[Diagnosis and treatment tactics for complicated pancreatic pseudocysts].

Experience of 84 patients treatment for complicated pancreatic gland pseudocysts is presented. Tactics of diagnosis and treatment for complicated pancreatic gland pseudocysts was elaborated and substantiated. Individualized treatment-diagnosis approach provides, first of all, the complications elimination, an adequate surgical treatment of pancreatic gland pseudocyst is possible in late period. For complicated pancreatic pseudocysts treatment miniinvasive methods were used predominantly, when their application is impossible or fails the open procedure is performed.

[Mini-invasive interventions for cystic formations of the spleen].

The data of complex clinical examination and surgical treatment of 89 patients, having splenic cysts (SC), are analyzed. Indications and contraindications for miniinvasive methods of treatment (laparoscopic and puncture-draining procedures under ultrasonographic control) application are substantiated, taking into account their size, localization, pathogenesis and presence of SC complications. Diagnostic efficacy of abdominal ultrasonography, computer tomography for SC was estimated, the significance of these methods, while choosing a rational tactics of treatment, was determined. There were elaborated and introduced into clinical practice the stages of endosurgical procedures, including performance of organpreserving operations for SC. Introduction of the elaborated diagnostic algorithm and tactics of treatment of SC have permitted to reduce postoperative complications rate and the patients stay in hospital, improving their quality of life as well.

[Transcutaneous hepatic biopsy under ultrasonographic control: options, indications, procedure, results]. / Chreskozhnaia biopsiia pod kontrolem ul'trazvukovogo issledovaniia: vozmozhnosti, pokazaniia, tekhnika, rezul'taty.

The options, indications and contraindications for conduction of transcutaneous diagnostic interventions under ultrasonographic control in diffuse and focal hepatic affection were studied up. The procedure technique of the fine-needle aspiration and the tissue hepatic biopsy was adduced. Comparative analysis of the biopsy needles owing various constructions and diameters was conducted. High efficacy of transcutaneous biopsy under ultrasonographic control for the hepatic diseases diagnosis was proved.

[Dynamic ultrasonic investigation in differential and topical diagnosis of various forms of acute pancreatitis]. / Dinamicheskoe ul'trazvukovoe issledovanie v differentsial'noi i topicheskoi diagnostike razlichnykh form ostrogo pankreatita.

Estimation of possibilities of dynamic ultrasonic investigation and transcutaneous echocontrolled interventions in diagnosis of various forms of an acute pancreatitis and its complications while examination of 283 patients was conducted. High efficacy of echography and of transcutaneous interventions in early diagnosis of the disease was proved.

[Transcutaneous interventions under the ultrasonographic investigation control of organs of hepato-pancreatic-biliary zone]. / Chreskozhnye vmeshatel'stva pod rontrolem ul'trazvukovogo issledovaniia na organakh gepatopankreatobiliarnoi zony.

Results of treatment of some surgical diseases of the hepatopancreatoduodenal zone organs using transcutaneous intervention under the ultrasonic investigation control were analyzed. There were confirmed their high efficacy in the treatment of focal purulent diseases, hepatic cyst, possibility of application as primary surgical manipulation in treatment of destructive forms of an acute pancreatitis and in external drainage of biliary ducts for obstructive jaundice. Perspective trends of the method usage were determined.

[Possibilities of transcutaneous intervention under ultrasonographic control in comprehensive treatment of severe necrotizing pancreatitis]. / Vozmozhnosti chreskozhnogo vmeshatel'stva pod kontrolem ul'trazvukovogo issledovaniia v komplekse lecheniia tiazhelogo nekroticheskogo pankreatita.

In 46 patients with an destructive acute pancreatitis (AP) the invasive intervention under control of ultrasonography, in 38 of them--in stage of purulent complications, was performed. It had promoted stabilization of state in 39 (89.8%) patients, normalization of clinic--laboratory indexes, that had permitted to realize radical operative intervention with minimum risk in perspective. Invasive intervention under control of ultrasonography--highly effective primary surgical manipulation in complex of treatment of the destructive AP severe forms.

[Stages in the establishment and the developmental outlook of clinical ultrasonic diagnosis]. / Etapy stanovleniia i perspektivy razvitiia ul'trazvukovoi diagnostiki v klinike.

The ultrasonic semiotics of different diseases of hepar, pancreas, gallbladder, colon, postoperative complications was elaborated and complicated. New and complicated technological procedures for the complex ultrasonic investigation in before, intra- and postoperative periods were proposed. Minor traumatic transcutaneous intervention procedures under the ultrasonic control for the abdominal cavity and retroperitoneal space abscess, cysts of various localization were used for the first time in domestic practice. The treatment procedures applied ranged from puncture with subtle aspirating needle to one- or two-staged drainage performance. Clinical effectiveness constituted 85.2%.

[Surgical treatment of nonparasitic cysts of the liver]. / Khirurgicheskoe lechenie neparazitarnoi kisty pecheni.

The authors have observed 218 patients with nonparasitogenic cyst of the liver. Of them 94 were operated on. The cyst enucleation, partial excision of its wall, external cyst drainage, cystodigestive anastomosis formation, combined liver and the cyst resection were done. Preference to the cyst enucleation (in 22.5% of observations), its partial excision (in 33.8%) and combined resection of liver with the cyst (in 19.4%) was given. In polycystosis the partial excision of large cysts were the alternative operations as well as omento-hepatopexy. One (1.06%) patient have died. Postoperative complication occurred in 23 (24.2%) of patients.