title: [Indications for and technic of papillosphincterotomy].
abstract: The authors' experience with 45 papillosphincterotomies, performed for diseases of bile passages and chronic pancreatitis, is reported. The details of the operative technic, employed by the authors, are described. The technic of papillosphincterotomy on a conus-shape sound by means of a "laser scalpel" proved to be the most perfect one. Careful observation of the surgical technic made it possible to gain favourable results--only 1 of 45 operated patients died. Papillosphincterotomy is largely advocated in stenoses and concretions in the large duodenal papilla, strictures of choledocho-duodenoanastomoses, care should be taken not to overwiden indications to the operation concerned.
mesh_terms: D001650:Bile Duct Neoplasms / Q000601:surgery; D002769:Cholelithiasis / Q000601:surgery; D003135:Common Bile Duct; D003250:Constriction; D004378:Duodenal Diseases / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008722:Methods; D010195:Pancreatitis / Q000601:surgery; D012008:Recurrence
vernacular_title: Pokazaniia i tekhnika papillosfinkterotomii