title: [Choice of bile-diverting operations in neoplastic obstruction of the distal common bile duct].
abstract: Analysis of clinical material of 206 patients with tumor obstruction of the distal part of the common bile duct allowed the conclusion to be made on the expediency of applying endoscopic methods for jaundice correction as the first stage in preparation for the operation (122 patients) and also as the only and final operation (70 patients). Study of the immediate and late-term results of different variants of operations for bile diversion in obstruction of the distal choledochus (203 operations) showed the superiority of the Roux hepaticoejunoanastomosis in which recurrent jaundice due to obstruction of the cystic duct does not occur, as is encountered in creation of a cholecystoejunoanastomosis, and there are no conditions for the development of ascending cholangitis.
authors.forename: M V
authors.initials: MV
authors.lastname: Danilov
authors.forename: P V
authors.initials: PV
authors.lastname: Garelik
authors.forename: V P
authors.initials: VP
authors.lastname: Glabaĭ
authors.forename: I A
authors.initials: IA
authors.lastname: Zharakhovich
authors.forename: N I
authors.initials: NI
authors.lastname: Mosienko
authors.forename: V G
authors.initials: VG
authors.lastname: Ponomarev
authors.forename: V I
authors.initials: VI
authors.lastname: Sharov
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015904:Biliopancreatic Diversion / Q000379:methods*; D001651:Cholestasis, Extrahepatic / Q000209:etiology / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000150:complications; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
vernacular_title: Vybor zhelcheotvodiashchikh operatsiĭ pri opukholevoĭ neprokhodimosti distal'nogo otdela obshchego zhelchnogo protoka]