[Combined surgery of the large intestine and biliary tract]. / Sochetannye operatsii na tol'stoi kishke i zhelchnykh putiakh.

The article deals with the experience in the treatment of 204 patients with diseases of the biliary tract who underwent operation for various diseases of the colon. In 147 of them intervention on the colon was carried out simultaneously with cholecystectomy and other operations on the biliary tract. In 57 patients the gallbladder was not removed and in 7 (12.2%) of them the immediate postoperative period was marked by the development of complications connected with a disease of the gallbladder. As a result 3 out of the 57 patients were operated on for a second time. The frequency of postoperative complications among patients who were subjected to combined operations was 46.9%, the death rate--4.8%. It is important to point out that these indices hardly differed from those in the general group of patients (4.2% and 4.8%, respectively). Thus, cholecystectomy combined with intervention on the colon is admissible and, undoubtedly, expedient because it prevents the development of complications of cholelithiasis in the early postoperative period and saves the patient from undergoing a second operation on the biliary tract later.

[Ultrasonic examination in biliary tract diseases]. / U'ltrazvukovoe issledovanie pri zabolevaniiakh zhelchevyvodia- shchikh putei.

The authors consider that ultrasonic examination is a simple, safe and highly informative method of examination having no contraindications. Due to its high informative value the USE is of decisive significance in diagnosis of cholelithiasis. The obtaining of more exact diagnosis of "acalculous cholecystitis" requires strict interpretation of all the findings of ultrasonic examination. The ultrasonic symptomatology of noninflammatory diseases of the bile duct requires more exact details.