Повторные операции у больных с кистозными трансформациями желчных протоков

The reasons were analyzed for unsatisfactory remote results of palliative operations of cyst transformations of biliary ducts (21 patients) and 2 patients after extensive excision of hepatico-choledochal cysts. Palliative operations like cytodigestive anastomoses do not remove the cyst-transformed ducts, and the pathogenic factors of the disease are not eliminated (reflux, chronic inflammation, choleostasis, malignization), while the pre-operative clinic manifestations (recurrent cholangitis, jaundice, etc) preserve, which determines the necessity for the recurrent operation with maximal excision of the transformed duct and cyst walls and forming the wide hepaticoenteroanamostosis by Rue. After the extensive excision of hepatico-choledochal cysts a stricture of hepaticoenteroanamostosis may sometimes develop, due to complicated anamostosing and breaches of precision technique. Recurrent operations in such patients include reconstruction of the anamostosis.