[The surgical risk factors in the use of laparoscopic cholecystectomy]. / Faktory khirurgicheskogo riska pri primenenii laparoskopicheskoi kholetsistéktomii.

The increased risk factors--gender, age of the patient, the cholelithic disease existence duration, the acuteness of inflammation, the operations performed earlier on the abdominal cavity organs, influencing the laparoscopic cholecystectomy conduction for Courvoisier's gallbladder--were analyzed. The increase of intraoperative complications occurrence (hemorrhage, perforation of gallbladder, the outhepatic biliary ducts) in patients of elder age with durable disease was noted.

[Surgical treatment of cholelithiasis in concomitant diabetes mellitus]. / Khirurhichne likuvannia zhovchnokam'ianoï khvoroby pry suputn'omu tsukrovomu diabeti.

The results of surgical treatment of 167 patients with cholelithiasis (CL) and concomitant diabetes mellitus (DM) ranging in age from 25 to 75 years and elder have been analysed. Acute form of CL was diagnosed in 101 patient, the chronic one--in 66. The tactics for conservative treatment of the patients, including insulin therapy before and after the operation, has been developed. In surgical treatment of CL and compensated DM, the preference was given to the instrumental and endoscopic methods, in decompensated DM, the radical operation was performed.

[Late results of surgical treatment of generalized myasthenia gravis]. / Otdalennye rezul'taty khirurgicheskogo lecheniia generalizovannoi miastenii.

The long-term results of thymectomy in 85 patients with generalized myasthenia at the age of from 16 to 65 years were studied. The complete recovery was noted in 3.3% of the patients, a good result--in 16.7%, a satisfactory one--in 53.3%. In 26.7% of the patients, the clinical effect was absent. At the late period after the operative intervention, in some of the patients, the impairement in the immunoreactivity of an organism preserved. This caused the recurrences of myasthenia and other autoimmune diseases.