title: [Ampullar choledocholithiasis].
abstract: Under observation were 111 patients with ampullar choledocholithiasis. Variants of the clinical course of choledocholithiasis are characterized. The most rational method for the surgical treatment of ampullar choledocholithiasis is the transduodenal transpapillary extraction of concrements from the major papillar followed by papillocholedochoplasty. In a number of cases papillocholedochoplasty was accompanied with additional creation of biliodigestive anastomosis and plasty of the opening of the pancreatic duct. Remote results of the operations on the major papilla of the duodenum are dependent on the amount of preoperative complications of ampullar choledocholithiasis and first of all pancreatitis.
mesh_terms: D014670:Ampulla of Vater / Q000601:surgery; D004380:Duodenal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged
vernacular_title: Ampuliarnyĭ kholedokholitiaz.