Modified Method of Choledocho-Duodenal Anastomosys

Bucha Archvadze*, Vazha Tedoradze** 

*Department of General Surgery of Medical Faculty of Tbilisi State Medical University, Georgia;
**Department of Hospital Surgery of Medical Faculty of Batumi State University, Georgia

The choledocho-duodenostomy is on of the widespread surgical methods among those that have been used for treatment of bile duct compression. This is confirmed by the facts; most of surgeons prefer the above-mentioned method in practice. However, the choledocho-duodenostomy is frequently accompanied by complications of functional character. In order to reduce the number and frequency of post choledocho-duodenostomy complications, has been suggested by us the modernized variant of one of the widely used methods of choledocho-duodenostomy - Iurash-Vinogradov’ method. The modernized variant of method suggests connection of wall of duodenum with choledochus. A total of 41 patients were operated using the above-mentioned modernized method. Post-operation complications were detected in 4 cases. Complications were not related with the method of operation. In one case defective suture of anastomosys developed, which was closed by appropriate treatment. The lethal outcomes have not been detected.

Keywords:  chronic pancreaqtitis, choledocho-duodenal anastomosys,
choledocho-duodenostomia