FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to hepatosurgery. After the gall bladder is separated from the bottom, a gallbladder is excised to its neck with diameter of 2.0 cm, while maintaining the integrity of the cystic duct and the cystic artery. Then the cystic duct is examined with a bougie with a bulbous probe, separated to the place of confluence of hepaticocholedochus. After mobilization of duodenum Kocher duodenotomy is performed, formed wound does not exceed diameter of neck of gallbladder. Anastomosis is formed by imposing single-row interrupted sutures passing through the serous-muscular layer of the gallbladder neck and the serous-muscular-submucous layer of the duodenum.
EFFECT: method enables reducing the risk of developing early and late postoperative complications, including stenosis of the developed fistula.
1 cl, 6 dwg, 1 ex
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