Preview

Bulletin of Siberian Medicine

Advanced search

SURGICAL TREATMENT OF CHRONIC CYSTIC PANCREATITIS

https://doi.org/10.20538/1682-0363-2016-2-85-97

Abstract

Increasing the number of patients with complicated forms of chronic pancreatitis and pancreatic cysts observed in recent decades. Mostly people of working age are susceptible to disease. This makes the issue a social importance.The article presents a modern view of the choice of method of surgical treatment of chronic pancreatitis and cystic optimal terms of therapy, depending on the degree of “maturity” of pancreatic cysts. A detailed analysis of both traditional surgery and advanced minimally invasive treatment for pancreatic cysts is performed in this review of the literature.Emphasis is placed on radical methods of treatment, particularly in the duodenum-preserving operations. Pathogenic study is carried out. The problem of choosing the most radical and at the same time the organ-preserving technique, helping to improve the immediate and long-term results, the quality of life and social and labor rehabilitation, has not lost its relevance. Studies carried out in this area are currently important.

About the Authors

O. N. Sled
Krasnoyarsk inter-regional clinical hospital № 20, Krasnoyarsk
Russian Federation


N. V. Merzlikin
Siberian State Medical University, Tomsk
Russian Federation


N. Yu. Sled
Krasnoyarsk inter-regional clinical hospital № 20, Krasnoyarsk
Russian Federation


A. E. Popov
Krasnoyarsk State Medical University named prof. V.F. Vojno-Jaseneckiy, Krasnoyarsk
Russian Federation


L. Ja. Mendeleeva
Krasnoyarsk State Medical University named prof. V.F. Vojno-Jaseneckiy, Krasnoyarsk
Russian Federation


S. P. Kosmachenko
Krasnoyarsk inter-regional clinical hospital № 20, Krasnoyarsk
Russian Federation


I. O. Tumakov
Krasnoyarsk inter-regional clinical hospital № 20, Krasnoyarsk
Russian Federation


References

1. Akilov Kh.A., Vakkasov M.Kh. Lechebnaya taktika pri pozdnikh oslozhneniyakh pankreonekroza [Therapeutic tactics in late complications of pancreatic necrosis]. Materialy IX Vserossiyskogo s”ezda khirurgov [Materials of All-Russian Congress of Surgeons], 2000, pp. 7.

2. Johnson M.D., Walsh R.M., Henderson J.M., Brown N., Ponsky J., Dumot J., Zuccaro G., Vargo J.Surgical versus nonsurgical management of pancreatic pseudocysts. J. Clin. Gastroenterol., 2009, vol. 43, pp. 586–590.

3. Grishin I.N., Grits V.N., Lagodich S.N. Kisty, svishchi podzheludochnoy zhelezy i ikh oslozhneniya [Cysts, pancreatic fistulas and their complications]. Minsk, Vysheyshaya shkola Pabl. 2009, 272 p.

4. Boerma D., Obertop H., Gouma D.J. Pancreatic pseudocysts in chronic pancreatitis. Surgical or interventional drainage? Ann. Ital. Chir., 2000, vol. 71, pp. 43–50.

5. Prokof’ev O.A., Akhaladze G.G., Gal’perin E.I. Psevdokisty podzheludochnoy zhelezy: kakuyu taktiku izbrat’? [Pseudocyst of the pancreas: what tactics to choose?] Annaly khirurgicheskoy gepatologii –Annals of Surgical Hepatology, 2001, no. 2, pp. 100–105.

6. Kurygin A.A., Nechaev E.A., Smirnov A.D. Khirurgicheskoe lechenie kist podzheludochnoy zhelezy [Surgical treatment of pancreatic cysts]. SPb., Gippokrat Pabl. 1996, 144 p.

7. Gullo L., Barbara L. Treatment of pancreatic pseudocysts with octreotide. Lancet, 1991, vol. 338, pp. 540–541.

8. Cheruvu C.V., Clarke M.G., Prentice M., Eyre-Brook I.A. Conservative treatment as an option in the management of pancreatic pseudocyst. Ann. R. Coll. Surg. Engl., 2003, vol. 85, pp. 313–316.

