[Early and late results of choledoco-duodenal anastomosis during surgical treatment of biliary lithiasis. Apropos of a series of 62 cases].
The authors report a series of 62 choledoco-duodenal anastomoses carried out during surgical treatment of cholelithiasis and note the indications for this procedure, emphasizing the necessity for a wide common bile duct and a normal duodenum. Apart from complete obstruction of the common bile duct with gall stones, the main indication is organic obstruction of the terminal part and of the sphincter of Oddi. A 2 cm anastomosis is necessary. Duodeno-biliary reflux has no direct consequence in the absence of stenosis of the anastomosis and of pre-existing cholangitis. In the long term, the results are favourable in 95 p. 100 of cases.
D002763:Cholecystectomy; D002769:Cholelithiasis / Q000601:surgery*; D003135:Common Bile Duct / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D009803:Sphincter of Oddi / Q000601:surgery
Les suites proches et lointaines de l'anastomose cholédoco-duodénale au cours du traitement chirurgical de la lithiase biliaire. A propos d'une série de 62 observations