Mandache F, Vasiliu M, Gherguţ A, Mocanu P
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1977 Nov-Dec;26(6):419-23.
Gastrectomy with ulcer exclusion, associated to double ligature of the duodenal stump without infundation is a technique easy to perform in ulcers with difficult duodenum. This technique was successfully applied in 34 patients with sub-bulbar chronic duodenal ulcers (with norm- or hypoacidity), complicated by penetrating bilio-pancreatic callous lesions (one case of pancreatic fistula was recorded, that was treated with X-ray therapy). In another 10 patients with complicated ulcers (perforations - 5 cases, bleeding associated with perforation - 2 cases) the authors used the same technique. Two deaths were recorded: through generalized peritonitis in one case and through duodenal fistula, melena and peritonitis in another case.
胃大部切除术加溃疡旷置术，联合十二指肠残端双重结扎而不进行十二指肠球部造瘘，是一种在十二指肠情况复杂的溃疡中易于实施的技术。该技术成功应用于34例球部以下慢性十二指肠溃疡患者（胃酸正常或偏低），这些患者合并穿透性胆胰硬结性病变（记录到1例胰瘘，经X线治疗）。在另外10例复杂溃疡患者（穿孔5例，穿孔合并出血2例）中，作者采用了相同技术。记录到2例死亡：1例死于弥漫性腹膜炎，另1例死于十二指肠瘘、黑便和腹膜炎。