9. Khirurgiya podzheludochnoy zhelezy [Surgery of the pancreas] / A.A. Shalimov, S.A. Shalimov, M.E. Nichitaylo, A.P. Radzikhovskiy. Simferopol’, Tavrida, 1997, 560 p.

10. Korolev M.P., Fedotov L.E., Avanesyan R.G., Turyanchik M.M., Fadeeva Yu.V. Kombinirovannye maloinvazivnye tekhnologii v lechenii postnekroticheskikh kist podzheludochnoy zhelezy i ikh oslozhneniy [Combined Minimally Invasive Technologies in the Treatment of Postnecrotic Pancreatic Cysts and Their Complications]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 2012, no. 4, pp. 57–65.

11. Danilov M.V., Fedorov V.D. Khirurgiya podzheludochnoy zhelezy [Surgery of the pancreas]. M., Meditsina, 1995, 509 p.

12. Minimal’no invazivnaya khirurgiya nekrotiziruyushchego pankreatita [Minimally invasive surgery necrotizing pancreatitis] M.I. Prudkov, A.M. Shulutko, F.V. Galimzyanov, A.L. Levit, A.D. Kovalevskiy, S.Yu. Alferov. Ekaterinburg, EKS-Press, 2001. 48 p.

13. Gal’perin E.I., Dyuzheva T.G., Akhaladze G.G. Nurutdinov R.M. Khronicheskiy pankreatit, rezektsionnye i dreniruyushchie vmeshatel’stva [Chronic pancreatitis: resective and decompressive procedures]. Khirurgiya im. N.I. Pirogova –Surgery named after N.I. Pirogov, 2006, no. 8, pp. 4–10.

14. Anosenko S.A. K voprosu khirurgicheskoy taktiki u bol’nykh s khronicheskim pankreatitom [On the question of surgical treatment in patients with chronic pancreatitis]. Vestnik eksperimental’noy i klinicheskoy khirurgii – Journal of Experimental and Clinical Surgery, 2012, no. 1, pp. 33–37.

15. Aghdassi A.A., Mayerle J., Kraft M., Sielenkдmper A.W., Heidecke C.-D., Lerch M.M. Pancreatic pseudocysts – when and how to tread? HPB (Oxford), 2006, vol. 8, pp. 432–441.

16. Lerch M.M., Stier A., Wahnschaffe U., Mayerle J. Pancreatic pseudocysts: observation, endoscopic drainage, or resection? Dtsch. Arztebl. Int., 2009, vol. 106, pp. 614–621.

17. Pankreatit [Pancreatitis] N.V. Merzlikin, N.A. Brazhnikova, V.F, Tskhay, I.Yu. Klinovitskiy, T.B. Komkova, A.A. Sotnikov, T.N. Yaroshkina; pod red. N.V. Merzlikina. M., GEOTAR-Media Publ. 2014, 528 p.

18. Parfenov I.P., Karpachev A.A., Frantsev S.P., Yarosh A.L., Soloshenko A.V., Khlynin A.Yu. Khirurgicheskoe lechenie bol’nykh khronicheskim pankreatitom [Surgical Treatment of Chronic Pancreatitis]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 2011. no. 2. pp. 76–82.

19. Pryadko A.S., Maystrenko N.A., Romashchenko P.N., Boyko I.Yu. Maloinvazivnye tekhnologii v diagnostike i lechenii khronicheskogo pankreatita [Minimaly Invasive Technologies in Diagnostics and Treatment of Chronic Pancreatitis]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 2012, no. 2, pp. 55–64.

20. Wang G.X., Liu X., Wang S., Ge N., Guo J.-T., Liu W., Sun S.-Y. Stent displacement in endoscopic pancreatic pseudocyst drainage and endoscopic management. World J. Gastroenterol., 2015, vol. 21, pp. 2249–2253.

21. Zerem E., Hauser G., Loga-Zec S., Kunosic Kunosić S., Jovanović P., Crnkić D. Minimally invasive treatment of pancreatic pseudocysts. WorldJ. Gastroenterol., 2015, vol. 21,pp. 6850–6860.

22. Tatarshev M.Kh.-B. Lechenie oslozhnennykh lozhnykh kist podzheludochnoy zhelezy [Treatment of complications of pancreatic cysts false]. Annalykhirurgicheskoygepatologii – Annalsof SurgicalHepatology, 1999, no. 2, pp. 176.

