384 papillosphincterostomy operations. Indications, technic, results and long-term control

The immediate and long-term results of 384 papillosphincterostomy operations carried out between 1969 and 1979 are presented and discussed. After defining the operation exactly, indications for it are illustrated, i.e.: VP lithiasis, fibrosclerotic odditis, Oddian functional pathology and other path...

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Bibliographic Details
Published inMinerva chirurgica Vol. 36; no. 12; p. 807
Main Authors Taschieri, A M, Biraghi, T, Santambrogio, L, Contessini Avesani, E, Percio, F, Belloli, P A
Format Journal Article
LanguageItalian
Published Italy 30.06.1981
Subjects
Adult
Aged
Ampulla of Vater - surgery
Cholangitis - surgery
Cholestasis, Extrahepatic - surgery
Common Bile Duct Diseases - surgery
Female
Gallstones - surgery
Humans
Male
Methods
Middle Aged
Postoperative Complications
Sphincter of Oddi - surgery
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Summary:The immediate and long-term results of 384 papillosphincterostomy operations carried out between 1969 and 1979 are presented and discussed. After defining the operation exactly, indications for it are illustrated, i.e.: VP lithiasis, fibrosclerotic odditis, Oddian functional pathology and other pathologies. Special attention is paid to diagnostic techniques. After commenting on surgical techniques, the results obtained in the immediate postoperative course are examined and it is pointed out that complications specific to the type of operation occurred in 1.5% of cases, with a mortality of 1.3% and an incidence of acute pancreatitis of 0.3% (3 cases of which 1 fatal). 162 patients (42%) were followed up between 10 years and 3 months after operation. Follow-up showed the absence of late after-effects and as well as the advantages of effecting an extensive incisura at the Oddian sphincter.
ISSN:0026-4733