Roberts-Thomson I C
Aust N Z J Surg. 1981 Jun;51(3):289-91. doi: 10.1111/j.1445-2197.1981.tb05959.x.
Endoscopic sphincterotomy was performed in 53 patients with biliary tract disease who were considered to be at high risk from conventional surgical procedures. Forty-five patients had choledocholithiasis, while eight had miscellaneous disorders including carcinoma, stenosis of the papilla, and postoperative biliary fistulae. Forty-three of 45 patients with choledocholithiasis have been free of symptoms since the procedure, and most have had repeat retrograde cholangiography confirming the absence of bile duct-stones. Endoscopic sphincterotomy is a safe and effective procedure in selected high-risk patients, particularly those with choledocholithiasis after cholecystectomy.
对53例被认为常规手术风险高的胆道疾病患者实施了内镜括约肌切开术。45例患者患有胆总管结石，8例患有包括癌、乳头狭窄和术后胆瘘等杂症。45例胆总管结石患者中有43例术后无症状，大多数患者经再次逆行胆管造影证实胆管无结石。内镜括约肌切开术对于特定的高风险患者，尤其是胆囊切除术后胆总管结石患者，是一种安全有效的手术。
