[Restoration and reconstruction of extrahepatic bile ducts in high strictures using enteric autotransplant of variable diameter].

Aim: To develop technique incorporating favorable aspects of gastroenterostomy in common hepatic duct anastomosis, providing bile drainage into duodenum and preventing duodenobiliary reflux.

Material And Methods: It is presented developed operations for high strictures of extrahepatic bile ducts using enteric autotransplant of variable diameter.

Results: Good remote postoperative results were observed in 10 survived patients.

[Plasty of extrahepatic biliary ducts with the use of ileal autotransplantate].

A method of extrahepatic biliary duct plasty with the use of tubular ileal autotransplantate of 1 sm in diameter was presented in 19 patients with benign strictures. The transplantate on the vascular pedicle was created by resection of the antimesenterial side of the intestinal loop. Distally the anastomosis was performed with the common bile duct, including, thus, papilla Vateri into the bile passage (4 patients).

[Primary jejunogastroplasty with end-loop gastroenteroanastomosis and inclusion of the duodenum in distal resection of the stomach (surgical technology and functional results)].

Technical aspects, clinical and functional results of using an original method of primary jejunogastroplasty (JGP) in resection of the stomach were considered. Complex examination of 57 patients (25 patients of the main group, and 32 controls) has shown that the proposed technology of primary JGP can reliably prevent gastroesophageal and duodeno-enterogastic reflux, creates conditions for the portion-rhythmical evacuation of food from the gastric stump. It is also characterized by a less, as compared with the controls, incidence and degree of alterations in the mucosa and better quality of life of the patients after operation.