[Supraduodenal choledochoduodenal anastomosis in treating cholelithiasis].
In the recent years the number of patients with cholelithiasis has been increasing. The absolute majority of the patients are admitted to hospitals for urgent indications. Elderly patients with long histories, complications and concomitant diseases prevail. Not only the disease but complications as well must be exactly diagnosed. On the basis of the experience with 1298 operations on biliary ducts (178 of them subjected to choledochoduodenal anastomosis) the authors have determined the following indications for choledochoduodenal anastomosis: choledocholithiasis and dilated bile duct over 1,5 cm in diameter, cleavage of concrements in the bile duct, uncertainty of complete sanitation of the dilated duct and constricted terminal end of the choledochus with a concomitant pancreatitis. A one-row suture and the Yurash-Vinogradov method of choledochoduodenal anastomosis are preferred.
D000328:Adult; D000368:Aged; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000601:surgery*; D003135:Common Bile Duct / Q000473:pathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D004386:Duodenum / Q000601:surgery*; D004630:Emergencies; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000601:surgery; D012086:Reoperation
Supraduodenal'nyĭ kholedokhoduodenoanastomoz v lechenii zhelchno-kamennoĭ bolezni.