The value of choledocho-duodenostomi'i for the treatment of gallstone disease

Abstract

Abstracts. Surgery. The value of choledocho-duodenostomi'i for the treatment of cholelithiasis. N. Finsterer (ref. Zentr. F. Chir., 1930, No. 30) used choledochoduodenostomi'io in 41 cases with 2 deaths. The author anastomosed the supraduodenal part of the choledochus with the movable part of the duodenum. Indicators for such an intervention are numerous stones in the holudochus, the danger of leaving stones, cholangitis, greatly dilated choledochus and bile duct with papillae stenosis or chronic pancreatitis. The first 24-48 hours after the operation, patients should be kept with an elevated pelvis and bent chest, so as not to disperse the seams and not to pour out bile into the abdominal cavity. The author did not observe an ascending infection of the biliary tract, as well as the subsequent narrowing of the anastomosis.

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