23. Rosso E., Alexakis N., Ghaneh P., Lombard M., Smart H.L., Evans J., Neoptolemos J.P.Pancreatic pseudocyst in chronic pancreatitis: endoscopic and surgical treatment. Dig. Surg., 2003, vol. 20,pp. 397–406.

24. Al’perovich B.I., Tskhay V.F., Khabas G.N. Lechenie kist i svishchey podzheludochnoy zhelezy [Treatment of cysts and pancreatic fistulas]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 2000, no. 1, pp. 70–76.

25. Bradley E.L. A clinical based classification system of acute pancreatitis. Arch. Surg., 1993, vol. 128, pp. 586–590.

26. Moran В., Rew D.A., Johnson C.D. Pancreatic pseudocyst should be treated by surgical drainage. Ann. R. Coll. Surg. Engl., 1994, vol. 76, pp. 54–58.

27. Nealon W.H., Walse E.Main Pancreatic Ductal Anatomy Can Direct Choice of Modality for Treating Pancreatic Pseudocysts (Surgery Versus Percutaneous Drainage). Annals of Surgery. 2002. V. 235. P. 751–758.

28. Schlosser W., Siech M., Beger H.G.Pseudocyst treatment in chronic pancreatitis – surgical treatment of the underlying disease increases the long-term success. Dig. Sueg., 2005, vol. 22,pp. 340–345.

29. Propp A.R., Poluektov V.A. Prodol’naya pankreatoeyunostomiya pri oslozhnennom techenii khronicheskogo pankreatita [Lateral pancreajejunostomy with complications of chronic pancreatitis]. Vestnik natsional’nogo mediko-khirurgicheskogo tsentra im. N.I. Pirogova – Bulletin of Pirogov National Medical & Surgical Center, 2010, no. 4, pp. 37–40.

30. Silaev V.N., Bozova E.Yu., Sitkin S.I., Petrushin M.A. Tsistogastroanastomoz v lechenii bol’nykh psevdokistoy podzheludochnoy zhelezy [Cystogastrostomy in the Treatment of Pancreatic Pseudocyst Patients]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 2012, no. 2, pp. 80–85.

31. Nuno-Guzman C.M., Arroniz-Jauregui J., Gomez-Ontiveros J.I., Hernбndez-Estrada H., Estrada-Castaсeda H.I., Araiza-Navarro J.R., Esparza-Arias N. Recurrent pancreatic pseudocyst diagnosed 9 years after initial surgical drainage. JOP, 2011, vol. 12, pp. 274–278.

32. Pogrebnyakov V.Yu., Ivanov P.A. Maloinvazivnoe khirurgicheskoe lechenie oslozhnennykh kist podzheludochnoy zhelezy [Minimally invasive surgical treatment of complicated pancreatic cysts]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 1999, no. 2, pp. 171–172.

33. Byrne M.F., Mitchell R.M., Baillie J. Pancreatic pseudocysts. Curr. Treat. Options Gastroenterol., 2002, vol. 5, pp. 331–338.

34. Shalimov A.A., Grubnik V.V., Gorovits D. Khronicheskiy pankreatit. Sovremennye kontseptsii patogeneza, diagnostiki i lecheniya [Chronic pancreatitis. Current concepts Publ. of the pathogenesis, diagnosis and treatment]. Kiev: Zdorov’e Publ. 2000, 255 p.

35. Palanivelu C., Senthilkumar K., Madhankumar M.V. Rajan P.S., Shetty A.R., Jani K., Rangarajan M., Maheshkumaar G.S. Management of pancreatic pseudocyst in the era of laparoscopic surgery – Experience from a tertiary centre. Surg. Endosc., 2007, vol. 21, pp. 2262–2267.

36. Shchastnyy A.T., Syatkovskiy A.R. Laparoskopicheskaya tsistogastrostomiya i tsistoeyunostomiya [Laparoscopic tsistogastrostomiya and tsistoeyunostomiya]. Novostikhirurgii – SurgeryNews, 2011, no. 1, pp. 117–121.

