Spivak V P, Bereznitskiĭ Ia S
Vestn Khir Im I I Grek. 1990 Nov;145(11):24-8.
The authors disposing of a great number of observations of patients operated upon for peptic ulcer of the anastomosis (570), give an account of main principles of performing surgical procedures. They are: the detection and elimination of the causes of the anastomosis ulcer, wider use of truncal vagotomy, and for gastro-intestino-colonic fistula a less traumatic intervention should be chosen--the disconnection of the fistula and suturing the colon. The ways of reduction of postoperative lethality of the patients with this severe disease are shown.
作者对大量因吻合口消化性溃疡接受手术的患者(570例)进行了观察,并阐述了实施外科手术的主要原则。这些原则包括:查明并消除吻合口溃疡的病因,更广泛地应用迷走神经干切断术,对于胃肠结肠瘘应选择创伤较小的干预措施——瘘管切断术并缝合结肠。文中还展示了降低这类重症患者术后死亡率的方法。