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Diagnostic laparoscopy was performed in 588 patients with acute surgical pathology and 165 patients with abdominal traumas as a diagnostic procedure in order to differentiate and define further strategy of treatment. Acute appendicitis was diagnosed in 207 patients, laparoscopic appendectomy being fulfilled in 72 of them. In 103 out of 165 patients with abdominal trauma injuries of internal organs were diagnosed, in the other 62 patients injuries were excluded. Acute pancreatitis was diagnosed in 40 patients, 28 of them underwent different laparoscopic procedures. Laparoscopy allowed the diagnosis of acute disturbances of mesenteric blood circulation in 16 patients.

The authors made an analysis of 511 operations for chronic abdominal ischemia caused by stenosis of the celiac trunk performed during 20 years. In addition to decompression of the celiac trunk, one-stage combined operations on the organs of the abdominal cavity were made in 167 out of 511 patients for concomitant diseases. It was shown that adequately fulfilled operations on organs of the abdominal cavity with stenoses of the celiac trunk improved the results of operations for the stenosed vessel.

The authors discuss the immediate and late results of operations conducted with the [symbol: see text] suturing instrument of their design. It made possible one-stage transduodenal papillosphincteroplasty by application of two rows of tantalum staple sutures with division of the tissue between them--papillosphincterotomy. The authors conducted the operation on 242 patients for benign stenosis of the common bile duct by stones incarcerated in it. In 29 patients the intervention was complemented by the formation of supraduodenal choledochoduodenoanastomosis by means of the same suturing instrument, establishing in this was double internal drainage of the bile ducts. The suturing instrument made the operation easier and atraumatic and provided reliable hemostasis. Immediate postoperative mortality as 1.9%. Transduodenal papillosphincterotomy with the [symbol: see text] suturing instrument produced g od and satisfactory results in 95.2% and poor results in 4.8% of patients; poor late results of double drainage of the choledochus by the authors' method were not registered.

A comparative assessment of different kinds of operations performed in 410 patients with duodenal ulcer was made. The main criteria of choosing the operation are believed by the authors to be indices of the secretion of hydrochloric acid, character and size of the ulcer and infiltration. The truncal vagotomy with antrumectomy are preferred.