37. Meditsinskie materialy i implanty s pamyat’yu formy. Implanty s pamyat’yu formy v pankreatobiliarnoy khirurgii [Medical Materials and Implants with Shape Memory. Implants with Shape Memory pancreatobiliary in surgery]. T. 12 / S.G. Shtofin, V.E. Gyunter, V.V. Anishchenko et al. Tomsk: Izd-vo MITs, 2013, 126 p.

38. Egorov V.I., Vishnevskiy V.A., Shchastnyy A.T., Shevchenko T.V., Zhavoronkova O.I., Petrov R.V., Poltoratskiy M.V., Melekhina O.V. Rezektsiya golovki podzheludochnoy zhelezy pri khronicheskom pankreatite. Kak delat’ i kak nazyvat’? [Resection of the head of the pancreas by chronic pancreatitis] (analiticheskiy obzor). Khirurgiya im. N. I. Pirogova – Surgery named after N.I. Pirogov, 2009, no. 8, pp. 57–66.

39. Shchastnyy A.T. Sravnitel’naya otsenka variantov khirurgicheskogo lecheniya psevdokist podzheludochnoy zhelezy [Comparative evaluation of options for surgical treatment of pancreatic pseudocysts]. Novosti khirurgii – Surgery News, 2009, no. 2, pp. 14–25.

40. Apostolou C., Krige J.E.J., Bornman P.C. Pancreatic pseudocysts. South African Journal of Science, 2006, vol. 44, pp. 148–155.

41. Morgan K.A., Adams D.B. Management of internal and external pancreatic fistulas. Surg. Clin. North Am., 2007, vol. 87, pp. 1503–1513.

42. Paklina O.V. Morfogenez khronicheskogo pankreatita i protokovoy adenokartsinomy podzheludochnoy zhelezy: avtoref. dis. … d-ra med. nauk [Morphogenesis of chron ic pancreatitis and pancreatic ductal adenocarcinoma. Diss. dr. med. sci.]. M., 2009, 26 p.

43. Olesen S.S., Juel J., Graversen C., Kolesnikov Y., Wilder-Smith O.H.G., Drewes A.M. Pharmacological pain management in chronic pancreatitis. World J. Gastroenterol., 2013, vol. 19, pp. 7292–7301.

44. Kozlov I.A., Kubyshkin V.A., Yashina N.A. Vinokurova L.V., Pashovkin I.T. Obosnovanie vybora sposoba khirurgicheskogo lecheniya khronicheskogo pankreatita [Justification of the choice of method of surgical treatment of chronic pancreatitis]. Eksperimental’naya i klinicheskaya gastroenterologiya –Experimental and clinical gastroenterology, 2008, no. 7, pp. 63–68.

45. Perwaiz A., Singh A., Chaudhary A. Surgery for chronic pancreatitis. Indian J. Surg., 2012, vol. 74, pp. 47–54.

46. Kochatkov A.V, Kriger A.G., Berelavichus S.V., Korolev S.V., Svitina K.A., Kosova I.A. Rezektsiya golovki podzheludochnoy zhelezy s prodol’nym pankrneatoeyunoanastomozom (operatsiya Freya) [The resection of the head of the pancreas with longitudinal pancreatojejunostomy (Frey procedure)]. Khirurgiya im. N. I. Pirogova – Surgery named after N.I. Pirogov, 2012, no. 2, pp. 31–36.

47. Propp A.R., Poluektov V.L., V’yushkov D.M., Nikulina S.A. Rezul’taty rezektsii golovki podzheludochnoy zhelezy pri khronicheskom pankreaite [Results of resection of the pancreatic head in chronic pancreatitis]. Vestnik Natsional’nogo mediko-khirurgicheskogo tsentra im. N.I. Pirogova – Bulletin of Pirogov National Medical & Surgical Center, 2011, no. 3, pp. 49–51.

48. Guitron-Cantu A., Adalid-Martinez R., Gutierrez-Bermudez J.A. Transpapillary and transmueal drainage of pancreatic pseudocysts. Rev. Gastroenterol. Mex., 2005, vol. 70, pp. 240–246.

