[Differential diagnosis of hepatic cystic lesions].

Of 74 patients, treated in 2000-2007 yrs in the clinic for nonparasitic hepatic cyst, in 18 hepatic polycystosis was revealed. The applied examination algorhythm was two-staged and included the clinico-laboratory investigations results analysis, as well as serological tests for echinococcus, two-dimensional ultrasonographic investigation data, CT in necessity, the cyst puncture--on the first stage and laparoscopy with histologic investigation of the cyst wall--on the second. The proposed differential diagnostic criteria application had permitted to differ the hepatic cyst of parasitic and nonparasitic origin in 98% of observations.

[Complex treatment of patients with cholangiogenic hepatic abscess].

Results of treatment of 47 patients with cholangiogenic hepatic abscess were analyzed. Clinical, laboratory and special methods of investigation were applied for diagnosis. The authors consider ultrasound investigation (USI), computer tomography and the abscess puncture under the USI control with subsequent cytological and bacterial control the decisive methods in diagnosis of hepatic abscess. In complex of treatment of patients miniinvasive technologies were applied--the abscess puncture, its cavity drainage under USI control transcutaneus transhepatic cholangiostomy, endoscopic papillosphincterotomy with lithotripsy and nasobiliary drainage, according to indications. Efficacy of the abscess cavity sanation, using miramistinum and decasan, was proved. In general therapy the directed transport of medicines was applied.