The article analyzes the treatment of patients in older age groups with colon cancer complicated by perifocal inflammation. It is shown that the treatment modality for this category of patients depends largely on the severity of paracancrosis inflammation. A large number of postoperative complications and a high level of postoperative mortality accompany traditional operations performed for colon cancer complications. The introduction of laparoscopic technology allows improving the treatment results in patients of elderly and senile age.

The article presents a clinical observation of a patient with a pancreatic head tumor, when ultrasound and the standard MSCT protocol with the use of intravenous bolus contrast and multiphase scanning techniques revealed a tumor and its resequence could not be assessed. Inclusion in the protocol of CT scan of perfusion of the pancreas allowed to clearly visualize and localize the tumor, to estimate its size, the relationship with the main vessels. Based on the results of the examination, the patient underwent pancreatoduodenal resection.

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The aim of the study was to analyze the results of spinal artery damage treatment of the injured. Materials and methods. An 2-year analysis of treating 7 patients with vertebral artery injuries admitted to the City Hospital (GB) No. 26 of St. Petersburg was carried out. The problems of diagnosing and treating these injuries have been identified. The solutions to these problems have been suggested. Two clinical cases of successful treatment of injured patients with spinal artery damage have been presented. Results. Theres a possibility of damaging vertebral arteries in neck injuries thus defining the need for introducing high-informative methods of inspection (a spiral computer tomography contrast angiography, a Magnetic Resonance Imaging) and low-invasive (X-ray endovascular) interventions in urgent surgery. The implementation of complex instrumental examinations, their nature, the number of them and urgency should be determined by a surgeon individually considering the recommendations of related specialists. Conclusions. Regardless of the wound size and the patients condition, examination and treatment of patients with neck injuries should be carried out in large hospitals with angiosurgeon and other narrow specialists in the panel of doctors with the 24-hour surveillance, as well as access to full examination and high-tech urgent operational interventions.