Savel'ev V S, Filimonov M I
Vestn Khir Im I I Grek. 1979 Nov;123(11):28-35.
Strangulation of the stones of the great duodenal papilla is found in almost every fourth patient with a benigh mechanical jaundice. A radical method for removing the stones from the ampulla of the papilla is the transduodenal papillosphincterotomy. The 1-1,5 cm dissection of the papilla is followed by an external drainage of the hepatocholedochus after Holstead or Carr. The nearest results of such operations with strangulated stones are favourable.
在几乎每四位良性机械性黄疸患者中就有一位发现十二指肠大乳头结石嵌顿。从乳头壶腹取出结石的根治性方法是经十二指肠乳头括约肌切开术。在对乳头进行1至1.5厘米的切开后,按照霍尔斯特德或卡尔的方法对肝总管进行外引流。此类针对嵌顿结石手术的近期效果良好。