[Diagnosis of insulinoma]. / Diagnostika insulinomy.

The analysis of topical diagnosis of the pancreatic hormonally-active tumor was conducted in 116 patients with the hyperinsulinism syndrome. The trustworthiness of the ultrasound examination (USE) had constituted 16.3%, computer tomography--7.7%, angiography--22.4%. The tumor was revealed with the help of intraoperative USE in 7 of the total 11 patients.

[Diagnosis and surgical treatment of patients with insulinoma]. / Diagnostika i khirurgicheskoe lechenie bol'nykh s insulinomoi.

The experience of treatment of 116 patients with the organic hyperinsulinism syndrome is presented.

[The use of Sandostatin in the combined treatment of surgical diseases of the pancreas]. / Primenenie sandostatina v kompleksnom lechenii khirurgicheskikh zabolevanii podzheludochnoi zhelezy.

The paper analyzes experience gained with the use of Sandostatin in patients with a surgical operation-induced pathology of pancreas. Sandostatin is known to be capable of suppressing the exocrine activity of pancreas, which fact made for decline in the recordable postoperative complications and improvement of results of surgical treatment. The maiden experience gained with its use showed high efficacy of Sandostatin in a multimodality treatment of patients presenting with surgical pathology of pancreas.

[Means for improving the results of the surgical treatment of patients with organic hyperinsulinism]. / Puti uluchsheniia rezul'tatov khirurgicheskogo lecheniia bol'nykh s organicheskim giperinsulinizmom.

Based on the analysis of the medical records of patients studied in a large clinical trial, possible ways for improving results of surgical treatment of patients with organic hyperinsulinism were outlined. Use of ultrasonic aspirator permitted the damage to the main pancreatic duct and great vessels to be avoided during surgery. A technique is suggested enabling one to detect a damage to the main pancreatic duct during surgery doing away with it in a timely fashion; a positive effect has been ascertained of sandostatine in the prophylaxis of postoperative complications.

[Experience in xenografts of pancreatic islet cell cultures after surgical treatment of chronic pancreatitis]. / Opyt ksenotransplantatsii kul'tur kletok pankreaticheskikh ostrovkov posle khirurgicheskogo lecheniia khronicheskogo pankreatita.

Xenotransplantation of the pancreatic islet cells was performed in 8 patients with chronic pancreatitis and concomitant diabetes mellitus, operated on the pancreas. In 2 patients, the rejection of the cells transplanted occurred. The causes of failure and possibilities for improving the technique are analysed.

[New methods in the surgical treatment of patients with chronic pancreatitis]. / Novoe v khirurgicheskom lechenii bo'lnykh khronicheskim pankreatitom.

The analysis of the 10-year experience with surgical treatment of 719 patients with chronic pancreatitis is presented. Of them in 461, the direct interventions on the pancreas were performed. Drainage operations were performed in 270 patients, the lethality was 3.3%, different modifications of pancreatic resection were used in 191 patients, the lethality was 8.3%. Together with the recognized interventions, the new ones--recanalization of the pancreatic duct with plasty of its wall, recanalization of the pancreatic duct by the small intestinal segment, anatomical resection of the pancreatic head were performed. The main requirements for the performance of pancreatic resection in patients with chronic pancreatitis were defined: resection within the limits of the irreversibly changed area of a gland; choice of a method for stump management with regard to functional state of a gland; restoration of physiologic pathways for passage of the food, bile and pancreatic secret. The surgical principles permitting to improve carbohydrate metabolism in patients after pancreatoduodenal resection have been developed.

[Partial resection of the head of the pancreas]. / Partsial'naia rezektsiia golovki podzheludochnoi zhelezy.

Data of performing partial resections of head of the pancreas in 29 patients are described. Depending on the state of the pancreas it is possible to perform external drainage of the major pancreatic duct of the distal stump followed by its delayed occlusion, to form pancreatoenteroanastomosis or recanalization of the duct using a small intestine segment. The partial resections are less traumatic operations and give less amount of postoperative complications.

[Delayed occlusion of the pancreatic duct]. / Otsrochennaia okkliuziia protoka podzheludochnoi zhelezy.

Seventy six delayed occlusions of the main pancreatic duct were fulfilled during the period from 1978 to 1985. No severe complications or lethal outcomes due to performing a delayed occlusion of the duct were noted.