Schein C J, Shapiro N, Gliedman M L
Surg Gynecol Obstet. 1978 Jan;146(1):25-32.
Choledochoduodenostomy was performed in 100 patients for calculus related disease of the common bile duct. There were no significant early or late complications of the anastomotic procedure. The 3 per cent mortality was related to antecedent advanced liver disease in two instances and, in one instance, to intra-abdominal sepsis. The surgical bypass has the advantage of circumventing the retained stone problem or the sequelae of benign obstructive disease in the distal part of the choledochus. It permits postoperative roentgenographic and endoscopic evaluation of the anastomotic site. Cholangitis, blind segment disability and malfunction have not been seen with these indications and this technique. When the common bile duct is at least 1.4 centimeters wide, primary or secondary choledochoduodenostomy with a wide anastomosis has significant advantages over T-tube intubation in the therapeutic and prophylactic management of choledocholithiasis.
100例因胆总管结石相关疾病接受了胆总管十二指肠吻合术。吻合手术无显著的早期或晚期并发症。3%的死亡率，两例与先前存在的晚期肝病有关，一例与腹腔内感染有关。手术旁路具有避免残留结石问题或胆总管远端良性梗阻性疾病后遗症的优点。它允许术后通过X线摄影和内镜评估吻合部位。在这些适应证和这项技术中，尚未发现胆管炎、盲端功能障碍和功能异常。当胆总管至少宽1.4厘米时，在胆总管结石病的治疗和预防性处理中，采用宽吻合的一期或二期胆总管十二指肠吻合术比T管插管具有显著优势。
