[Technique of surgical ampullectomy].
We describe the technique of surgical ampullectomy, which consists of complete resection of the papilla of Vater, including the sphincter, the distal part of common bile duct and Wirsung duct, and the duodenal wall around the papilla. Limits of resection are assessed by frozen section, particularly on both biliary and pancreatic ducts which are sutured together and reinserted on the duodenal wall. Surgical ampullectomy, combined with frozen section, is associated with a low morbidity, and represents a valid alternative to pancreaticoduodenectomy and endoscopic ampullectomy for presumed-benign ampullomas.
Sauvanet
A
A
Service de chirurgie digestive, hôpital Beaujon, AP-HP, université Paris-VII, 100 boulevard du Général-Leclerc, 92118 Clichy cedex, France. alain.sauvanet@bjn.ap-hop-paris.fr
Regimbeau
J-M
JM
Jaeck
D
D
D014670:Ampulla of Vater / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications; D013536:Suture Techniques