[Rare complication of cholecystectomy operation].

Rare complication of cholecystectomy is presented in the article. Ligation and hepatic-ductectomy at the level 10 mm below of a duct fork resulted in the development of parenchymatous bile fistula opening in supradiaphragmatic space, which clinically presents as recurrent supradiaphragmatic abscess, intermittent jaundice and purulent cholangitis.

[The pathomorphogenetic characteristics of the wall of the common bile duct in cholestasis].

Data are presented on the reversibility of pathological changes of the common bile duct, causes and criteria of reversibility. Consideration of four stages of pathomorphogenesis of the common bile duct wall may be of help in the choice of surgical tactics in surgical intervention on the common bile duct.

[A new approach to the intraoperative diagnosis of cholangitis and to the choice of surgical procedure in operations on the bile ducts].

The authors have developed a prompt and informative method for assessment of the depth and reversibility of the morphofunctional changes in the common bile duct (CBD) wall with the use of staining by hematoxylin basic, fuchsin-picric acid. Four types of the morphologic changes in CBD wall, which characterize the different degree of reversibility, were established. Depending of presence of these types, the corresponding surgical tactics is recommended.