Archvadze B K, Tedoradze V O, Tsekhelashvili L O, Berishvili K L
Georgian Med News. 2012 May(206):7-11.
The authors offer analysis of surgical treatment methods of patients suffering from complicated forms of gall-bladder and anhepatic bile-excreting ducts' diseases. In elaborating tactics for treatment of the above-mentioned pathology the presently existing technical and tactical approaches are considered and the most acceptable for receiving favourable results are chosen. In implementing the operation the authors gave utmost attention to the choice of the method of bile-duct drainage depending on the severity of the disease, the age and the concomitant diseases. Taking into consideration application of the most approved and effective methods of treatment of complicated forms of gall-bladder and bile-duct diseases, 191 patients were operated within the period of 1990-2008 years. The operation cholecystectomy together with drainage of the choledochus was carried out in 64 cases, choledochoduodenostomy - in 54 cases, choledochojejunostomy - in 59 cases, reconstruction of the choledochus over a T-tube Kerr's drainage - in 8 cases. The portion of the gall-duct retained after the first operation was removed to 3 patients. There were 18 (9,4%) cases of complications in post-operation period, 8 patients died, lethality was 4,2%.
作者对患有复杂形式胆囊及肝外胆管疾病患者的手术治疗方法进行了分析。在制定上述病理的治疗策略时，考虑了当前现有的技术和战术方法，并选择了最有可能获得良好效果的方法。在实施手术过程中，作者根据疾病的严重程度、患者年龄及伴随疾病，对胆管引流方法的选择给予了极大关注。考虑到应用最认可且有效的复杂形式胆囊和胆管疾病治疗方法，在1990年至2008年期间对191例患者进行了手术。其中64例行胆囊切除术并胆总管引流，54例行胆总管十二指肠吻合术，59例行胆总管空肠吻合术，8例行T管Kerr引流下胆总管重建术。首次手术后保留的胆管部分在3例患者中被切除。术后出现18例（9.4%）并发症，8例患者死亡，死亡率为4.2%。
