CHOLEDOCHODUODENOSTOMY WITH THE USE OF TH E SPP-20 SUTURING INSTRUMENT

The article discusses the results of choledochoduodenostomy formed wit h the CIIII-20 suturing instrument in 51 patients by a method develope d by the authors. The late-term results were studied in 46 patients in follow-up periods of 3 months to 2 years. In the group of 46 patients who were examined 45 had no complaints, they returned to their previo us occupation, and stopped adhering to the diet 3-6 months after the o peration. One patient noted significant improvement of his condition b ut nontheless complained of aching pain experienced from time to time in the epigastrium, a bitter taste in the mouth, and sometimes nausea, which was associated with chronic pancreatitis. Immediate and late-te rm complications directly connected with formation of the anastomosis with a mechanical suture (CIIII-20 instrument) as well as fatal outcom es were not encountered.