Choledochoplasty

Choledochoplasty (from ancient Greek χολή, genus χολῆς - bile and πλάστης - “artisan”) is a surgical operation to restore the patency of the bile ducts if they are obstructed. In case of complete obstruction of the bile duct, surgical removal of the gallbladder (cholecystectomy) is performed.

Choledochoplasty is performed when there is narrowing or compression of the common bile duct caused by a tumor of the head of the pancreas, cicatricial changes in the area of ​​the major duodenal papilla, strictures of the common bile duct after previous operations, etc.

The essence of the operation is that an incision is made in the area of ​​the head of the pancreas or the major duodenal papilla using special instruments, through which a special stent is installed into the lumen of the common bile duct. A stent is a metal rod with many holes. Stents are installed for a period of 6 months to 1 year. After installation of the stent, the patency of the bile ducts is restored, and the patient can lead a normal lifestyle.

After surgery, the patient may need some time to recover from surgery, but overall the procedure is safe and effective.

Choledochoplasty is a surgical treatment method that is used to treat blockage of the common bile duct (choledochus). This method is one of the most complex and risky surgical procedures, and therefore its use may be limited to certain indications.

The common bile duct transports bile from the liver to the duodenum. Bile plays an important role in digestion, providing the formation of enzymes that break down fats, proteins and carbohydrates. A blocked common bile duct can lead to serious digestive problems such as gallstones, liver disease, inflammation and other complications.

Choledochoplasty is performed when there are large stones in the common bile duct or a blocked duct. The intervention is usually performed when it is necessary to remove the gallbladder. Often such removal is performed in combination with cholecystectomy - removal of the gallbladder.

Before the operation begins, several studies must be carried out to ensure that the patient has everything necessary for this operation. It is also necessary to identify the presence of complications in the patient, such as cholelithiasis, pancreatitis, tumors and other health problems. In addition, it is necessary to determine the type of disease that caused the blockage of the duct, for example: inflammation, cancer, infection or mechanical obstruction (blockage). The patient must also be tested for HIV and hepatitis.

During the operation, the surgeon makes a small incision in the skin in the right lower abdomen. Then, through an incision, the surgeon penetrates the chest and stomach to reach the gallbladder and bile duct. Difficult or complex duct blockages may require removal of most of the liver or gallbladder tissue, since this organ is typically affected by duct and artery masses. The surgeon may also remove the affected ducts and