Duca S
Langenbecks Arch Chir. 1984;362(1):25-31. doi: 10.1007/BF01263317.
Forty-six patients in whom sphincteroplasty was performed by an original technique are presented. In 43 cases the indication was oddian stenosis (associated or not with cholelithiasis or hepatic hydatid disease). Only in three patients a "security" operation was performed. Sphincteroplasty was achieved with the aid of an original probe, and average length of the incision of the ampullary area was 27 mm. The postoperative control, made by tube cholangiography and barium investigation, has evidenced the presence of a wide, open choledochoduodenal aperture. Amylase activity was also followed up in 25 patients. One case of acute pancreatitis, two upper digestive haemorrhages and one case of duodenal fistula were recorded as postoperative complications. Healing was obtained in all patients.
本文介绍了46例采用原创技术进行括约肌成形术的患者。43例患者的手术指征为Oddi括约肌狭窄（伴有或不伴有胆结石或肝包虫病）。仅3例患者进行了“预防性”手术。借助原创探头完成括约肌成形术，壶腹区域切口的平均长度为27毫米。通过胆管造影和钡剂检查进行术后对照，证实存在宽大、开放的胆总管十二指肠开口。还对25例患者的淀粉酶活性进行了随访。记录到1例急性胰腺炎、2例上消化道出血和1例十二指肠瘘为术后并发症。所有患者均获治愈。
