THE RESULTS OF TRANSDUODENAL PAPILLOSPHIN CTEROPLASTY AND DOUBLE INTERNAL DRAINAGE OF THE COMMON BILE-DUCT BY MEANS OF THE C-PI-PI-20 INSTRUMENT

The authors discuss the immediate and late results of operations condu cted with the CPIPI-20 suturing instrument of their design. It made po ssible one-stage transduodenal papillosphincteroplasty by application of two rows of tantalum staple sutures with division of the tissue bet ween them - papillosphincterotomy. The authors conducted the operation on 242 patients for benign stenosis of the common bile duct by stones incarcerated in it. In 29 patients the intervention was complemented by the formation of supraduodenal choledochoduodenoanastomosis by mean s of the same suturing instrument, establishing in this was double int ernal drainage of the bile ducts. The suturing instrument made the ope ration easier and atraumatic and provided reliable hemostasis. immedia te postoperative mortality as 1.9 %. Transduodenal papillosphincteroto my with the CPIPI-20 suturing instrument produced g od and satisfactor y results in 95.2 % and poor results in 4.8 % of patients; poor late r esults of double drainage of the choledochus by the authors' method we re not registered.