[Bile-diverting anastomoses in tumorous obturation of the bile ducts].
The authors make an analysis of the operative treatment of 525 patients with cancer of the hepato-biliary and pancreatoduodenal zones. The distal, central and proximal obturations of bile ducts were found which determined the indications to formation of various bilio-digestive anastomoses. The operation of choice for distal obturation is a wide areflux cholecystogastrostomy with the use of blanket suture with the chromium-coated catgut. In the central and proximal obturation the precision suture with an atraumatic suture material and magnifying optics are recommended.
Vinogradov
V V
VV
Lapkin
K V
KV
Liutfaliev
T A
TA
Kunda
M A
MA
D014670:Ampulla of Vater; D001650:Bile Duct Neoplasms / Q000150:complications* / Q000401:mortality / Q000601:surgery; D001662:Biliary Tract Surgical Procedures; D001651:Cholestasis, Extrahepatic / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000401:mortality / Q000601:surgery; D005704:Gallbladder / Q000601:surgery; D005706:Gallbladder Neoplasms / Q000150:complications* / Q000401:mortality / Q000601:surgery; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D010166:Palliative Care / Q000379:methods; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000401:mortality / Q000601:surgery; D013536:Suture Techniques
Zhelcheotvodiashchie anastomozy pri opukholevoĭ obturatsii zhelchnykhprotokov.