ОПЫТ 100 ТРАНСПЛАНТАЦИЙ ТРУПНОЙ ПЕЧЕНИ В ОДНОМ ЦЕНТРЕ

There’s a report of 100 cadaveric liver transplantation performed from December 2004 to June 2011. Indication for liver transplantation, including retransplantation, technical features of surgery, postoperative complications have been described. Patient survival was significantly lower in HCV-positive and HCC recipient than in other indications. Cumulative recipient survival rate at 1, 3, 5 years is 89; 87; 87%. Cumulative graft survival rate at 1, 3, 5 years is 85; 82; 70%. Long term immunosupression and HCV-infection after transplantation are discussed. В работе обобщен опыт 100 трансплантаций трупной печени, выполненных с декабря 2004-го по июнь 2011 года. Представлен спектр показаний к операции, в том числе к ретрансплантации печени, современные технические варианты выполнения операции, структура послеоперационных осложнений, включая сосудистые и билиарные. Показано, что выживаемость реципиентов с циррозом печени HCV-этиологии и гепатоцеллюлярной карциномой существенно ниже, чем при других показаниях. Суммарный показатель выживаемости через 1, 3 и 5 лет после трансплантации печени составил 89; 87; 87% соответственно. Выживаемость трансплантата в течение 1, 3 и 5 лет составила 85; 82; 70% соответственно. Обсуждаются вопросы длительной поддерживающей иммуносупрессии и лечения HCV-инфекции после трансплантации.

MILDLY-DAMAGED FOREST AREAS IN BOREAL FORESTS OF THE WORLD. THE ORIGIN, DEVELOPMENT, IMPOTANCE AND PROBABLE FUTURE OF THE CONCEPT OF MILDLY-DAMAGED FOREST AREAS WITH REGARD TO BOREAL FORESTS

The most important environmental goals at the global level, relating to forests, are conservation of biological diversity in the natural environment of its habitat and preservation of the environmental role (especially regarding the climate) of forests. Major forest areas, not fragmented by infrastructure and preserving the diversity of relationships between landscape elements, are of crucial importance for solution of both these problems. Since many decisions, concerning conservation and management, are taken at inter-regional and inter-state levels or within the framework of various international processes, it is important to have clear and uniform criteria for identification of such areas. The article deals with occurrence, development and current state of the most common concepts of allocation thereof – the concept of mildly-damaged forest areas, based on the use of remote sensing data, especially images from Landsat satellites. The article substantiates a necessity of further development and update of the concept of intact forest landscapes: unification of approaches to their identification near northern boundaries of forests, adjustment of approaches to registering impacts of forest fires in the context of global climate change and land-use practices, adaption to new public data of remote sensing of the Earth

ONE HUNDRED DECEASED DONOR LIVER TRANSPLANTATIONS AT A SINGLE CENTER

There’s a report of 100 cadaveric liver transplantation performed from December 2004 to June 2011. Indication for liver transplantation, including retransplantation, technical features of surgery, postoperative complications have been described. Patient survival was significantly lower in HCV-positive and HCC recipient than in other indications. Cumulative recipient survival rate at 1, 3, 5 years is 89; 87; 87%. Cumulative graft survival rate at 1, 3, 5 years is 85; 82; 70%. Long term immunosupression and HCV-infection after transplantation are discussed