[Choledochoduodenostomy in the treatment of benign disease of the common bile duct: evaluation of long-term results].
The Authors report their experience in the treatment of 36 patients managed by side-to-side choledochoduodenostomy for common bile duct disease and followed for a period of five years. The main indication to surgery was a choledochal dilatation more than 1.5 cm. The surgical technique consisted in a single layer side-to-side choledochoduodenostomy with absorbable suture according to Roessner. There was no operative mortality and few post surgical complications (six patients, 15.78%) were registered; 25 patients (69.45%) were completely asymptomatic at five years, while in six cases (16.66%) significant symptoms were observed. In one case a biliary gastropathy with no metaplasia was documented.
Sgroi
G
G
Cattedra di Chirurgia Generale II, Università degli Studi di Milano.
Liberatore
E
E
Giovilli
M
M
Longhi
F
F
De Monti
M
M
Ghilardi
G
G
Scorza
R
R
D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater; D002758:Cholangiography; D002768:Choledochostomy / Q000379:methods; D003137:Common Bile Duct Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003251:Constriction, Pathologic; D004108:Dilatation, Pathologic; D005260:Female; D005500:Follow-Up Studies; D042882:Gallstones / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors