Cano Ivorra J, Peris R, Cano Peral J
Helv Chir Acta. 1981 Feb;47(6):837-48.
Microsurgery, applied to surgery of Vater's papilla, does not represent a new development in surgical technique, but rather propounds the possibility of a new view of infundibular papilla which is of great diagnostic value of biliar disease. We see it as being indicated in all those cases in which surgery of papilla is undertaken. In papilla microsurgery technique exists a first period of diagnosis in which a study is made of the infundibula mucous membrane, allowing one to ascertain the state of the wall and possible affectation of the distal parts of the choledochus and of Wirsung ducts. In the second period, or the strictly surgical, microsurgery constantly achieves control of the papilla and its elements, at the same time being antitraumatic and more objective.
应用于十二指肠乳头手术的显微外科，并非代表手术技术的新发展，而是提出了对漏斗状乳头新观点的可能性，这对胆道疾病具有重大诊断价值。我们认为在所有进行乳头手术的病例中都适用。在乳头显微外科技术中，存在第一个诊断阶段，即对漏斗状黏膜进行研究，从而能够确定胆管壁的状态以及胆总管和胰管远端可能受到的影响。在第二个阶段，即严格意义上的手术阶段，显微外科手术始终能够控制乳头及其组成部分，同时具有抗创伤性且更具客观性。
