Search

Solid pseudopapillary pancreatic neoplasm-is a tumor, which appears rarely, predominantly in young women, has low malignant potential and unknown histogenesis. Morphological peculiarities of the tumor may be the same as in endocrinal tumors and ductal pancreatic adenocarcinoma, with which it must be differed. Immunohistochemical investigation of the tumor does not permit to obtain information for strict diferential diagnosis conduction; macroscopic and microscopic peculiarities of the tumor while staining with hematoxilin and eosin give more important information for its diagnosis. The treatment is surgical and consists of radical resection of the tumor.

Late functional results of laparoscopic rectal fixation in 14 patients, performed for its total prolapse were estimated. In majority of the patients, suffering concurrent somatic diseases, laparoscopic rectopexy was performed without rectal resection. This method of treatment was suggested as an effective one, permitting to escape recurrence and to improve the quality of life significantly.

Optic biopsy (the laser-induced fluorescence) was applied in laparoscopic surgery in 14 patients with colonic malignancy. There were investigated 66 lymph nodes. Trustworthiness of the laser induced fluorescence was 80.7%.

Possibilities of laparoscopic colonic resection and colectomy in the treatment of the patients with tumoral and nontumoral affection of colon and rectum were determined. Laparoscopic resection of colon and rectum was performed in 94 patients, including 67--for colorectal cancer. Due to the disease recurrency 10 patients died. Laparoscopic resection is the method of choice in the treatment of patients with nontumoral affection of colon.