Dimitrova V, Gaĭdarski R, Ivanov S
Khirurgiia (Sofiia). 1990;43(4):10-5.
The modern state of the problem and the indications and contraindications for performing transduodenal papillosphincteroplasty are discussed. Personal experience is recorded with 67 transduodenal papillosphincteroplasties, performed for the period 1983-1989, against the background of 1091 operations on the hepatobiliary system, 171 of them on the extrahepatic bile ducts, performed during the same period. Proceeding from their own experience and from available data in the literature, the authors analyse and evaluate the surgical and nonsurgical methods of treatment of benign diseases of the terminal common bile duct and the duodenal papilla, manifested by stenotic lesions. The most important indications and contraindications for applying the different therapeutic methods are adduced. Remarks are made on the technique, which is of major practical importance and the respective conclusion is substantiated.
讨论了该问题的现代状况以及实施经十二指肠乳头括约肌成形术的适应证和禁忌证。记录了1983年至1989年期间进行的67例经十二指肠乳头括约肌成形术的个人经验，这是在同期1091例肝胆系统手术（其中171例为肝外胆管手术）的背景下进行的。作者根据自身经验和文献中的现有数据，分析并评估了以狭窄性病变为表现的胆总管末端和十二指肠乳头良性疾病的手术及非手术治疗方法。列举了应用不同治疗方法的最重要适应证和禁忌证。对具有重要实际意义的技术进行了评述，并证实了相应结论。
