CHOICE OF BILE-DIVERTING OPERATIONS IN TU MOR OBSTRUCTION OF THE DISTAL PART OF THE COMMON BILE-DUCT

Analysis of clinical material of 206 patients with tumor obstruction o f the distal part of the common bile duct allowed the conclusion to be made on the expediency of applying endoscopic methods for jaundice co rrection as the first stage in preparation for the operation (122 pati ents) and also as the only and final operation (70 patients). Study of the immediate and late-term results of different variants of operatio ns for bile diversion in obstruction of the distal choledochus (203 op erations) showed the superiority of the Roux hepaticoejunoanastomosis in which recurrent jaundice due to obstruction of the cystic duct does not occur, as is encountered in creation of a cholecystoejunoanastomo sis, and there are no conditions for the development of ascending chol angitis.