Florence M G, Hart M J, White T T
Am J Surg. 1981 Jul;142(1):100-5. doi: 10.1016/s0002-9610(81)80035-9.
Ampullary disconnection is fortunately rare. As this experience indicates, the long-term salvage rate is good but demands immediate recognition, precise repair and frequently reoperation to obtain a satisfactory result. One should be aware that the ampulla may be located very proximally in patients with long-standing peptic ulceration. The common duct should be catheterized while reoperation is required in this area in cases of obscured anatomy of the distal bile and pancreatic ducts.
壶腹离断术所幸较为罕见。正如本经验所示，其长期挽救率良好，但需要立即识别、精确修复且常需再次手术才能获得满意结果。应当注意，在患有长期消化性溃疡的患者中，壶腹可能位于非常靠近近端的位置。当在此区域因远端胆管和胰管解剖结构不清而需要再次手术时，应插入胆总管导管。
