[The contraindications, indications and conditions for completing choledochotomy with a precision suture of the...

Based on literature and personal data (146 choledochotomies) the authors have developed a scheme of contraindications, indications and conditions for using the precision suture of the choledochus in patients with benign lesions of bile ducts. For this method of completing choledochotomy to be realized, the indications should be correlated with the complex of conditions. To most important conditions the authors refer the possibility to use the precision technique as well as the delicate highly informative diagnostic and curative endocholedochal manipulations. The choice of the variant of the precision suture of the choledochus is influenced by a group of conditions responsible for the state of the hepatocholedochus. Based on the proposed scheme the precision suture was used in 62 patients. No complications resulting from using this method of completing choledochotomy were noted.