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The authors describe their observation of 28 patients with extensive scarring stricture of the ductus hepaticocholedochus. The Saĭpol operation was performed in 21 patients, autonomic hepaticojejunostomy with transhepatic change drains in 7 patients. Results of the investigation in the postoperative period have shown the autonomic hepaticojejunostomy to have advantages over the Saĭpol technique.

Surgical treatment of chronic biliopancreatitis has sometimes unsatisfactory results of cholecystectomy and supraduodenal choledochoduodenoanastomosis due to non-eliminated during the operation chronic alterations of the patency of terminal parts of the common bile duct and Wirsung's duct. In most patients with chronic biliopancreatitis good and satisfactory results were noted after performing associated surgical operations including cholecystectomy, transduodenal papillosphincterotomy, wirsungoduodenotomy, correction of duodenostasis and splanchnicectomies.