[Morphological aspect of the development of stenosis and suture insufficiency in the common bile duct after choledochotomy and biliary anastomoses].
The formation of stenosis following choledochotomy, common duct injury and repair can be observed frequently. A severe complication following a common duct repair, which can almost span a defect of about 3 cm, is the insufficient suture. An insufficient blood supply of the suture margins and a seam which is standing under tension are quoted as reasons for insufficient suture. The extra- and intramural distribution of arterial blood supply of the superior part of common bile duct is described. The results are based on preparations of 25 dissections and further 6 dissections following to another special arterial injection method. The "main-streets" of arterial blood supply of the common bile duct are described and hints are given to the surgeon, how to avoid stenosis or ischemic margins following anastomosis of the common duct.
D001157:Arterial Occlusive Diseases / Q000209:etiology* / Q000473:pathology; D003135:Common Bile Duct / Q000033:anatomy & histology / Q000098:blood supply / Q000601:surgery*; D003251:Constriction, Pathologic / Q000473:pathology; D006801:Humans; D011183:Postoperative Complications; D013536:Suture Techniques
Morphologische Gesichtspunkte zur Entstehung von Stenosen und Nahtinsuffizienzen am Ductus choledochus nach Choledochotomie und bilio-biliären Anastomosen.