Disputable Questions of Papilla Vatery Surgery
260 radiological-endoscopic interventions on papilla Vatery and 70 autopsies are analyzed. |In result of investigation new division of the terminal common bile duct on it's: papillary, intramural and extraduodenal segments is offered. In 48%cases, when the common bile duct distal part runs through the pancreas the extraduodenal part includes pancreatic segment. Distinguished segments of the distal common bile duct are characterized and it's endoscopic terminology and technical issues of surgical interventions are criticized. An algorithm of cholangiolythiasis patients management is offered.