Vladimirov B, Keranov S, Viiachki I, Iordanov I
Khirurgiia (Sofiia). 1989;42(1):57-9.
Two patients with obstructive jaundice are presented. They had cancer of the large duodenal papilla and choledocholithiasis with edema and deformity of the papilla. Endoscopic laser papillosphincterotomy with "Nd-YAG" laser and one-step endoscopic biliary drainage--endoprosthesis of the common bile duct and naso-labial drainage, respectively--were performed. The importance of laser papillotomy in patients, in whom electropapillotomy can not be accomplished or will not give satisfactory results, is emphasized. Analysis is made of the periodic medical literature on this problem. Report is made for the first time on combining two endoscopic methods--laser photocoagulation and endoprosthesis in benign and in malignant stenoses of the papilla, realized in one act.
本文介绍了两名梗阻性黄疸患者。他们患有十二指肠大乳头癌和胆总管结石，伴有乳头水肿和畸形。分别采用“Nd-YAG”激光进行内镜下激光乳头括约肌切开术和一步内镜胆道引流术——胆总管内支架置入术和鼻胆管引流术。强调了激光乳头切开术在无法完成或无法取得满意效果的电乳头切开术患者中的重要性。对关于该问题的定期医学文献进行了分析。首次报道了在一次操作中联合两种内镜方法——激光光凝术和乳头良恶性狭窄的内支架置入术。
