Volobuev N N
Khirurgiia (Mosk). 1991 Sep(9):140-3.
The Plenk method in the author's modification was successfully applied in resection of the stomach "for exclusion" in 22 patients. When there was a threatening incompetence of the duodenal stump sutures, to prevent generalization of peritonitis the stump in 24 patients was covered with a "hood" of the greater omentum and external drainage of this space was installed; the procedure was an alternative of duodenostomy. Incompetence occurred in 3 cases with subsequent recovery. In resection of the stomach for recurrent ulcer after previous vagotomy combined with gastroduodenostomy after Jaboulay, the defects in the duodenal wall were closed with a demucosed antral-pyloric gastric segment after the author's method. The operation was conducted on 4 patients.
作者改良的普伦克方法成功应用于22例胃“排除性”切除术。当十二指肠残端缝合有渗漏风险时，为防止腹膜炎扩散，对24例患者的残端用大网膜“罩”覆盖，并对该区域进行外部引流；该手术是十二指肠造口术的替代方法。3例出现渗漏，随后恢复。在先前迷走神经切断术联合贾布莱胃十二指肠吻合术后复发性溃疡的胃切除术中，按照作者的方法，用去黏膜的胃窦-幽门胃段封闭十二指肠壁缺损。4例患者接受了该手术。
