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[384 papillosphincterostomy operations. Indications, technic, results and long-term control]
Minerva Chirurgica
|June 30, 1981
Summary
Papillosphincterostomy surgery for biliary conditions showed low complication rates and no long-term adverse effects. An extensive incisura of the Oddian sphincter proved advantageous in patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Procedures
- Biliary System Anatomy
Context:
- Review of 384 papillosphincterostomy operations performed between 1969 and 1979.
- Focus on indications including gallstones, fibrosclerotic odditis, and functional biliary disorders.
- Detailed examination of diagnostic techniques and surgical methodologies.
Purpose:
- To present and discuss the immediate and long-term results of papillosphincterostomy.
- To evaluate the efficacy and safety of the surgical procedure.
- To highlight the benefits of an extensive incisura of the Oddian sphincter.
Summary:
- Immediate postoperative complications occurred in 1.5% of patients, with a 1.3% mortality rate and 0.3% incidence of acute pancreatitis.
- 162 patients (42%) were followed up for over 10 years.
- Follow-up revealed no late adverse effects from the procedure.
Impact:
- Provides evidence for the safety and long-term efficacy of papillosphincterostomy.
- Suggests that an extensive incisura of the Oddian sphincter is beneficial.
- Informs clinical decision-making for biliary pathologies requiring sphincterotomy.