49. Burkhart R.A., Gerber S.M., Tholey R.M., Lamb K.M., Somasundaram A., McIntyre C.A., Fradkin E.C., Ashok A.P., Felte R.F., Mehta J.M., Rosato E.L., Lavu H., Jabbour S.A., Yeo C.J., Winter J.M. Incidence and severity of pancreatogenic diabetes after pancreatic resection. J. Gastrointest. Surg., 2015, vol. 19, pp. 217–225.

50. Gubergrits N.B., Lukashevich G.M., Golubeva O.A., Belyaeva N.V., Zagorenko Yu.A. Pankreatogennyy sakharnyy diabet [Pancreatogenic diabetes mellitus]. Rossiyskiy zhurnal gastroenterologii, gepatologii i koloproktologii – Russian Journal of Gastroenterology, Hepatology, Coloproctology, 2007, no. 6, pp. 11–16.

51. Buriev I.M., Ikramov R.Z. Distal’naya rezektsiya podzheludochnoy zhelezy [Distal pancreatectomy]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 1997, no. 2, pp. 136–138.

52. Sangadzhiev S.B., Baytimirov A.M., Podshivalov A.G., Anisimov A.Yu., Galimzyanov A.F. Distal’naya rezektsiya podzheludochnoy zhelezy v lechenii bol’nykh s retsidiviruyushchimi kistami korpokaudal’noy lokalizatsii [Distal pancreatectomy in patients with recurrent cysts korpokaudalnoy localization]. Kazanskiy meditsinskiy zhurnal – Kazan Medical Journal, 2008, no. 4, pp. 1223–1225.

53. Jain G., Chakravartty S., Patel A.G. Spleen-preserving distal pancreatectomy with and without splenic vessel ligation: a systematic review. HPB (Oxford), 2013, vol. 15, pp. 403–410.

54. Roch A., Teyssedou J., Mutter D. Marescaux J., Pessaux P. Chronic pancreatitis: A surgical disease? Role of the Frey procedure. World J. Gastrointest. Surg., 2014, vol. 6, pp. 129–135.

55. Zhou Y., Shi B., Wu L., Wu X., Li Y. Frey procedure for chronic pancreatitis: evidence-based assessment of shortand long-term results in comparison to pancreatoduodenectomy and Beger procedure: a mets-analysis. Pancreatology, 2015, vol. 15, pp. 372–379.

56. Sled N.Yu. Khirurgicheskie metody lecheniya bol’nykh so sformirovannymi pankreaticheskimi kistami: dis. … kand. med. nauk [Surgical treatment of patients with pancreatic cysts formed: diss. med. sci.]. Tomsk, 2015, 163 p.

57. Ivanusa S.Ya., Lazutkin M.V., Shershen’ D.P., Alent’ev S.A. Miniinvazivnye vmeshatel’stva v lechenii kist podzheludochnoy zhelezy [Miniinvasive interventions in treatments of pancreatic cysts]. Vestnik khirurgii im. I.I. Grekova – Journal of Surgery II Grekov, 2013, no 3, pp. 39–41.

58. Damoli L., Butturini G., Ramera M. Paiella S., Marchegiani G., Bassi C. Minimally invasive pancreatic surgery – a review. Wideochir. Inne. Tech. Maloinwazyjne, 2015, vol. 10, pp. 141–149.

59. Zuleta M.A.Endoscopic management of pancreatic pseudocysts. Rev. Col. Gastroenterol., 2013, vol. 28, pp. 183–190.

60. Hancke S., Pedersen J.F. Percutaneous puncture of pancreatis cysts guided by ultrasound. Surg. Gynecol. Obstet., 1976, vol. 142, pp. 551–552.

61. Achkasov E.E., Pugaev A.V., Kharin A.L. Punktsionnyy metod v lechenii postnekroticheskikh kist podzheludochnoy zhelezy [Puncture technique in the treatment of pancreatic cysts postnecrotic]. Khirurgiya im. N. I. Pirogova – Surgery named after N.I. Pirogov, 2007, no. 8, pp. 33–37.

62. Zerem E., Imamovic G., Omerovic S. Ljuca F., Haracić B. Percutaneous treatment for symptomatic pancreatic pseudocysts: long-term results in a single center. Eur. J. Intern. Med., 2010, vol. 21, pp. 393–397.

