[Papillosphincterotomy in lesions of terminal segment of the common bile duct]

The dissection of the papilla was carried out in 70 patients with pure stenosing papillitis and with papillitis combined with choledocholithiasis and cholangitis. The authors consider subtotal papillosphincterotomy with the length of incision of 1.5 cm to be an expedient means for the dissection of the papilla, which, in their opinion, allows to prevent developing of restenosis. The dissection of the papilla was carried out upon 35 patients with incarcerated stones and upon 8 patients with floating stones. Some practical and helpful recommendations are suggested.