[Experience with repeated operations on the external bile ducts]

Under analysis were 235 repeated operations upon the external bile-excretory ducts, fulfilled in 218 patients. The main indications for repeated operations on the biliary ducts were choledocholithiasis, stenosis of Vater's papilla, stricture of biliary ducts, pancreatitis, external biliary fistula. The pathological conditions were most frequently observed in combinations. During repeated interventions choledochotomy and revision of the biliary ducts were made in 182 patients. Biliodigestive anastomosis was performed in 97 patients, in 54 patients choledochotomy was completed by external drainage of ductus choledochus, in 31 patients the common biliary duct was sutured tightly in combination with the creation of drainage into the stump of the biliary duct after Halsted. Lethality after repeated operations was 3.6%. The remote results were good in 110 patients (80.8%), satisfactory in 23 (16,9%), bad results were in 3 (2,2%) patients.