[Surgery for cancer of proximal regions of the rectum].

The results of treatment of 1652 patients, operated for proximal cancer recti, were presented. Resectability had constituted (84.0 +/- 0.9)%. In (95.7 +/- 0.5)% patients a primarily-restoration operations were accomplished. In (76.0 +/- 1.1)% patients the standard operations were performed, in (8.9 +/- 0.8)%--the extended operations, in (11.5 +/- 0.9)%--combined and in (5.5 +/- 0.6)%--simultant. All the patients after the simultant operations performance had survived. Eligibility of application of the operation methods, technical manipulations and devices, elaborated in the clinic, for the treatment of this group of patients was proved.

[Postoperative complications after surgical interventions for cancer of proximal regions of the rectum].

The results of surgical treatment, performed in 1986-2005 in 1690 patients, suffering proximal rectum cancer, were studied. Resectability had constituted 84.3%. Primarily-restoration operations were performed in 95.9% patients. Of 1425 patients in 85.6%--radical operations were performed, in 14.4%--palliative and in 11.6%--combined. Intraoperative complications had occurred in 7.6% patients and postoperative--in 15.3%. Anastomotic sutures insufficiency was noted in 1.8% patients. Postoperative lethality had constituted 4.2%.

[Prophylaxis of postgastrectomy complications in patients with gastric cancer].

There are presented the results of surgical treatment of 447 patients. suffering gastric cancer, in whom gastrectomy was performed. Esophago-initestinal anastomosis was performed according to method of G. V. Bondahr. Interintestinal anastomosis (IIA) was formed using traditional Braun method and also was applied the longitudinal-transversal method, elaborated in the clinic. Usage of the method proposed did not worsen the immediate and late results, but have promoted significant improvement of the gastrectomy functional results. The method application secures the trustworthy lowering of the postgastrectomy complications rate while performing gastrectomy (dumping syndrome, reflux-esophagitis, the adduced loop syndrome) comparing with such, using Braun IIA--accordingly 30.5 and 52.8% (P = 0.016); fair, good and excellent the patients quality of life--accordingly in 67.8 and 47.2% (P = 0.024). The elaborated procedure of the IIA formation constitutes the method of choice while performing gastrectomy.

[Radical combined colonic resection for cancer recurrence]. / Radikal'naia kombinirovannaia rezektsiia tolstoi kishki po povodu retsidiva raka.

Experience of reoperative radical combined colonic resection for colonic cancer in 9 patients was presented. There were no complications, nor mortality. The preoperative radiation therapy and chemotherapy conduction had permitted to create an optimal conditions for the surgical intervention performance, which promoted the patients life span increase and improved its quality significantly.

[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.

[Treatment of colonic melanoma]. / Lechenie melanomy tolstoi kishki.

The results of treatment of 5 patients with colonic melanoma are presented. Fine-needle biopsy was used for morphological verification diagnosis. It was established that the patients with colonic melanoma are hospitalized in specialized department, as a rule, with nonopertable tumor. In 1 patient explorative laparotomy was done. Conduction of radical operative intervention was impossible because of presence of multiple metastases in liver. In 4 patients conservative treatment was performed. It was not possible to perform radical operation because of the process spreading. The patients life span after conduction of conservative therapy have constituted 14.5 mo at average.

[Restoration of colonic continuity after the Hartmann's surgery]. / Vosstanovlenie nepreryvnosti tolstoi kishki posle vypolneniia operatsii Gartmanna.

The intestinal continuity restoration after performance of Hartmann's operation in presence of long rectal stump was done using the method of the duplicature anastomosis formation, which was elaborated in the clinic. The frequency of postoperative complications occurrence was 9.8%: In presence of short rectal stump the colon was descended on perineum via submucosal tunnel in rectal stump according to the method, which was elaborated in the clinic. The frequency of the postoperative complications occurrence was 16.7%. The data presented trusts the expediency of application of the methods elaborated in the clinic for restoration of intestinal continuity after performance of Hartmann's operation in presence of long and short rectal stumps.

[The restoration of intestinal continuity after the performance of the Miculicz's operation]. / Vosstanovlenie nepreryvnosti kishechnika posle vypolneniia operatsii Mikulicha.

The method of double-barrelled (split) colostomy closure after performance of Miculicz operation, including extraperitoneal formation of the invagination duplicatural anastomosis, was proposed. After application of the proposed method in 21 patients the complications occurred in 2, including 1 case of the anastomotic sutures insufficiency.

[The formation of the transplant for its descending to perineum with the sphincter-salvaging surgery in patients with disseminated sigmoid colon blood supply]. / Formirovanie transplantata dlia nizvedeniia na promezhnost' pri vypolnenii sfinktero-sokhraniaiushchei operatsii u bol'nykh s rassypnym tipom krovosnabzheniia sigmovidnoi obodochnoi kishki.

