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目的 介绍一种憩室内乳头的手术方法。方法 憩室敞开时在其底边留一袖口状边缘，使缝合时无张力，减少可能发生的术后漏；Ｏddi括约肌成形采用边切国缝，每次切开长度不超过３mm，总长度一般不超过２.０cm。结果 共１１例，无一例死亡,后出现量漏、胰漏、十二指肠漏共３例，发生率为２７.２７％。随访８例术后效果均优。结论 尽管此术式技术要求高、术后并发症多，但其远期效果好。

Treatment of the caseswith the papilla of Vater located in the diverticula by opening of diverticula addingOddis sphincteroplasty.

Objective To introduce a surgical technique for the cases with the papilla of Vater located in the diverticula.Methods When diverticula was opened,there was a cuff shape edge left in the bottom,which reduced tensility of oversew,and the probability of postoperative leakage was reduced.Fistula Oddi sphincteroplasty was adopted oversewwing when it was splitted,and the length of each time was not more than 3mm,and the total length was not more than 2cm.Results None of 11 cases died in postoperation,3 of them occured biliary fistula,duodenal fistula,and pancreatic fistula,the rate of fistula was 27 27%.They were all followed-up,and the result was satisfactory. Conclusion Although the operation technique is difficult,and there are many complications,it is a good technique.