RESUMEN
Hepatico-jejunoanastomosis (HJA) was formed in accordance to the high-frequency electric welding method: in 14 patients for the main bile outflow disorders, in 8 of them as a consequence of the periampullar zone malignances, in 6 stricture of a common hepatic duct, HJA earlier formatted, purulent cholangitis, iatrogenic damage of biliary ducts. In all the patients the welded averting one-layered termino-lateral or latero-lateral HJA were formatted. The welded anastomoses have appeared hermetic, sufficiently hard, immediately after the formation and further.
Asunto(s)
Anastomosis Quirúrgica/métodos , Neoplasias de los Conductos Biliares/cirugía , Colangitis/cirugía , Colestasis Extrahepática/cirugía , Electrocoagulación/métodos , Conducto Hepático Común/cirugía , Anastomosis Quirúrgica/instrumentación , Neoplasias de los Conductos Biliares/patología , Colangitis/patología , Colestasis Extrahepática/patología , Electrocoagulación/instrumentación , Conducto Hepático Común/patología , Humanos , Yeyuno/cirugía , Hígado/cirugía , Resultado del TratamientoRESUMEN
In the experiment on 50 rabbits cholecysto-entero and entero-entero anastomoses were formed on intestinal Roux loop. In 35 animals (the main group) a single layer evert- ing anastomoses by using high frequence (HF) electric welding method were formed, in 15 (the comparison group) single row suture anastomoses has been done. The anas- tomosis sufficiency were performed by using hydropressure, pneumopressure meth- ods and breakload test. It was established that all anastomoses formed by HF-electric welding method were passable and hermetic, also had strong sufficiency. Strength of weld joint in the postoperative period increased in a linear progression and after 3 weeks almost reached strength intact intestine (240-250 mm Hg).