63. Rana S.S., Bhasin D.K. Nonfluoroscopic endoscopic ultrasound-guided transmural drainage of pseudocysts: a pictorial technical review. Endosc. Ultrasound., 2015, vol. 4, pp. 92–97.

64. Sedov A.P., Parfenov I.P., Karpachev A.A. Sposob endoskopicheskogo naruzhno-vnutrennego drenirovaniya nagnoivshikhsya psevdokist podzheludochnoy zhelezy [The method of endoscopic external-internal drainage of pancreatic pseudocysts festering]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 2008, no. 3, pp. 187.

65. Brandon J.L., Ruden N.M., Turba U.C. Bozlar U., Yeaton P., Hagspiel K.D. Angiographic embolization of arterial hemorrhage following endoscopic US-guided cystogastrostomy for pancreatic pseudocyst drainage. Diagn. Interv. Radiol., 2008, vol. 14, pp. 57–60.

66. Nasr J.Y., Chennat J. Endoscopic ultrasonography-guided transmural drainage of pseudocysts. Tech. Gastrointest. Endosc., 2012. vol. 14,pp. 195–198.

67. Budzinskiy S.A., Myl’nikov A.G., Chernyakevich P.L. Bakaev Z.R., Shapoval’yants S.G. Retrogradnoe transpaillyarnoe stentirovanie protoka podzheludochnoy zhelezy v kompleksnom lechenii bol’nykh khronicheskim pankreatitom [Retrograde Transpapillar Stenting of Main Pancreatic Duct in Multimodality Treatment of Chronic Pancreatitis]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 2014, no. 1, pp. 40–49.

68. Bhasin D.K., Rana S.S. Combining transpapillary pancreatic duct stenting with endoscopic transmural drainage for pancreatic fluid collections: two heads are better that one! J. Gastroenterol. Hepatol., 2010,vol. 25,pp. 433–434.

69. Evtikhova E.Yu., Gagua A.K., Evtikhov R.M. Rezul’taty vnutrennego endoskopicheskogo drenirovaniya psevdokist podzheludochnoy zhelezy [The results of internal endoscopic drainage of pancreatic pseudocysts] // XVI mezhdunarodnyy kongress khirurgov-gepatologov stran SNG «Aktual’nye problemy khirurgicheskoy gepatologii» [XVI International Congress of surgeons-hepatologists of CIS countries “Urgent problems of surgical hepatology”], Ekaterinburg, 2009, pp. 156.

70. Guitron-Cantu A., Adalid-Martinez R., Guti0n A.R.Laparoscopic pancreatic surgery. Minerva Chir., 2014, vol. 69, pp. 371–278.

71. Kriger A.G., Berelavichus S.V., Smirnov A.V., Gorin D.S., Akhtanin E.A. Sravnitel’nye rezul’taty otkrytoy robot-assistirovannoy i laparoskopicheskoy distal’noy rezektsii [Comparative results of open robot-assisted and laparoscopic distal pancreatic resection]. Khirurgiya im. N. I. Pirogova – Surgery named after N.I. Pirogov, 2015, no. 1, pp. 23–29.

72. Sial G.Z., Qazi A.Q., Yusuf M.A. Endoscopic cystogastrostomy: minimally invasive approach for pancreatic pseudocyst. APSP J. Case Rep., 2015, vol 6, pp. 4.

73. Khat’kov I.E., Tsvirkun V.V., Izrailov R.E., Alikhanov R.B., Andrianov A.V. Pervyy opyt laparoskopicheskoy operatsii pri khronicheskom pankreatite [The First Experience with Laparoscopic Surgery in Chronic Pancreatitis Patients]. Annaly khirurgicheskoy gepatologii – Annals of Surgical Hepatology, 2014, no. 3, pp. 10–16.


Review

For citations:


Sled O.N., Merzlikin N.V., Sled N.Yu., Popov A.E., Mendeleeva L.J., Kosmachenko S.P., Tumakov I.O. SURGICAL TREATMENT OF CHRONIC CYSTIC PANCREATITIS. Bulletin of Siberian Medicine. 2016;15(2):85-97. (In Russ.) https://doi.org/10.20538/1682-0363-2016-2-85-97

Views: 1776


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1682-0363 (Print)
ISSN 1819-3684 (Online)