[Biliodigestive anastomoses using mechanical sutures]. / Biliodigestivnye soust'ia mekhanicheskim shvom.

The authors provide information concerning an experimental model of a suturing instrument for the formation of linear biliodigestive anastomoses, by means off which the communications are created in different parts of the ducts, even the intrahepatic ducts, 5 mm or more in diameter. The instrument was used in operations on 29 patients who had cicatricial stenosis of the major duodenal papilla, carcinoma of the pancreas or ducts in the region of the porta hepatis. The instrument is universal in range and can be used for the creation of various types of biliodigestive anastomoses, it makes the operative techniques simpler and more reliable. Complications associated with the use of the instrument did not occur.

[Individual variations of individual location of hepatic arteries in the lower part of the hepatoduodenal ligament]. / Individual'nye razlichiia raspolozheniia pechenochnykh arterii v nizhnei polovine pechenochno-dvenadtsatiperstnoi sviazki.

The topography of the hepatic arteries in the lower half of the hepatoduodenal ligament was studied on 230 human cadavers. In 64.8% of cases the common hepatic artery was, as usual, in the left margin of the hepatoduodenal ligament, in 0.87% it was between the common bile duct and the portal vein i.e. to the right from the latter. The location of the right hepatic artery to the right or to the right and backwards from the common bile duct constitutes a supplementary risk of an accidental lesion of this artery in choledochotomy and drainage of the duct.