FIELD: medicine.
SUBSTANCE: method involves making incision in choledochus wall in parallel to its axis. Incision length is one-half distance between choledochus end orifice and common bile duct bifurcation as large. Two traction sutures are stitched in suturing choledochus wall through all layers one opposite to the other. The traction sutures are conducted through lateral opening on anti-mesenteric intestine rim. Duct end portion is introduced into the intestine by pulling the traction sutures to half distance between common bile duct bifurcation and superior choledochus incision angle. Interrupted sutures are stitched on the intestine and choledochus without entering its lumen. The sutures are circularly stitched around opening perimeter. Seromusculomucous intestine layers and choledochus wall are pierced. The traction sutures are removed. The second suture row is stitched between the choledochus wall and serous intestine layer.
EFFECT: reduced risk of acute postoperative cholangitis development and acute pyo-inflammatory complications depending thereon.
3 dwg
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Authors
Dates
2006-12-27—Published
2005-04-21—Filed