No abstract

The article presents the modern classification of extrahepatic biliary ducts injuries in laparoscopic cholecystectomy. Three groups of biliary ducts intraoperative injures risk factors are described. The basic methods of preoperative and intraoperative prophylaxis of the biliary ducts injury and diagnostic methods are offered. The variations of surgical correction according to the level of biliary ducts injury and time duration of injury are recommended.

The work is devoted to one of the methods of surgical correction of obesity, namely, laparoscopic gastric banding. The history of development of this method of treatment of patients with obesity is briefly given. Three clinical observations of postoperative complications after gastric banding in obese patients are presented. In two cases, gastric banding surgery was performed by an unregulated bandage, and in one case - by a regulated one. Observed complications: displacement of the band on the abdominal esophagus, a sharp narrowing of the belt of the gastric cardia and the sore bondage of the stomach wall. The authors note that despite the ease of installation of the bandage, the relative safety of the operation, this method of surgical correction of obesity can be accompanied by various complications. Statistics 5-10 years of observation of patients shows that almost 50% of patients are operated on for one reason or another. The most common reason for the surgery is dissatisfaction with the results and comfort of food. Among all patients operated on for obesity the lowest percentage of satisfied with the result - in bandaged patients. In modern bariatrics, the authors consider gastric banding surgery as an outdated method that has long lost its leadership in the structure of surgical interventions.

A review of the literature on one of the methods of treatment of unresectable primary and metastatic liver cancer, namely radio embolization, is presented. A detailed description of the procedure for performing radioembolization of the liver vessels, possible complications, indications and contraindications to this method, lists the necessary equipment and tools. Particular attention is paid to the description of the microspheres used in radioembolization. A modern review of clinical studies, including those still unfinished, devoted to the method of radioembolization with unresectable primary and metastatic liver cancer is given.