[Sutures in biliopancreatic surgery]

The most important element of surgical intervention is quality of the surgical stitch, meaning of surgical anastomosis. The importance of resorptive surgical stitch in the surgery of hepato-biliary system has been painted out, so that a possibility of delayed stricture and calculus's can be avoided. Principals of the reconstruction of extrahepatic biliary system have been shown together with the types of surgical suture material in the bilio-pancreatic surgery. Review of 486 bilio and pancreaticoenteric derivations or reconstructions in the period from 1989 until 1993 on the First Surgical Clinic is presented. A comparative study has been made comparing postoperative complications due to an anastomotic leak and the mortality in the groups of patients with the reconstruction of benign biliary strictures (119 pt's) and cephalic duodenopancreatectomy (44 pt's) with the other results from the world-wide instructions reported in the literature. In the group with benign biliary strictures temporary bile leakage reached 3.8% and operative mortality was 0.8%. In the group with Whipple operation 11.3% pt's had pancreatic, 4.5% pt's had biliary leakage and operative mortality was 4.5%. We can conclude that our results match the worldwide results concerning this problem.