[A modification of the classic supraduodenal side-to-side choledochoduodenal anastomosis].
The authors subscribe to the standpoint that a "bile path" passes in biliodigestive anastomoses along the latero-posterior surface of the right hemi-circumference of the hepato-choledochus in the area where the choledocho-digestive anastomoses are constructed. A declivage (to this "bile path" in the hepato-choledochus) supraduodenal latero-lateral choledocho-duodeno-anastomosis is suggested. It is realized through latero-posterior choledochotomy and by oblique section of the duodenum in close proximity to its external edge. The stitches of the common bile duct needle are 2-2.5 mm apart from each other and from the end of the choledochotomy orifice and those of the--3-3.5 mm apart from each other and 6-7 mm from the end of the duodenotomy orifice. The sutures pass totally through the wall of the common bile duct and serous-muscular-submucosally (mucose-muscular-seriously) thorough the duodenal wall.
Atanasov
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D
Atanasova
D
D
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003135:Common Bile Duct / Q000601:surgery*; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery; D004386:Duodenum / Q000601:surgery*; D005260:Female; D042882:Gallstones / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications / Q000601:surgery; D013536:Suture Techniques
Vŭrkhu edna modifikatsiia na klasicheskata supraduodenalna latero-lateralna kholedokho-duodenoanastomoza.