The methods of the transplant formation in the loose type of the sigmoyd colon blood supply and insufficiency of the over vessel, applied in patients during sphincter-preserving operation performance for cancer recti, was proposed. Satisfactory immediate and late follow up result was noted.

[The use of abdomino-supra-anal resection of rectal cancer]. / Primenenie briushno-nadanal'noi rezektsii priamoi kishki po povodu raka priamoi kishki.

The results of surgical treatment of 193 patients with upper- and middle ampullar cancer recti, to whom the abdominal supra-anal rectal resection was performed, were summarized. The operation procedure performance was depicted. There were no intraoperative complications. Postoperative complications had occurred in 19 (9.8%) of patients, 3 (1.6%) died. Necrosis of the descended intestine was not noted. The anal sphincter function had restored in 1 mo after performance of operative intervention.

[Resection of rectum and bladder for cancer]. / Rezektsiia priamoi kishki i mochemogo puzyria po povodu raka.

In 1970-1997 period 43 patients with cancer recti, invading bladder, were operated on. The base of surgical tactics was performance of primarily-restorational operation as independent procedure and in the complex of treatment as well. There was noted the fair immediate and late follow-up result of treatment.

[The restoration of colonic continuity after Hartmann's operation]. / Vosstanovlenie nepreryvnosti tolstoi kishki posle operatsii Gartmana.

The experience of restorational intervention with formation of duplicature (invagination) anastomosis after Hartmann's operation in 45 patients with complicated cancer recti and colonic cancer was summarized. Complications had occurred in 9.8% of observations, one patient died.

[Methods of inversion closure of transient colostomy]. / Sposob inversionnogo zakrytiia vremennoi kolostomy.

The method of inversive excision of colostomy, securing access to noninflamed tissues of intestine and pericolostomic region for consequent suturing made in accordance to requirements. While using the method purulent-inflammatory complications had occurred in less than 5% of patients and insufficiency of anastomotic sutures--in 3.4%.

[Contemporary aspects of treatment of colonic cancer, complicated by ileus. Part III. Treatment of rectal cancer, complicated by ileus]. / Sovremennye aspekty lecheniia raka tolstoikishki, oslozhnennogo neprokhodimost'iu kishechnika. Chast' III. Lechenie raka priamoi kishki, oslozhnennogo neprokhodimosti'iu kishechnika.

There were operated 331 patients with cancer of rectum, complicated by ileus. Radical operation was performed in 168 patients, palliative--in 57, symptomatic--in 106. Possibility of widening of evidences for performance of primary-restorational, sphincter-preservational operations was proved.

[Prophylaxis of the anastomotic sutures insufficiency in surgical treatment of complicated colonic cancer]. / Profilaktika nesostsoiatel'nosti shvov anastomoza pri khirurgicheskom lechenii oslozhnennogo raka tolstoi kishki.

The existing methods of prophylaxis of the anastomosis sutures insufficiency (ASI) in surgical treatment of complicated colonic cancer (CC) were considered. High safety of the invagination anastomosis formation method, elaborated in the clinic, was shown. It was used in surgical intervention with primary restoration of intestinal continuity, which was performed in 379 patients with complicated CC. Postoperative complications had occurred in 89 (23.5%) patients, 35 (9.2%) of them died. Purulent-septic complications dominated in structure of postoperative complications, the ASI was noted in 4 (1.1%) patients.

[Intensive therapy and strategy of management of patients with rectal cancer after the colonic descending to the perineum]. / Intensivnaia terapiia i taktika vedeniia bol'nykh rakov priamoi kishki posle nizvedeniia obodochnoi kishki na promezhnost'.

Optimal tactic for management of the patients on various stages of treatment was elaborated together with surgical procedure, basing on the experience of 3500 operations conduction for cancer recti, mainly abdominal resection with colon descendant to perineum. Methods of preoperative preparation and anesthesiological support were stated as well as the tactics of postoperative management of patients.

[Modern aspects of treatment of colonic cancer, complicated by ileus. Part II. Treatment of colonic cancer, complicated by ileus]. / Sovremennye aspekty lecheniia raka tolstoi kishki, oslozhnennogo neprokhodimosti'iu kishechnika. Chast' II. Lechenie raka obodochnoi kishki, oslozhnennogo neprokhodimost'iu kishechnika.

The results of treatment of 364 patients with colonic cancer, complicated by ileus. In 165 patients with partial ileus the radical operative interventions were performed, palliative--in 61 and symptomatic--in 83; with complete ileus--in 30.9 and 16 patients accordingly. Application of the interintestinal anastomoses formation methods, elaborated in the clinic, had permitted to perform primarily-restorational operations in 81.9% of patients with partial ileus and in 61.5%--with complete one, obtaining satisfactory immediate results. Insufficiency of the duplicature anastomosis sutures had occurred in 5 (2.2%) of colonic cancer patients, suffering partial ileus.