Guerrera C, De Anna D, Rigobello P, Buccoliero F, Canella A
Chir Ital. 1979 Dec;31(6):1049-57.
The authors review the indications of their 146 cases of supraduodenal choledochoduodenostomy (SDC) from 1970 to 1977. The conditions for which the procedure was carried out were dilatation of the choledochus (100%), multiple calculosis (83%), and primitive or secondary stenosing odditis (17%). After a detailed discussion of these indications, the authors report their immediate and long-term results, which were good in 96% of the patients. In the matter of surgical technic the authors give preference to laterolateral SDC, stressing that effective anastomosis requires a choledochal diameter of at least 10 or 12 mm. In good accord with data published from other sources, the authors' data suggest further restriction of direct procedures (in view of the associated risk of acute pancreatitis) in favor of SDC. The authors also review the objections to, and complications of, this surgical procedure, and conclude that these are never so important as to discourage the procedure when definitely indicated.
作者回顾了1970年至1977年间他们所做的146例十二指肠上胆总管十二指肠吻合术（SDC）的适应证。实施该手术的情况包括胆总管扩张（100%）、多发性结石病（83%）以及原发性或继发性狭窄性胆管炎（17%）。在详细讨论了这些适应证之后，作者报告了他们的近期和远期结果，96%的患者效果良好。在手术技术方面，作者更倾向于外侧胆总管十二指肠吻合术，并强调有效的吻合需要胆总管直径至少为10或12毫米。与其他来源公布的数据高度一致，作者的数据表明应进一步限制直接手术（鉴于相关的急性胰腺炎风险），而倾向于采用胆总管十二指肠吻合术。作者还回顾了对该手术的反对意见和并发症，并得出结论，当明确有指征时，这些情况绝不会严重到足以阻碍实施该手术。
