumor center, which for rectal cancer (RC) is made abdomino-anal resection of the rectum with the delayed formation koloanal anastomosis after bringing down the colon to the perineum. In 97 patients the operation was performed with the use of electric welding soft tissue (EWST), in 98--a standard way. Studied the quality of life of patients using a questionnaire QLQ C30-CR38 and the function of the anal incontinence (Wexner scale). It is established, that the greatest influence on the function of the anal continence have a view of a combined and complex treatment, radicality intervention, the method of forming koloanal of anastomosis. Application EWST the second stage of surgery to cut off excess relegated intestine helped reduce the risk of poor function of the anal continence.

[Morphological changes of tissues in formation of a welding suture on the large intestine].

Abdominoanal resection with descending of left colon on perineum, leaving additional part of a descended intestine, was performed. For the hemorrhage arrest the welding sutures were put on intestinal wall. According to morphological investigations data, a damage of intestinal wall in the zone of a welding suture application is a reversible one, it spreads from the electrode branch on 2-3 mm. The presence of undamaged structures witnesses the presence of an active regeneration process in tissues around the welding suture.

[Application of endolymphatic therapy using catheterization of femoral lymphatic vessels in complex of treatment of oncological diseases]. / Primenenie éndolimfaticheskoi terapii putem kateterizatsii limfaticheskikh sosudov bedra v komplekse lecheniia onkologicheskikh zabolevanii.

Endolymphatic way of the medicinal preparations administration promotes their more effective influence on pathological focus. The experience of conduction of more then 15,000 of the lymphatic vessels catheterization manipulations was summarized, permitting to perform the treatment of patients successfully.