Savelév V S, Avaliani M V, Kapranov S A, Bashirov A D, Boldina T B
Khirurgiia (Mosk). 1993 Mar(3):10-18.
A new type of endoscopic operations--cholecystodigestive and choledocho-hepaticoduodenoanastomoses with the use of magnetic elements are suggested as an alternative to the traditional palliative methods of treatment of obstructive jaundice with the level of obstruction below the opening of the cystic duct. Two variants of establishing postponed compression cholecystogastroanastomoses were developed in experiments on a model of obstructive jaundice in 50 unbred dogs, a variant of cholecystoentero- and enteroenteroanastomoses with the use of endoscopic techniques, which may be conducted in clinical practice. To restore internal bile drainage the following operations were carried out on 16 patients: colecystogastroanastomosis (4), cholecystoduodenonastomosis (1), choledochoduodenoanastomosis (10), hapaticoduodenoanastomosis (1). These operations were performed in patients with irresectable obstructions of the terminal part of the choledochus and a high operative risk.
一种新型的内镜手术——使用磁性元件的胆囊消化道吻合术和胆总管-肝十二指肠吻合术，被建议作为治疗胆囊管开口以下梗阻性黄疸的传统姑息治疗方法的替代方案。在50只未杂交犬的梗阻性黄疸模型实验中，开发了两种建立延迟压迫性胆囊胃吻合术的变体，一种是使用内镜技术的胆囊肠吻合术和肠肠吻合术变体，可在临床实践中进行。为恢复内胆汁引流，对16例患者进行了以下手术：胆囊胃吻合术（4例）、胆囊十二指肠吻合术（1例）、胆总管十二指肠吻合术（10例）、肝十二指肠吻合术（1例）。这些手术是在胆总管末端不可切除性梗阻且手术风险高的患者中进行的。
