Boymond P, Rohner A
Helv Chir Acta. 1980 Dec;47(5):593-5.
Should the papilla Vateri be explored during surgery for gallstones of the main biliary tract? A group of 672 choledochotomies were analyzed retrospectively; out of precautions we approached the papilla Vateri in 75% of these cases. This group was compared to a prospective study of 200 consecutive choledochotomies of which 21% required dilatation or sphinectotomy of the papilla Vateri. The number of remaining gallstones was approximately the same in both groups. There were 5 deaths due to postoperative acute pancreatitis in the first series and none in the second. Dilatation of the papilla or sphincterotomy should no longer be performed, routinely in surgery of the biliary tract.
在进行主胆管结石手术时是否应探查 Vater 乳头？对一组 672 例胆总管切开术进行了回顾性分析；出于预防措施，我们在其中 75% 的病例中探查了 Vater 乳头。将该组与一项对 200 例连续胆总管切开术的前瞻性研究进行比较，其中 21% 的病例需要对 Vater 乳头进行扩张或括约肌切开术。两组中残留结石的数量大致相同。在第一个系列中有 5 例因术后急性胰腺炎死亡，第二个系列中无死亡病例。在胆道手术中，不应再常规进行乳头扩张或括约肌切开术。
