[Evaluating an effectiveness of surgical treatment of gastroesophageal reflux disease combined with hiatal hernia]. / Otsenka éffektivnosti khirurgicheskogo lecheniia gastroézofageal'noi refliuksnoi bolezni v sochetanii s gryzhei pishchevodnogo otverstiia diafragmy.

AIM: To assess an effectiveness of surgical treatment of gastroesophageal reflux disease (GERD) combined with hiatal hernia (HH). MATERIAL AND METHODS: The trial included 96 patients with GERD and HH who were divided into 2 groups. The principal difference between groups was the use of surgery in the main group and therapeutic treatment in the comparison group. RESULTS: The effectiveness of surgical treatment is superior to therapeutic treatment of GERD by more than 2.5 times. CONCLUSION: HH combined with GERD is an indication for surgical treatment. Fundoplication cuff should not lead to angular and rotational esophageal deformation. Nissen procedure in Donahue modification (Short Floppy Nissen) simulates optimally the geometry of esophago-gastric junction and His angle.

[Single-port cholecystectomy - pros and cons]. / Odnoportovaya kholetsistektomiya - za i protiv (s kommentariem).

AIM: to study efficacy and safety of current laparoscopic techniques of cholecystectomy. MATERIAL AND METHODS: 3 groups of patients were defined. Single laparoscopic access with/without trocar support was used in group 1 (SILS+, n=10) and 2 (SILS, n=16) respectively. Conventional four-port laparoscopic cholecystectomy was applied in comparison group. RESULTS: SILS+ and SILS techniques were associated with less pain syndrome within first 12 hours after surgery compared with four-port cholecyst-ectomy. Better cosmetic result is also achieved in case of single-port technique. Both methods are comparable in their safety. CONCLUSION: SILS-techniques are current alternatives to four-port laparoscopic cholecystectomy due to better cosmetic result, mild postoperative pain syndrome and comparable safety.