雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Endoscopic Sphinctero-Papillotomy: In comparison with surgical sphinctero-papilloplasty S. Sohma 1 , I. Tatekawa 1 , S. Saito 1 , M. Ono 1 , R. Fujita 2 1Dept. of Surgery, School of Medicine, Kyorin Univ. 2Fujigaoka Hospital, Showa Univ. School of Medicine pp.1405-1415
Published Date 1976/11/25
DOI https://doi.org/10.11477/mf.1403107464
  • Abstract
  • Look Inside

 Residual stones following biliary surgery present annoying problem and they occur in 1.4 to 6.6% of the cases despite the pre- and intraoperative efforts. Non-surgical removed of them has been tried and reported, but only through the T-tube. Recently, however, extraction of the stone through the papilla with or without Papillotomy under endoscopic control has been tried and successful results in clinical cases were reported by Kawai et al., Classen and Koch, and Sohma et al. A problem arises if there is any side effect from the severance of the Oddi's sphincter. Surgical sphincteroplasty for serious cholelithiasis particularly for bilirubin stones in the biliary tree presents the similar problem. It should be worthwhile to compare if there is any difference between the two methods. Interestingly, the results of the endoscopic electrical incision are the same as those of surgical sphincteroplasty. This method was applied in 41 cases and there were stones in the common bile-duct in 39 cases. We were able to successfully remove the stones in 34 cases by active extraction or spontaneous delivery. Biliary drainage is sufficient and no postoperative infection or liver function impairment has been encountered. We are also successful in developing a method of introducing a fiberscope into the hepatic ducts through the opened papilla for observation of the biliary tree.


Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有