[Operations of the gall-system (papillectomy) (author's transl)]

The last 14 years around 4000 operations of the gall-bladder and the gall-system were performed at the surgical hospital in Braunschweig. All cases were benign. A papillectomy was performed in more than 500 cases. Because of better intraoperative diagnostic and routine radiomanometry of nearly all the patients the contingent of papillotomy, which was usually 25% to 30%, decreased to 10% to 12%. Our statistic shows that there was no increase of complications or of the postoperative lethality due to the papillotomy. On the other hand we had to performe a second operation in 82 cases, who had no papillotomy at the first surgical approach. 14 of these patients had a biliodigestive anastomosis and later a bad polycystectomy syndrom. On the other side we had a group of patients who got ailments years after the cholecystectomy. These patients had a stenosis of the papilla as a real second disease and needed to undergo a second operation.