[Various problems of surgery of the extrahepatic bile ducts]

Debatable questions of indications to choledochotomy and placing bile-eliminating anastomoses are discussed on the basis of personal experiences and data of literature. It is supposed that the amount of choledochotomies should be restricted at the expense of wider use for the revision of extrahepatic bile ducts of the cystic duct stump. In cases when bile-elimination anastomoses are not supposed oblique choledochotomy should be preferred through the cystic duct stump. Indications to the creation of bile-elimination anastomoses should not be wider. In doubtful cases the question should be solved in favour of external drainage of the common bile duct.