Choice of bile-diverting operations in neoplastic obstruction of the distal common bile duct

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 th...

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Bibliographic Details
Published inHirurgija (Moskva) no. 10; p. 70
Main Authors Danilov, M V, Garelik, P V, Glabaĭ, V P, Zharakhovich, I A, Mosienko, N I, Ponomarev, V G, Sharov, V I
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.10.1993
Subjects
Adult
Aged
Aged, 80 and over
Biliopancreatic Diversion - methods
Cholestasis, Extrahepatic - etiology
Cholestasis, Extrahepatic - surgery
Common Bile Duct Neoplasms - complications
Female
Humans
Laparoscopy
Male
Middle Aged
Treatment Outcome
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Summary: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.
ISSN:0023-1207